facility_name: LUGOS' FAMILY CARE

summary: Complaint Investigation - Substantiated - 1 allegation

raw_content:
Narrative:
Continued from A confidential interview disclosed that the Licensee traveled out of the country from October 21, 2024, to November 4, 2024. LPA reviewed the CCL facility file, and no report was found indicating that the LIC was going on vacation, or no documentation was found that the LIC informed foster children Social Workers or CCL. Based on confidential interviews and a review of pertinent documents, the allegation that the Licensee did not notify authorized representatives of her absence is substantiated. The preponderance of evidence standard has been met. The SFH is cited for a violation of Title 22, Division 6, Chapter 4, Article 06, California Code Regulations, Section 83061(a)(b) In addition to 80061, the following shall apply: The licensee shall notify the licensing agency and the child's authorized representative in advance when they intend to be absent from the home for 48 hours or longer... The facility did not follow reporting requirements when LIC went on vacation, which posed potential health, safety, and personal rights risk to the children in care. An exit interview was conducted. A copy of this report, LIC 811, and appeal rights were explained and given to La Queta Mormon.

Investigation Findings:
SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

complaint_status: SUBSTANTIATED


state: CA

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
It was further reported that the church members performed an exorcism on FC1, where FC1 was levitating and the members had to hold FC1 down. It was further reported the exorcism took four hours and FC1 blacked out and couldn't remember what happened. It was reported that it was unknown if S1 or S2 was present during the exorcism. Confidential interviews reported church members performed an exorcism on FC1. Other confidential interviews reported that FC1, FC2, S1 and S2 regularly attend their usual church and that this church does not perform exorcisms on any church members. Other confidential interviews reported that the foster children in the small family home voluntarily attend their church and reported feeling safe there. Confidential interviews reported that the foster children in the small family home have not reported any exorcisms were performed on them and they didn't witness exorcisms performed on other members. Based on confidential interviews, the allegations that foster parent allowed church staff to restrain foster child to perform a church ritual without consent may have occurred or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report (LIC 9099) and appeal rights were explained and given to Licensee Tanja Lugo.

Investigation Findings:
13On 04/17/2025, at 11: AM, Licensing Program Analysts (LPAs) Joon Choi and Claudia Aguilera conducted an unannounced visit to Lugos' Family Care Small Family Home (SFH) and met with Licensee Tanja Lugo to deliver the investigative finding for the allegation listed above. On 03/18/2025, Community Care Licensing received an allegation that foster parent allowed church staff to restrain foster child to perform a church ritual without consent. On 03/21/2025, LPA Joon Choi conducted a health and safety inspection at the SFH, and no immediate health and safety hazards were observed. During the investigation, LPA Choi obtained documents pertinent to the investigation and interviewed foster children 1 and 2 (FC1, FC2) and staff 1 and 2 (S1, S2). UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: LUGOS' FAMILY CAREFACILITY NUMBER: VISIT DATE: 04/17/2025

Allegations:
- UnsubstantiatedEstimated Days of Completion: Unsubstantiated Estimated Days of Completion: Unsubstantiated Estimated Days of Completion:

report_type: Complaint Investigation

met_with: Tanja Lugo, Licensee

complaint_status: unsubstantiated


raw_content:
Narrative:
Confidential interviews reported that LIC admitted to giving C1, three pills a day instead of the prescribed two pills a day. Other confidential interviews reported that LIC reported that C1's doctor verbally instructed LIC to give C1 3 pills a day. A review of records and C1's medication bottles showed that the written instructions for C1's prescription noted that two pills should be given each day. Based on confidential interviews and a review of pertinent documentation, the preponderance of evidence standard has been met, and the allegation that licensee is not administering medications to the foster child as prescribed is substantiated. The facility is being cited for violation of the Title Regulations, Division Chapter 4, Article 06, section 83075 of Health Related Services, (g) psychotropic medication shall only be used in accordance with the written directions of the physician prescribing the medication and in accordance with authorization requirements specified in Sections 369.5(a)(1) and 739.5(a)(1) of the Welfare and Institutions Code and Section 83070(b)(11). An exit interview was conducted. A copy of this report (LIC 9099), deficiencies page (LIC 9099D) and appeal rights were explained and given to Licensee's Caregiver Staff Laquita Momon.

Investigation Findings:
13On 07/17/2025, at 09: AM, Licensing Program Analyst (LPA) Joon Choi conducted an unannounced visit to Lugos' Family Care Small Family Home (SFH) and met with Licensee's Caregiver Staff Laquita Momon to deliver the investigative findings for the allegation listed above. On 04/09/2025, Community Care Licensing received an allegation that foster parent is not administering medications to the foster child as prescribed. On 04/17/2025, LPA Joon Choi conducted a health and safety inspection at the SFH, and no immediate health and safety hazards were observed. During the investigation, LPA Choi obtained documents pertinent to the investigation and interviewed FC1 (FC1) and the Licensee (LIC). In regard to the allegation that foster parent (LIC) is not administering medications to the foster child (FC1) as prescribed; it was reported that LIC called C1's pharmacy to get a refill for C1's psychotropic medication. It was further reported that there were concerns because C1's prescription was supposed to last 30 days. However, LIC ran out of the prescribed medication and called before the 30 days. CONTINUED ON THE NEXT PAGE SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Joon R Choi LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE CRP RO, MAIN ST., SUITE FACILITY NAME: LUGOS' FAMILY CAREFACILITY NUMBER: VISIT DATE: 07/17/2025

Allegations:
- SubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

met_with: Laquita Momon, Caregiver/Staff


summary: Facility Evaluation

raw_content:
Narrative:
On December 21, 2023, at 1: PM Licensing Program Analyst (LPA) Babatunde Aborchie began a Pre-Licensing inspection for a Small Family Home license. LPA met with applicant Tanja Lugo, led a tour of the home. The facility was toured both inside and out with the applicant. The applicant was applying to be licensed for 6 ambulatory clients. The home consisted of: Downstairs: Bedroom #1, It was furnished with a queen bed. It sleeps one foster daughter, aged 24 years. There was also a family room, a living room, dining area and one bathroom. Upstairs: Bedroom #2, The room consisted of two twin beds. It sleeps one adopted daughter, aged 20 years. Bedroom #3, The room was furnished with a queen bed. It was vacant. Bedroom #4, The room was furnished with two twin beds. It sleeps two foster children. Bedroom #5. The room was furnished with two twin beds. It sleeps two foster children. Bedroom #6, The room was furnished with a twin bed. It sleeps one foster child. Bedroom #7, Master bedroom. The room consisted of one king-sized bed. It sleeps the applicant and spouse. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes was used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication will be locked in the kitchen cabinet area. Cleansers/chemicals were locked and stored in the laundry room cabinet. Sharp knives were inaccessible and stored in a locked box in the kitchen cabinet. There were no guns or weapons as stated by the applicant at this time. The hot water temperature was tested and noted to be 112 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items and it was in the kitchen pantry. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request to be licensed for a small family home will be forwarded to Licensing Program Manager for final approval. A component III orientation was conducted with applicant Tanja Lugo. An exit interview was conducted. A copy of this report was provided to Applicant/Licensee

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Tanja Lugo


summary: Facility Evaluation

raw_content:
Narrative:
On August 28th, 2025 at 12:22PM Licensing Program Analyst (LPA) Cynthia Ramos met with Licensee Tanja Lugo who led a tour of the home. The purpose of the visit was to conduct an annual inspection of the home. The facility was toured inside and out with the Licensee. Currently there are no clients in placement. The home is a two-story home, with 7 bedrooms and 3 bathrooms. The home is set up as follows: On the first floor there was a large dining table, small living room and kitchen. In the kitchen, LPA observed knives, and medication was kept locked in a top cabinet. Additionally, there is a large family room with a television and games for clients. Bedroom #1 is located downstairs and is currently occupied by Licensee's adult daughter (25 years old) and always remains locked. Bathroom #1 was inspected and was in good repair. An additional closet was observed to have extra household items. A stairway led to the second floor of the home where Bedroom #2 (Master Bedroom) was located, this room is currently occupied by Licensee and Spouse and remains locked at all times. Master bedroom also contained Bathroom #2. Bedroom #3 was currently vacant for a future client and contained a twin bed, drawers and closet space. Bedroom #4 was currently vacant for future clients and contained two twin beds with adequate drawers and closet space. Bathroom #3 was inspected and in good repair. Bedroom #5 was occupied by Licensee's biological daughter (22-year-old) and remains locked at all times. Bedroom #6 was vacant with two twin beds and adequate drawers and closet space for future clients. Per Licensee, Bedroom #7 always remains locked as it is used for storage. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The fireplace was properly screened. All hazardous items have been properly made inaccessible to clients. Cleansers/chemicals were locked and stored in the laundry room and are not accessible to clients. The first aid kit was located in the kitchen and was complete. Per Licensee, there are no guns or weapons in the home at this time. The hot water temperature was tested and noted to be 111.3 degrees F. Proper storage of all food was noted. Carbon monoxide/smoke detectors alarms were tested and were in good repair. During inspection, LPA observed trash cans for storage of solid waste without tight fitting lids, due to this a Technical Violation (TV) 80088 (f)(1) was given and explained to the Licensee. LPA observed the landline (phone) was broken during the visit. A Technical Violation 80073(a) was given and explained to the Licensee. The garage was inspected and contained additional storage, per Licensee clients do not have access to the garage and remains locked at all times. The backyard where clients will have access to play is completely fenced and free of hazards. There is no pool or other body of water. Staff records were reviewed and were in compliance. An exit interview was conducted, and a copy of this report was provided to Licensee.

visit_type: Annual

met_with: Licensee, Tanja Lugo


facility_name: LUMINOUS SOULS CARE

summary: Facility Evaluation

raw_content:
Narrative:
On February 8, 2024 at 09: AM, Licensing Program Analyst (LPA) Linda Haynes began a pre-licensing inspection for Luminous Souls Care Small Family Home. LPA met with applicant Ashley Gauthier who led a tour of the home. The facility was toured both inside and out with the Applicant. Currently there are no children in placement The home is a one story building with three bedrooms and two bathrooms which are set up as follows: · Bedroom #1 (Master) has one bed, it sleeps the applicant. · Bedroom #2 (Client's) has two twin beds, it will sleep two clients. · Bedroom #3 (daughter) has one twin bed, it sleeps the daughter. · A great room/living room, kitchen, dining area, two bathrooms, an office, an attached two car garage, storage closet, and the backyard. The Client's bedrooms were arranged so that no more than two client's will be in a room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There was a smoke detector/Carbon Monoxide detector in every bedroom. The four smoke detectors/carbon monoxide detectors were checked, and they were working properly. There is a fire sprinkler system in the home. The home's central air conditioning module was located on the side of the home. The home's tankless hot water heater was located inside the garage and the temperature is set to 120 degrees Fahrenheit. The appliances were in working order. The client's files will be locked inside a cabinet in the office. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable foods. A trash can for storage of solid waste had a tight-fitting lid and was present. The sharp knives are in a locked cabinet across from the applicants bedroom. The medications will be located in a locked box in the office. The hot water in the Master Bathroom measured to be 105.4 degrees Fahrenheit. The water temperature of bathroom 2 measured to be 107.7 degrees Fahrenheit. The First Aid kit was not present at time of inspection. one fire extinguisher was present in the home it is located in the kitchen. It was observed to be properly charged and inspected by the fire department. Applicant stated there were no weapons/firearms in the home. There is no pool or other body of water at the home. The backyard where clients will have access to play was completely fenced. The following corrections need to be made: 1. First aid kit to contain the following Supplies a. Current edition of the first aid manual b. Sterile first aid dressings c. Bandages d. Adhesive Tape e. Scissors f. Tweezers g. Thermometer h. Antiseptic Solution A component III was completed at this time. This application will be forwarded to the Licensing Program Manager for licensing. A copy of this report and Appeal Rights was given to Applicant.

met_with: Ashley Gauthier


summary: Facility Evaluation

raw_content:
Narrative:
On April 3, 2025 at 09:55AM, Licensing Program Analyst (LPA) Rachel Vanegas arrived unannounced to the facility listed above for the purpose of conducting a post-licensing annual inspection. LPA met with Licensee - Ashley Gauthier, who led a tour of the home, both inside and outside. The home is a single story family home with four bedrooms and two restrooms. The home set up as follows: Bedroom #1 (Master) has one bed, it sleeps the Licensee Bedroom #2 (Client) has two twin beds, it sleeps one client and has one vacant bed. There is a dresser and a closet with adequate space for storage of personal belongings Bedroom #3 (daughter) has one twin bed, it sleeps the Licensee's daughter Bedroom #4 (Office/Storage) is used as a storage room and office space A great room/living room, kitchen, dining area, two bathrooms, a laundry room that stores cleaning chemicals and remains locked, an attached two car garage, a storage closet, and the backyard. The client's bedrooms was arranged so that no more than two client's will be in the room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The sharp knives are in a locked storage closet across from the Licensee's bedroom. The medications are stored in a box in the Licensee's bedroom, where they are securely stored and inaccessible to clients in care. There are combination smoke detector/carbon monoxide detectors in every bedroom and hallway. The smoke detector/carbon monoxide detectors were tested and are in properly functioning order. There is one fire extinguisher in the home that was observed to be properly charged, located in the kitchen.The home has a tankless water heater located inside the garage and the temperature is set to 120 degrees Fahrenheit. The hot water temperature was checked in the kitchen and registered at 117.5 degrees Fahrenheit. Telephone services and appliances were in working order at the time of this inspection. **Continued on LIC 809-C** The home has two cameras located inside, one camera is in the great room/living room and one is in the hallway. There are two additional cameras located outside of the home, one in the front yard and one in the backyard. LPA observed an adequate supply of perishable and non-perishable foods and posted meal menus in the kitchen. There was a trash can for storage of solid waste with a tight-fitting lid located in the kitchen. The first aid kit is located in a storage closet near the Licensee's bedroom and contained all of the required materials. LPA also observed other required postings upon entry to the home including the facility license, foster youth personal rights, visitation policy, etc. The backyard was observed to be clean and free of hazards. The backyard has a life size Connect 4 game and jump ropes available for outdoor activities for the children in care along with additional recreation games. There is no pool or other body of water at the facility at this time. LPA conducted one client file review for Client 1 (C1) and observed the needed documents in the files including, needs and services plans, consent to medical treatment authorization forms, placement agreements, signed personal rights form, etc. One out of one files did not contain documented results of tuberculosis (TB) screening for C1. LPA conducted one staff file review for Staff 1 (S1) and observed that one out of one staff files contained needed documents including CPR/First Aid certificates, Drivers License, Job Duties, Health Screening, etc. LPA discussed with the Licensee that the Designation of Facility Responsibility, LIC 308, needs to be updated. LPA further discussed with the Licensee that Program Statement updates are required to include the Camera Policy revisions in accordance with Provider Information Notice, 24-09-CRP. Based on observation and record review, the facility is being cited one Type B violation in accordance with California Code of Regulations (CCR) (Title 22) 80069(c)(1) for not having documentation of a medical/TB examination on file for C1 within 30 days of admission. An exit interview was conducted and a copy of this report, LIC 811, and appeal rights were reviewed and provided to the licensee - Ashley Gauthier.

met_with: Licensee - Ashley Gauthier


summary: Facility Evaluation

raw_content:
Narrative:
This report is added to the 809 see original on the 812. On October 29, 2024, at 2: PM, the Component II application process for the L.B. Limitless Foundation was completed at the California Department of Social Services, Community Care Licensing Division, Children's Residential Regional Office in El Segundo. The meeting included Licensing Program Analyst Justine Armstrong, Regional Manager Bernice Karnsrithong, Licensee Lela Bohannon, and Director Loretta Brown. The purpose of the Component II meeting was to review the submitted application and Program Statement and address any concerns noted in the application. LPA Armstrong scheduled a correction meeting for November 8, a facility inspection for November 26, and a Component III Orientation for November 27. A copy of the Component II Certificate of Completion was given to Licensee Lela Bohannon. LPA thanked them for the visit and ended the meeting.

met_with: Lela Bohannon


summary: Facility Evaluation

raw_content:
Narrative:
On November 26, 2024, License Program Analyst (LPA) Justine Armstrong and LPA Charmetha White conducted an announced visit to conduct a Pre-Licensing Inspection at L.B. Limitless Small Family Home located at Sutro Ave, Los Angeles CA 90008. During the visit, LPA met with the facility's Administrator Lela Bohannon. Currently, there are no children in the home. This small family home will be licensed for ambulatory minors between the ages of 6-16. Upon entering the facility, LPA Armstrong provided the Administrator with an Entrance Checklist. The facility's exterior was clean and free of debris, with no safety hazards observed. It consists of two bedrooms, two bathrooms, one kitchen, a laundry room, one dining room, one living room, and a garage. There are no bodies of water on the premises.Upon entering the home, there is a locked closet for staff and client files, as well as an emergency backpack for disaster preparedness. **Living Room**: The living room features a wall-mounted TV, two single sofas, and one large sofa, all arranged in an open floor plan. A fire extinguisher is on the wall and there is a fireplace with a metal cage surrounding it to make it inaccessible to clients; however, this fireplace is non-operable. The living room is equipped with a floor heater and an AC vent in the ceiling. **Kitchen**: The kitchen is large, clean, safe, and sanitary. It includes a working faucet, two refrigerators, four operational stove burners, a microwave, and a counter toaster. Inside one of the refrigerators, there is a locked box for medication storage. A weekly menu is posted for staff and clients, and there is a lidded trash can available. Sufficient perishable and non-perishable food supplies for one week are present. Additionally, the kitchen displays the Disaster Plan, Foster Rights poster, and Facility Sketch. A first-aid kit is located in the kitchen, containing tweezers, scissors, a thermometer, sterile first-aid dressings, and band-aids. The kitchen has a side door that leads to the laundry room, and it includes a lock on a cabinet for chemical storage and a lock on a top cabinet for the medication lock box. **Laundry Room**: The laundry room has an exit door leading to the backyard, a washer, a dryer, and a locked cabinet for extra laundry supplies. **Dining Room**: The dining room contains a sturdy table with four chairs, which accommodates the facility's capacity. The dining room also has a side door that leads to the backyard (2nd exit ) see continuation on 809C **Hallway**: The hallway features two closets. The first closet stores extra linens, towels, blankets, pillows, sheets, and hygiene supplies. The second closet is locked and used for storing cleaning chemicals. **Bedrooms**: There are two bedrooms. The first bedroom, which is currently unoccupied, is designated for clients and is equipped with two twin-sized beds, a closet with clean linens, a warm blanket, and pillows on each bed. It includes two dressers with five drawers each and a nightstand. The spacious shared closet has a laundry basket for each client. Bedroom #2 is the admin bedroom, which also has two twin beds, a spacious bathroom equipped with a shower, a toilet, and a bathtub with a spacious closet. This bedroom door has a lock. The licensee was advised to replace the two twin beds with a single bed and to send a picture once completed. **Bathrooms**: The clients' bathrooms are equipped with a shower, a separate bathtub, a working toilet, a sink with a mirror, and a faucet. The hot water was tested and found to be between 105-120 degrees Fahrenheit. **Garage**: The garage is used for storage and supplies and is located in the backyard. **Backyard**: The spacious backyard is free of debris and features a large play area for clients, along with beautiful lemon and orange trees. A working dual carbon monoxide alarm/smoke detector is installed in the living room, dining room, hallway, kitchen, and bedrooms. At the time of observation, no cameras were present, and the applicant confirmed that no firearms were in the home. The facility has central air and heating, and the area is free of debris and other hazardous items. There is also a gas, water, and power shut-off located at the side of the home. The LPA inspected the facility's vehicle, a 2007 gold Toyota, which is registered until October 2025 and covered by State Farm Insurance which will be renewed January 2025. An Exit interview was conducted, and a copy of the report was provided to the Administrator.


summary: Facility Evaluation

raw_content:
Narrative:
On April 1, 2025, at 9: AM, Licensing Program Analysts (LPAs) Justine Armstrong and Dennis Jarmin conducted an announced post-licensing inspection at L.B. Limitless Small Family Home, located at Sutro Avenue, Los Angeles, CA 90008. LPAs met with Administrator Lela Bohannon. At the time of the visit, there were no children in placement. The facility is licensed to provide care for ambulatory minors between the ages of 6 and 16. Upon entry,As there were no children in placement, no client interviews were conducted and no client files were available for review. The only interview conducted was with the licensee. Facility Overview: The home was clean, organized, and free from safety hazards. It includes two bedrooms, two bathrooms, a living room, a dining room, a kitchen, a laundry room, and a detached garage. There are no bodies of water on the property. A locked closet near the entrance stores staff and client files. Living Room: The living room has a wall-mounted TV, two single sofas, and one large sofa. A fire extinguisher is mounted on the wall. The non-operable fireplace is enclosed with a metal safety cover. LPA Advised the Licensee to attach the metal safety cover to the wall, so that it can not be moved and be more inaccessible to children and to send LPA a picture once completed. The room includes a floor heater and ceiling air conditioning vent. Kitchen: The kitchen is clean and well-maintained. It includes two refrigerators, a stove with four working burners, a microwave, and a toaster. One refrigerator has a locked box for medication. A weekly menu is posted, and there are enough perishable and non-perishable foods for at least one week. Cleaning supplies are stored in a locked cabinet, and a medication box is secured in a top cabinet. A first aid kit containing all required items was observed. Required postings, including the Disaster Plan, Foster Youth Rights, and Facility Sketch, Facility License and emergency resource numbers are visibly posted. A side door leads to the laundry room. Laundry Room: The laundry area has a washer, dryer, and locked cabinet for laundry supplies. An exit door leads to the backyard. Dining Room: The dining room has a sturdy table and four chairs, which meets the needs of the home's capacity. A second exit door provides access to the backyard. There were also 2 emergency disaster backpack placed on door handles in the dining room. Hallway: Two hallway closets were observed. One stores extra linens, towels, blankets, and hygiene items. The second is locked and used for storing cleaning chemicals. Bedrooms: There are two bedrooms. Bedroom #1 is designated for clients and includes two twin beds, clean linens, pillows, warm blankets, and individual laundry baskets. The room also contains dressers and a shared closet. Bedroom #2 is the Licensee room. It includes one king bed and an attached bathroom with a shower, bathtub, toilet, and spacious closet. Bathrooms: Both bathrooms are clean and functional, with a working toilet, sink, shower, and bathtub. Hot water was tested and measured between 105-120°F, which is within the regulatory range. Garage and Backyard: The detached garage is used for storage and remains locked. The backyard is spacious, clean, and free of hazards. It features a play area and lemon and orange trees. There also two cameras in the backyard. LPA advised to put a lock on the H-back air conditioning unit shut off valve. Health and Safety Compliance: The home is equipped with a dual carbon monoxide/smoke detector in all required areas, and all were tested and operational. There are no surveillance cameras or firearms in the home. The property has central heating and air conditioning. Gas, water, and power shut-off valves are located on the side of the house. Facility Vehicle: LPAs observed a 2007 gold Toyota parked on-site. The vehicle registration is valid through October 2025 and is insured by State Farm. Exit Interview: An exit interview was conducted with Administrator Lela Bohannon. A copy of this report was provided after the inspection.


summary: Facility Evaluation

raw_content:
Narrative:
On November 24, 2025, at 12: PM, Licensing Program Analysts (LPA) Justine Armstrong conducted an unannounced annual random visit at L.B. Limitless Foundation Small Family Home, located at Sutro Avenue, Los Angeles, CA 90008. LPA met with the Administrator Lela Bohannon. The facility is licensed to provide care for two ambulatory minors between the ages of 6 - 16. At the time of the visit, there was one client in placement. LPA conducted an interview with the Administrator. LPA reviewed three staff files and 1 client file. Facility Overview: The home was clean, organized, and free from safety hazards. It includes two bedrooms, two bathrooms, a living room, a dining room, a kitchen, a laundry room, and a detached garage. There are no bodies of water on the property. A locked closet near the entrance stores staff and client files. Living Room:The living room has a wall-mounted TV, two single sofas, and one large sofa. A fire extinguisher is mounted on the wall. The non-operable fireplace is enclosed with a metal safety cover. The room includes a floor heater and ceiling air conditioning vent. .Kitchen:The kitchen is clean and well-maintained. It includes two refrigerators, a stove with four working burners, a microwave, and a toaster. (Report Continued on LIC809C ) One refrigerator has a locked box for medication. A weekly menu is posted, and there are enough perishable and non-perishable foods for at least one week. Cleaning supplies are stored in a locked cabinet, and a medication box is secured in a top locked cabinet. A first aid kit containing all required items was observed. Required postings, including the Disaster Plan, Foster Youth Rights, and Facility Sketch, Facility License and emergency resource numbers are visibly posted. A side door leads to the laundry room. Laundry Room: The laundry area has a washer, dryer, and locked cabinet for laundry supplies. An exit door leads to the backyard Dining Room: The dining room has a sturdy table and four chairs, which meets the needs of the home's capacity. A second exit door provides access to the backyard. Hallway:Two hallway closets were observed. One stores extra linens, towels, blankets, and hygiene items. The second is locked and used for storing cleaning chemicals and extra supplies. Bedrooms:There are two bedrooms. Bedroom #1 is occupied by one client. This bedroom includes two twin beds, clean linens, pillows, warm blankets, and contains two dressers and a shared closet. Bedroom #2 is the Administrator room. It includes one king bed and an attached bathroom with a shower, bathtub, toilet, and spacious closet.Bathrooms: Both bathrooms are clean and functional, with a working toilet, sink, shower, and bathtub. Hot water was tested and measured between 105-120°F, which is within the regulatory range. (Report Continued on LIC809C ) Garage and Backyard: The detached garage is used for storage and remains locked. The backyard is spacious, clean, and free of hazards. There also three cameras three cameras in the backyard: one over the garage(driveway camera) and one pointing towards the grass area of the (backyard camera) and a camera at the front door (front). Health and Safety Compliance: The home is equipped with a dual carbon monoxide/smoke detector in all required areas, and all were tested and operational. There are no surveillance cameras or firearms inside the home. The property has central heating and air conditioning. Gas, water, and power shut-off valves are located on the side of the house. Facility Vehicle: LPA observed a 2007 gold Toyota parked on-site. The vehicle registration is valid through October 20, 2026, and is insured by State Farm until January 28, 2026 the insurance renews automatically every 6 months. The Administrator would like to change the age of the Program Statement from ages 6-16, the administrator will submit revisions to LPA for approval by 11/28/2025 . An exit interview was conducted with Administrator Lela Bohannon. A copy of this report was provided after the facility


facility_name: M & B SMALL FAMILIES

summary: Facility Evaluation

raw_content:
Narrative:
On January 16, 2024, Licensing Program Analyst (LPA) Karen Beal and Licensing Program Manager (LPM) Abdoulaye Traore met with applicants Banesa Torres & Marquice Washington for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the notification of incomplete application (LIC 184), letter of Incomplete Application, and additional correspondence to assist with the revisions needed to the application. Copy of this report was provided to applicant.

met_with: Banesa Torres & Marquice Washington


summary: Facility Evaluation

raw_content:
Narrative:
On February 21, 2024, at 10: AM Licensing Program Analysts (LPAs) Karen Beal, LPA Maya Chavez and Licensing Program Manager (LPM) Abdoulaye Traore began an inspection for a Small Family Home license. LPAs and LPM met with applicants Marquice Washington & Banesa Torres who led a tour of the home. The facility was toured both inside and out with the applicants. Applicants are applying for a capacity of 3 ambulatory children and the house is a 3-bedroom two-story house: Downstairs: It consists of a kitchen; a closet, a half bathroom; a pantry; a large dining table; a living room; a game area with a pool table and the garage. Upstairs: Bedroom #1- The room was furnished with a bunk bed (to be used for one foster child) Bedroom #2- The room consist with a bunk bed (to be used two foster children) Bedroom #3, - Applicant bedroom Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. Outside the bedrooms, there was a laundry room, a loft area which contained sofas, a bookshelf, and a table. The smoke detectors and carbon monoxide detectors were checked and are working properly. All hazardous items have been properly made inaccessible to areas where children will have access. Cleansers/chemicals and medication lockbox were locked and stored in downstair closet. Sharp knives were inaccessible and stored downstairs in a locked closet. First Aid kit was accessible with all required items. A Fire extinguisher was observed and properly charged. There were no guns or weapons as stated by Mr. Washington. The hot water temperature was tested and noted to be 111 degrees. Applicants understand that the water temperature must be maintained within the regulation range of 105-120 degrees. Proper storage of all food was noted. Trash cans for storage of solid waste have tight fitting lids. The Emergency Disaster Plan with exit map, Title Personal Rights, and visitation policies were posted at this time. The home have a telephone service at this time. The backyard where children will have access to play is completely fenced and free of hazards. There is no pool or other body of water. Component III orientation was conducted by LPM A. Traore during the visit. Based on this inspection, the home is appropriate for a capacity of 3 ambulatory children. The request of License will be forwarded to Licensing Program Manager for final approval. Exit interview conducted and a copy of this report was discussed and provided to Marquice Washington, applicant.

met_with: Marquice Washington & Banesa Torres, Licensees


summary: Facility Evaluation

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Narrative:
On December 4, 2025, at 10: AM, Licensing Program Analyst (LPA) Julian Lucas conducted an unannounced visit at M & B (Small Family Home) (SFH) to conduct an unannounced two year required inspection. LPA Lucas met with Administrator Marquice Washington and completed a walk through of the facility. LPA began a physical plant inspection at 10: AM assisted by the Administrator Marquice Washington. During the physical plant inspection, LPA observed the facility to be a two story home. A formal entry with a dining room consisting of pool table. In the formal entry the LPA observed postings of Title Personal Rights, and visitation policies were posted.The client and facility files were reviewed. The backyard is completely fenced and free of debris.The living room consisted of two sofas, the dining room consisted of a formal table with five chairs and one formal bench. The kitchen includes The Emergency Disaster Plan with exit map, a refrigerator/freezer, and a pantry for food storage. There is an adequate supply of perishable and non-perishable foods, and the food menu is posted. All sharps are kept in a lock closet. There is an entrance to the garage. There is a restroom with restroom sink reading above 105 degrees Fahrenheit. Upstairs there are three bedrooms. There is one restroom at top of the stairs upstairs, the restroom sink reads above 105 degrees Fahrenheit. The master bedroom is to the left of the stairs has with one bathroom with a sink reading above 105 degrees Fahrenheit. There are two other bedrooms for children, one bedroom is being occupied, and the other bedroom is empty with no children. The bedroom being occupied has a bunk bedroom, with appropriate linens, pillows, comforters, and mattresses in good repair. There is dresser drawer space for the client's clothing and closet. There is a drawer that is used to keep staff and client files and client medicine that is locked in a medicine cabinet. LPA reviewed one client's record and two Foster parent files. LPA interviewed two foster parents. Based on the annual required inspection on this date, there were no deficiencies found. An exit interview was conducted with the Administrator, Marquice Washinton and a copy of this report was given to the Administrator Exit interview conducted and a copy of this report was discussed and provided to Marquice Washington, Administrator.

met_with: Marquice Washington, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On July 24, 2024, at AM, a Component II Office Visit was held to discuss the application received for Maggie Small Family Home located at Steely Ave. Long beach, CA 90815. Attending Component II were the following individuals: Darlene Simpson, Applicant, Erika Butler. Licensing Program Analyst, and JoAunne Griffin, Licensing Program Manager. The purpose of this Component II meeting was to review and discuss the incomplete application and Program Statement and to resolve any outstanding concerns that may have existed. The following incomplete application forms were discussed at the meeting: 1. Application for a Community Care Facility or Residential Care Facility for the Elderly License (LIC 200). 2. Applicant Information (LIC 215) 3. Surety Bond (LIC 402) 4. Personnel Report (LIC 500) 5. Personnel Record (LIC 501) 6. Emergency Disaster Plan (LIC C) 7. Facility Sketch (LIC 999) 8. First Aid Certificate Continued on LIC 809-C 9. Criminal Record Clearance 10. Program Statement a. Program Purpose, Target Population, Intake Procedures b. Education c. Daily Activities d. Recreation e. Unplanned Termination f. Religious Services g. Basic Food Storage h. Medication Storage i. Transportation j. Organization Information k. Records and Reporting The applicant was advised of the following revision and/or corrections needed to the application and/or Program Statement: Sections 1-29 of the Program Statement was reviewed and discussed. Revisions are due August 14, 2024, Email revisions to erika.butler@dss.ca.gov. Fire inspection was completed July 23, 2024. Corrections needed to door leading from home to garage, fire extinguisher, and carbon monoxide detectors. The Pre-Licensing inspection has been scheduled for Friday August 2, 2024 at 1: P.M. A copy of this report was provided to the applicant Darlene Simpson.

met_with: Darlene Simpson


summary: Facility Evaluation

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Narrative:
On August 2, 2024, at PM Licensing Program Analyst (LPA) Erika Butler, (LPA) Cheri Wilkerson, and Licensing Program Manager (LPM) JoAunne' Griffin arrived at Maggie's Small Family Home for the purpose of conducting a Pre-Licensing Inspection. LPA's and LPM met with Applicant, Darleene Simpson who granted access to the home and together a tour of the interior and exterior home was conducted. Currently living in the home is the Applicant. The home is set up as follows: This is a 4 bedroom, 2 bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry, patio in backyard, and an attached garage. Living room: is equipped with mounted TV, sofa, ottoman, and covered fireplace. The living room also has sliding glass patio doors leading to the backyard. Dining room: is equipped with glass table with four (4) chairs, with a door that leads to side of home. Kitchen: is equipped with a refrigerator/freezer, a four (4) burner gas stove (all burners were operational at the time of the inspection), microwave, and a dishwasher. Sharp knives are kept locked in a locked cabinet in the kitchen. LPA observed a covered trash can, plenty of cabinet space, ample plates, cups, and eating utensils. LPA observed ample perishable food items in the refrigerator, and non-perishable food items. The applicant will ensure that three (3) nutritious meals and snacks will be provided to the clients. Applicant advised that alcohol beverages located in refrigerator should be stored separately and inaccessible to children in care. Laundry room: is located in the garage. Report continued on LIC 809C Page 1 of Backyard: Observed loose wire. Pathway on side of home was observed to have five paint cans. Gate leading to pathway on side of home is unable to close. Loose boxes were also observed near sliding door. Attached garage: used for the home's vehicle, and storage. Bedroom #1: Clients bedroom has two (2) bunk beds, one (1) dresser with four(4) drawers each, a TV, a closet, working light, and windows. Dresser drawers need to be repaired. Applicant's personal belongings observed in closet. Bedroom #2: Clients bedroom has a full size bed, one (1) dresser, TV, a closet, working light, and windows. Bedroom #3: Clients bedroom has two bunk beds, two (2) dressers with four (4) drawers each, a TV, a closet, working light, and windows. Applicant's personal belongings were observed in bedroom closet. Applicant was advised that personal belongings need to be removed to accommodate children in care. Bedroom #4: Applicants bedroom has a king size bed, dresser, working light, and windows. The room also has an attached bathroom that contains two (2) sinks, and separate shower, and a walk-in closet. (2) Bathrooms: LPA found all bathrooms to be clean and in working order. The hot water was tested and found to be with 105-120 (F). Vehicle: The applicant will use a Land Rover Range Rover to transport clients in care. The vehicle is in good condition with current registration through 10/01/2024. The home's temperature is maintained by central air/heating. LPA observed one (1) fully charged fire extinguisher. Extra linens are stored in the linen closet. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. First Aid kit was found to be be complete except for the thermometer. Report continued on LIC 809C. (Page 2 of 4) Disinfectants and cleaning solutions are kept in a locked cabinet under the sink in the bathroom, and in the kitchen. The home has a working telephone readily accessible to children in care. Medications will be kept locked in file cabinet located in the dining area. Medications requiring refrigeration will be kept in a locked box stored in the refrigerator. LPA observed the home to be clean, safe, and sanitary. LPA reminded Licensee to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, Discipline policies and procedures will be posted in dining room area. During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. Per a check in Guardian conducted on 08//02/2024, the applicant has not started the Criminal Record Clearance process. LPA informed applicant that a Component 3 meeting will be held once applicant obtains eligible clearance. (Page 3 of 4) Applicant advised to update Program Statement to reflect the use of cameras inside the home and sensors on doors. Applicant advised to complete Personnel Report (LIC 500) to reflect hours worked for Adult and Senior Care program. Applicant advised to add an additional chair to table to accommodate children in care. An exit interview was conducted. A copy of report will be emailed to Applicant, Darleene Simpson. LIC Page 4 of 4

met_with: Darleene Simpson


summary: Facility Evaluation

raw_content:
Narrative:
On September 25, 2024, at PM Licensing Program Analyst (LPA) Erika Butler, and (LPA) Cheri Wilkerson, arrived at Maggie's Small Family Home for the purpose of conducting a follow-up Pre-Licensing Inspection. LPA's met with Applicant, Darleene Simpson who granted access to the home and together a tour of the interior and exterior home was conducted. Currently living in the home is the Applicant. The home is set up as follows: This is a 4 bedroom, 2 bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry, patio in backyard, and an attached garage. Living room: is equipped with mounted TV, sofa, ottoman, and covered fireplace. The living room also has sliding glass patio doors leading to the backyard. Dining room: is equipped with glass table with five (5) chairs.. Kitchen: is equipped with a refrigerator/freezer, a four (4) burner gas stove (all burners were operational at the time of the inspection), microwave, and a dishwasher. Sharp knives are kept locked in a locked cabinet in the kitchen. LPA observed a covered trash can, plenty of cabinet space, ample plates, cups, and eating utensils. LPA observed ample perishable food items in the refrigerator, and non-perishable food items. The applicant will ensure that three (3) nutritious meals and snacks will be provided to the clients. The alcohol beverages located in refrigerator are stored separately and inaccessible to children in care. Laundry room: is located in the garage. Backyard: Loose wire has been secured. Pathway on the side of the home, the paint cans have been removed. Gate leading to pathway on side of home is able to close. Loose boxes were gone near sliding door. Attached garage: used for the home's vehicle, and storage. Bedroom #1: Clients bedroom has two (2) bunk beds, one (1) dresser with four(4) drawers each, a TV, a closet, working light, and windows. Dresser drawers have been repaired. Applicant's personal belongings have been removed form the closet. Bedroom #2: Clients bedroom has a full size bed, one (1) dresser, TV, a closet, working light, and windows. Bedroom #3: Clients bedroom has two bunk beds, two (2) dressers with four (4) drawers each, a TV, a closet, working light, and windows. Applicant's personal belongings were observed in bedroom closet. Applicant removed her personal belongings. Bedroom #4: Applicants bedroom has a king size bed, dresser, working light, and windows. The room also has an attached bathroom that contains two (2) sinks, and separate shower, and a walk-in closet. (2) Bathrooms: LPA found all bathrooms to be clean and in working order. The hot water was tested and found to be with 105-120 (F). Vehicle: The applicant will use a Land Rover Range Rover to transport clients in care. The vehicle is in good condition with current registration through 10/01/2024. The home's temperature is maintained by central air/heating. LPA observed one (1) fully charged fire extinguisher. Extra linens are stored in the linen closet. The smoke alarm and carbon monoxide detectors were tested and found to be in working order. First Aid kit now has a thermometer. Report continued on LIC 809C. (Page 2 of 3) Disinfectants and cleaning solutions are kept in a locked cabinet under the sink in the bathroom, and in the kitchen. The home has a working telephone readily accessible to children in care. Medications will be kept locked in file cabinet located in the dining area. Medications requiring refrigeration will be kept in a locked box stored in the refrigerator. LPA observed the home to be clean, safe, and sanitary. LPA reminded Licensee to ensure the following when children are in placement: Children are accorded personal rights and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. Applicant acknowledges abuse reporting requirements. Applicant will ensure grievance process, Disaster Plan, Discipline policies and procedures will be posted in dining room area. During the inspection, LPA reiterated the importance of submitting Special Incident Reports and reporting all changes within the facility to Community Care Licensing and any other appropriate agency. Per a check in Guardian conducted on 09/25/2024, the applicant fingerprints clearance are in process. Applicant completed a Personnel Report (LIC 500) to reflect hours worked for Adult and Senior Care program. An exit interview was conducted. A copy of report will be emailed to applicant @darleeneboyce@yahoo.com, LIC 809C (Page 3 of 3).


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst Connie Jones-Steward met with caregiver Darleen Simpson to conduct the post-licensing inspection. The following was observed: This is a four bedroom, two bathroom single family home located in the City of Long Beach, CA. There are currently no clients in placement. Living Room/Dining Room/Kitchen: The stove and refrigerator are in good working condition. There is a locked cabinet for storage of household cleaners and sharp knives. There is a dining table to seat five people. In the living room, the fireplace is securely screened. There is a cabinet for storage of medications. Bathrooms: There are two bathrooms. Fixtures are clean and in good working condition. The hot water temperature is within the safe range. Bedrooms: There are four bedrooms. One bedroom is for the use of the the caregiver. Two of the client bedrooms have bunk beds with rails as required. One of the client bedrooms has one full size bed. Linens are in good condition. There are blinds on the windows. There are no security bars on bedroom windows. There is adequate drawer and closet space. Fire Safety/Yard Safety: There are smoke detectors in each bedroom and in the hallway. There is a carbon monoxide detector in the kitchen. There is also a fire extinguisher in the kitchen. Patio furniture is in good condition. The yard is free of hazards. There are no bodies of water such as pools or jacuzzis. Misc: There is a complete first aid kit. Notice of personal rights and emergency disaster plan or posted. There are exit plans posted in the bedrooms and the hallway. There is a washer/dryer combo in the attached garage. There were no deficiencies found as a result of this inspection. The capacity will be corrected to a maximum five (5) clients.

met_with: Darlene Simpson, Caregiver


summary: Facility Evaluation

raw_content:
Narrative:
On October 15, 2025, Licensing Program Analyst (LPA) Aimee Moratalla arrived at Maggie's Small Family Home for the purpose of conducting an Annual/Random Inspection. LPA met with Licensee, Darlene SImpson who granted access to the home and together a tour of the interior and exterior home was conducted. The home is licensed to provide care and supervision for five (5) children ages 5-17 years old, ambulatory only. Currently the census is zero (0). Living Room/Dining Room/Kitchen: The stove and refrigerator are in good working condition. There is a locked cabinet for storage of household cleaning supplies and sharp knives. There is a dining table to seat five people. In the living room, there's a brown sectional couch and a coffee table. There is a locked black cabinet for storing of medications. Bathrooms: There are two bathrooms. Fixtures are clean and in good working condition. The hot water temperature is within the safe range. Bedrooms: There are four bedrooms. One bedroom is for the use of the caregiver. Two of the client bedrooms have bunk beds with rails as required. One of the client bedrooms has one full size bed. Linens are in good condition. There are blinds on the windows. There are no security bars on bedroom windows. There is adequate drawer and closet space. Page 1 of Fire Safety/Yard Safety: There are smoke detectors in each bedroom and in the hallway. There is a carbon monoxide detector in the kitchen. There is also a fire extinguisher in the kitchen. Patio furniture is in good condition. The yard is free of hazards. There are no bodies of water such as pools. Garage: The garage is mainly used as a storage area, has gym equipment, and the laundry area. Misc: There is a complete first aid kit. Notice of personal rights, emergency disaster plan, facility license, menu, and activity schedule are posted. The home is clean, safe, and sanitary. The following items were identified: 1. The television in the living room and in two of the clients' bedrooms need to be secured. 2. Fireplace screen needs to be bolted to the wall. 3. Licensee was reminded of the license renewal fee. 4. Licensee will install a lock on the door to the garage to ensure it will be inaccessible to the children in care. LPA reminded Licensee to ensure the following: Children are accorded personal rights, and the corresponding form is in their file. Children are supported and encouraged to participate in extracurricular activities. Children are allowed and encouraged to contact the licensing agency, in confidence, without threats or punishment for making complaints. Children are accorded dignity in personal relationships with others in the home. LPA reiterated the importance of submitting Special Incident Reports and provided the email address for SIRs. Page 2 of The Licensee provided a copy of the Personnel Report (LIC 500). LPA conducted the LPA will return to the facility later to complete the annual inspection. LPA reviewed the following sections: Physical plant and operations. Exit Interview: An exit interview was conducted with Licensee, Darleene Simpson. A copy of this report will be emailed to the Licensee. There were no deficiencies found during the inspection. The capacity will be corrected to a maximum five (5) clients and correct the Licensee's name.

met_with: Licensee, Darlene Simpson


summary: Facility Evaluation

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Narrative:
On October 16, 2025, at 1: PM Licensing Program Analyst (LPA) Aimee Moratalla made an unannounced visit to the above facility for the purpose of conducting a Case Management - Annual Continuation inspection from the initial visit conducted on 10/15/2025. LPA was met by Darleene Simpson, Licensee. LPA informed her the purpose of the visit was to conduct and complete the Annual inspection. File reviews: LPA conducted one (1) staff file. The items that were identified yesterday, Licensee will provide LPA pictures on October 30, 2025. LPA received a copy of the Rental Agreement which will expire on June 30, 2026, and a copy of the receipt for the renewal of license. During the time of inspection, LPA completed the related Care Tools and addressed the following sections: Operations and staff file. An exit interview was conducted, and Licensee was informed that the Annual Inspection was completed. A copy of this report will be emailed to her.

visit_type: Case Management


facility_name: MAKING MIRACLES HAPPEN SFH

summary: Facility Evaluation

raw_content:
Narrative:
On October 6, 2023 at 10: AM, a pre-licensing inspection was conducted by Licensing Program Analyst (LPA) Babatunde Aborchie. LPA met with applicant Miesha Hale. The purpose of the visit was to evaluate the home for a possible license for a small family home with capacity of two ambulatory children as requested by applicant. The applicant is requesting to be licensed for a small family home with capacity to serve a total of two ambulatory children ages 0-17. During this inspection, LPA and applicant inspected the facility inside and out. The apartment consists of: Bedroom #1, It was furnished with a King sized bed, it has a bathroom; it sleeps the applicant. Bedroom #2, It was furnished with two twin beds. One bed is currently occupied by one foster-child, age 5 years. There were also a living room, dining area, a closet, a kitchen, cabinets and one bathroom for clients. Bedroom is arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Inside the facility, there is no fireplace. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication will be locked in a locked box in applicant's bedroom. Cleansers/chemicals were locked and stored in applicant's bedroom closet. Sharp knives were inaccessible and stored in applicant's bedroom closet. There were no guns or weapons as stated by applicant at this time. The hot water temperature was tested and noted to be 110 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items, and it was in the kitchen cabinet. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The patio where children will have access to play was free of hazards. There are no deficiencies to be cited at this time. The request to be licensed for a small family home will be forwarded to Licensing Program Manager for final approval. A component III orientation was conducted with applicant Miesha Hale. An exit interview was conducted. A copy of this report was provided to Applicant/Licensee

met_with: Miesha Hale


summary: Complaint Investigation - Unsubstantiated

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Narrative:
Continued from LIC Regarding licensee threaten to hit FC1 with the shoe, a confidential interview stated denied that FC1 was threatened to be hit with a shoe. The confidential interview indicated that FC1 threw FC's shoe into the fan and the shoe landed on the licensee who told FC1 that such action was dangerous while holding the shoe. Additionally, the confidential interview stated that FC1 was acting out and throwing things around the house and jumping on the furniture. A confidential interview disclosed that licensee was mean to FC1, and foster mother attempted to hit FC1 with a shoe. In regard to licensee not allowing the foster child to leave the home, a confidential interview stated that FC1 attempted the leave the home by attempting to exit out the garage door. The confidential interview stated the door was blocked to prevent FC1 from exiting the home. However, FC1 was able to run to the front door and exit. Confidential interview stated the FC1 was not able to be located and the police was called and FC1 was later found by the police. A confidential interview stated that licensee/foster mother was mean to FC1 which resulted in FC1 running out of the house. Based on confidential interviews, the allegations that licensee threaten to throw an object at FC1 and licensee is not allowing FC1 to leave the home may have occurred or may be valid, however, there was not a preponderance of evidence to support or deny the allegation. Therefore, the allegation is unsubstantiated at this time. Copy of this report, Confidential Names (LIC 811) and appeal rights were discussed and provided to Licensee Miesha Hale.

Investigation Findings:
13On November 8, 2024 at 8: AM, Licensing Program Analyst (LPA) Karen Beal arrived at Making Miracles Happen (SFH) met with Licensee Miesha Hale to deliver the investigative finding of the complaint involving the small family home and the foster child listed on the Confidential Names (LIC 811). On July 29, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee threaten to throw an object at a foster child and licensee is not allowing foster child to leave the home. It was specified that the Licensee threaten to hit foster child (FC1) with a shoe and the licensee blocked the door to prevent FC1 from leaving the home. On August 7, 2024, at 9: AM, LPA K. Beal initiated the investigation at the small family home and gathered pertinent documents from FC1 file. In addition, LPA conducted a health and safety inspection, interviewed licensee and FC1. LPA was unable to contact the County Social Worker (CSW). Continued on LIC 9099-C UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Karen Beal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: MAKING MIRACLES HAPPEN SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 11/08/2024


facility_name: MAKING MIRACLES HAPPEN SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On May 15, 2024, at 2:05AM, Licensing Program Analyst (LPA) Karen Beal a Pre-Licensing inspection for a location change. LPA met with license Miesha Hale who led a tour of the home. The home was toured both inside and out with the licensee. The home consists of: Downstairs: There is a family room, living room, dining area, kitchen, laundry room and one bathroom. Upstairs: Bedroom #1, It was furnished with one twin bed. It will sleep client - Vacant. Bedroom #2, Master bedroom, sleeps the licensee Bedroom #3, It was furnished with a twin and will sleep a foster child currently in care Bedroom #4, It was furnished with two twins bed. It will sleep two clients - Vacant. Loft area is setup as a theater room. Bedrooms are arranged so that no more than two children share a room, and one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for the children's belongings. The smoke detectors were checked and were working properly. ***Continued LIC 809-C*** ****Continued from LIC 809**** Inside the facility there is a fireplace properly screened. Telephone service and appliances were in a working order. Medications, cleansers/chemicals, and sharp items will be locked in master bedroom closet. There will no weapons in the home as stated by licensee. The hot water temperature was tested and noted to be 118 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request to be licensed for small family home will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to Applicant/License

met_with: Miesha Hale , Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On June 26, 2024, at 2: PM Licensing Program Analyst (LPA) Karen Beal began an announced inspection for the Small Family Home license. LPA met with licensee Miesha Hale, who led a tour of the home. The facility was toured both inside and out with the licensee. Licensee is applying for a change of capacity from 2 ambulatory clients to 4 ambulatory clients between the ages between 6-17. Downstairs: There is a family room, living room, dining area, kitchen, laundry room and one bathroom. Upstairs: Bedroom #1, It was furnished with one twin bed. It will sleep 1 client - Vacant. Bedroom #2, Master bedroom with a king bed, it will sleep the licensee Bedroom #3, It was furnished with a twin and will sleep a foster child currently in care Bedroom #4, It was furnished with two twins bed. It will sleep two clients - Vacant. Loft area is setup as a theater room. Bedrooms are arranged so that no more than two children share a room, and one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for the children's belongings. The smoke detectors were checked and were working properly. ***Continued to LIC 809-C*** ***Continued from LIC 809*** Inside the facility there is a fireplace properly screened. Telephone service and appliances were in a working order. Medications, cleansers/chemicals, and sharp items will be locked in master bedroom closet. There will no weapons in the home as stated by licensee. The hot water temperature was tested and noted to be 116 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items. A Fire extinguisher was observed and properly charged. There is a fire extinguisher located upstairs in the hallway and one downstairs in the living room. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request for capacity change will be forwarded to the Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to the licensee.

met_with: Miesha Hale, Licensee


summary: Facility Evaluation

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Narrative:
On April 27, 2026, at 10: AM, Licensing Program Analyst (LPA) Jessica Peete met with Licensee Miesha Hale who granted access into the home. The purpose of the visit was to conduct required two-year annual inspection of Making Miracles Happen Small Family Home (SFH). Facility is licensed to serve ambulatory developmentally disabled children ages 0- 17 years old. The home is a two-story four bedroom, three bathroom home, with attached garage. At 10: AM, LPA Peete toured the facility/home, inside and out, with the Licensee. Upon entering the home, downstairs, there is the family room with a properly screened fireplace, living room, dining area, kitchen, laundry room, and one bathroom. Telephone service and appliances were in working order. Upstairs, there are four bedrooms and two bathrooms. Bedroom #1 has two twin beds and is not currently occupied by any client in care. Bedroom #2 has one twin bed and is occupied by client 1 (C1). Bedroom three consists of one twin bed and a baby crib. The bedroom is occupied by client 2 and the minor's child. The licensee's bedroom is also on the second floor of the home and has an in-suite bathroom. Per the licensee statement, clients do not have access to this bedroom or bathroom. LPA observed that all client bedrooms are arranged so that no more than two clients share a room, and there is one client per bed with adequate drawer and closet space for the children's belongings. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is also a loft area that is used a theater room where LPA observed age-appropriate board games and other activities for the client's recreational time. This is an amended report of a report that was originally issued 04/27/2026. (Continued on LIC 809-C) The licensee stated that there were no firearms and/or weapons in the home. All hazardous items have been properly made inaccessible to areas where children will have access. Cleansers and chemicals were locked and stored in the laundry room. Sharp knives were inaccessible and stored in a locked hall closet where the client's files and medications are also stored. The hot water temperature was tested and found to be between 105 and 120 degrees Fahrenheit. The first aid kit was stored in the laundry room and contained all necessary items. The combination smoke and carbon monoxide detectors are located throughout the facility, have been tested, and are in good working order. LPA observed proper storage of all food and noted an adequate amount of non-perishable and perishable foods. The trash cans for solid waste storage have tight-fitting lids. The Emergency Disaster Plan, Personal Rights, and visitation policies were posted. The facilities outside the grounds (front yard and backyard) were also inspected and found to be clean, well maintained, and free of observable hazards. The home does not have any bodies of water such as pools, wading pools, spas, ponds, hot tubs, or other similar bodies of water. LPA observed adequate indoor and outdoor activity space and all exits and walkways in and outside the facility were free of obstruction. During the inspection, the Licensing Program Analyst (LPA) reviewed two of the two available client files. Deficiencies were identified in this area. Based on the file review, client 1 (C1) did not have a complete and signed admission agreement. As a result, the licensee was cited with a Type B violation of Title 22, California Code of Regulations (CCR), Section 80070(b)(6). Additionally, C1 did not have a completed Needs and Services Plan, resulting in a separate citation under Title CCR Section 83070(b)(9). In addition to the Type B violations, the licensee was also cited for the following technical violations under Title CCR: · Section 80070(b): C1's file did not contain complete information regarding the client's authorized representative, as required. · Sections 80070(b)(8) and 80069(c)(4): The medical assessments used by the licensee for C1 and Client 2 (C2) did not specify the clients' ambulatory status. · Section 83068.2(a): The Needs and Services Plan for C1 was not requested at the time of placement. However, per the licensee's statement, they contacted the county social worker on 04/10/2026 to request a copy of the completed plan and made a follow-up request during today's visit. · Section 80069(c)(3): The medical assessment used for C1 did not include a list of prescribed medications being taken by the client. An exit interview was conducted and a copy of this report, the LIC D, the LIC Confidential Name List, and appeal rights were provided to the licensee. Due to time constraints the LPA will return at a later date to complete the annual inspection. This is an amended report of a report that was originally issued 04/27/2026.


summary: Facility Evaluation

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Narrative:
On May 8, 2026, at 9: AM Licensing Program Analysts (LPAs) Jessica Peete and Babtundae Aboechie arrived unannounced to Making Miracles Happen Small Family Home (SFH) to continue with the annual inspection; LPA Peete previously visited the home on 04/27/2026 to complete the physical plant inspection, and the review of the facility operations, and client files. During today's visit, LPA Peete reviewed the three available staff files (S1-S4). All staff have the required background clearances and current CPR and First Aid certifications. Upon review, the licensee received a Additionally, the licensee was advised to ensure they and their hired personnel complete the required training as referenced above. Technical Violation of Title California Code of Regulations (CCR) 80023(d)(2) for lacking documentation of the completed emergency drill, which the licensee stated was done in April 2026. LPA advised the licensee to maintain an ongoing record of all completed emergency drills and to ensure that the documentation is retained for Department review. The licensee was also given Technical Violations of Title CCR regulations 83064(e)(1)(2), 83064(g), 83064(h), and 83064(j)(1)-(5), relating to staff and licensee training. The licensee stated they completed some trauma-informed training in the past, but could not provide LPA with the training records to verify this. Staff or clients were not present at the time of the inspection. Therefore, LPA Peete conducted an interview with the licensee. Continued on LIC 809-C An exit interview was conducted and a copy of this report, the LIC 9102 the LIC Confidential Name List, and appeal rights were provided to the licensee. This is an amended LIC 809-C report that was originally issued 05/08/2026.


facility_name: MAMA'S KIDS SMALL FAMILY HOME

summary: Facility Evaluation

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Narrative:
On September 30, 2021 at 8:28pm Licensing Program Analyst (LPA), Daniel Mena conducted an annual inspection at the facility. The home was toured inside and out with licensees, Angie & Sheny Sanabria. The home is a one story residence with 5 bedrooms and 3 bathroom, home with an attached "casita" which included one bathroom. The home is set up as follows: Bedroom #1- Was furnished with a twin-size bed. Sleeps C1. Bedroom #2- Was furnished with a full-size bed. Sleeps C Bedroom #3- Was furnished with a full-seize bed Sleeps C3. Bedroom #4- Resource Parents bedroom. Bedroom #5- Currently used to store clothing. Bedrooms are arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. There was also a plenty of space for children to play. The fireplace was located in the family room area and it was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. Cleansers/chemicals were locked and stored in the laundry rooms. Sharp knives were inaccessible and stored in a locked cabinet in the kitchen area. The hot water temperature was tested and noted to be 110 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible and contained all required items. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. Licensee's stated that there are no weapons in the home. There were no pool or other bodies of water. The backyard where children will have access to play was completely fenced and free of hazards. Facility is licensed to serve ambulatory developmentally disabled children ages 2- 17 years old. The Licensee's meet the requirements for the 8 hours of annual foster care training. Licensee's First Aid and CPR cards expire on July 02, 2022. A review of staff records on this date indicates that all adults residing in the home or providing care and supervision to children have received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of this report was discussed and provided this date.

met_with: Licensees


summary: Facility Evaluation

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Narrative:
On September 21, 2022 at 1: PM Licensing Program Analyst (LPA) Anne Visaya conducted unannounced annual inspection required at the facility (SFH). Lpa a. Visaya met with licensee Angie Scarberry who let a tour of the home. The home was toured inside and out and currently there are 3 clients at this time. The home is a one story residence with 5 bedrooms and 3 bathrooms, home with an attached "casita" which included one bathroom. The home is set up as in the front door area it has a large covered area with a large table and chairs facing the front yard. Upon entry to the home a living room with secured, enclosed fireplace. Dining room and a den with kids toys, a walk-in pantry and a kitchen. Bedroom #1- furnished with full size bed, a closet and plenty of storage space, it sleeps an 18 year old male client Bedroom #2- furnished with full size bed, a closet and plenty of storage space, it sleeps a 17 year old female client Bedroom #3- furnished with 1 twin size bed, a closet and plenty of storage space, it sleeps a 15 year old female client Bedroom #4- Resource parent's bedroom. Bedroom #5 (Casita) - Currently used to store clothing, supplies at this time. Bedrooms are arranged so that no more than two children share a room and there is one child per bed. No room commonly used for other purposes, is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate shelf and closet space. Bathroom number one hot water temperature measured to be 107.6 degrees Fahrenheit, bathroom number 2 hot water temperature measured to be 103.5 degrees Fahrenheit , bathroom number three is the bathroom that the licensee uses and bathroom number in the casita is not accessible by the clients. The smoke detectors and carbon monoxide detectors were checked and are working properly. All hazardous items have been properly made inaccessible to areas where children will have access. Medications are locked in the kitchen cabinet. Cleansers/chemicals are locked and stored in the hallway closet. The first aid kit contains all required items. Sharp knives are inaccessible and stored in the kitchen locked drawer. Telephone service and appliances are all in working order. There are no guns or weapons as stated by Licensee Angie Scarberry. The Facility Sketch, Emergency Disaster Plan and visitation policy are posted at this time. Personal Rights is posted. The backyard where children will have access to play is completely fenced and free of hazards. There is no pool or other body of water. A review of four of four staff records indicates that all facility staff have received criminal record and child abuse index check clearances and CPR and first aid is up to date. Licensees had current CPR/ First Aid certificates. Licensee provided proof of 8 hours of continued education training. A review of three of three clients files are noted to have documents required per regulations in file. (b) For each child in the home, the licensee shall maintain a separate, complete, and most up to date record or file that includes the following: (12) A separate log for each psychotropic medication prescribed to the children... LPA provided the correct LIC 622B as Licensee stated that she was not aware of the form. Lpa a.Visaya provided Licensee and updated the medication record to reflect the correct form (LIC 622B for Psychotropic Medication). Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. Exit interview conducted and a copy of this report was discussed and provided to Licensee Angie Scarberry this date.

met_with: ANGIE SCARBERRY


summary: Facility Evaluation

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Narrative:
On February 28, 2024, at 10: AM Licensing Program Analyst (LPAs) Karen Beal and Maya Chavez conducted unannounced annual inspection required at the facility (SFH). LPAs met with licensee Angie Scarberry who let a tour of the home. The home was toured inside and out and currently there are 2 clients at this time. The home is a one-story residence with 5 bedrooms and 3 bathrooms, home with an attached "Casita" which included one bathroom. The home is set up as in the front door area it has a large covered area with a large table and chairs facing the front yard. Upon entry to the home a living room with secured, enclosed fireplace. Dining room and a den with kids toys, a walk-in pantry and a kitchen. Bedroom #1- furnished with full size bed, a closet and plenty of storage space, it sleeps an 19 year old male client Bedroom #2- furnished with full size bed, a closet and plenty of storage space, it sleeps a 16 year old female client Bedroom #3- furnished with 1 twin size bed, a closet and plenty of storage space, it is vacant Bedroom #4- Resource parent's bedroom. Bedroom #5 (Casita) - Currently used to store clothing, supplies at this time. Bedrooms are arranged so that no more than two children share a room and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate shelf and closet space. Continued on LIC 809-C Hot water temperature measured to be 108.7 degrees Fahrenheit, the Casita is not accessible by the clients. The smoke detectors and carbon monoxide detectors were checked and are working properly. Medications are locked in the kitchen cabinet. Cleansers/chemicals are locked and stored in the hallway closet. The first aid kit contains all required items. Sharp knives are inaccessible and stored in the kitchen locked drawer. Telephone service and appliances are all in working order. There are no guns or weapons as stated by Licensee Angie Scarberry. The Facility Sketch, Emergency Disaster Plan and visitation policy are posted currently. Personal Rights is posted. The backyard where children will have access to play is completely fenced and free of hazards. There is no pool or other body of water. A review of four of four staff records indicates that all facility staff have received criminal record and child abuse index check clearances and CPR and first aid is up to date. Licensees had current CPR/First Aid certificates. Licensee provided proof continued education training. A review of three two of two clients files are noted to have documents required per regulations in file. Based on the facility inspection and file reviews this date, there are no deficiencies found at this time. Exit interview conducted and a copy of this report was discussed and provided to Licensee Angie Scarberry this date.

met_with: Angie Sanabria, Licensee


summary: Facility Evaluation

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Narrative:
On September 25th, 2025 at 2:25PM, Licensing Program Analyst (LPA) Cynthia Ramos met with Licensee Angie Sanabria who led a tour of the home. Licensee granted LPA access to the home. The purpose of the visit was to conduct an annual required inspection of Mama's Kids Small Family Home (SFH). The facility was toured inside and out with the Licensee.The home is a single-story home with 5 bedrooms and 3 bathrooms, home has an attached "Casita" which included one bathroom and one bedroom used as storage and was locked. The left wing of the home is occupied by Licensee and spouse, this side of the house remains locked at all times and is not accessible to clients in care. The home was set up as follows: Upon entering the home, there is the living room area with couches and television, next there was a large dinning table and additional couch. LPA observed board games and activities in the dinning table area that are accessible to clients. The kitchen was located next to the dinning table, kitchen was inspected and organized. Bedroom #1 consisted of full size bed and adequate closet and drawer space, this room was occupied by adult male client (21 years old). Bedroom #2 contained a twin size bed and was vacant. Bedroom #3 consisted of a full size bed and adequate closet and drawer space and was occupied by adult female client (18 years old). All bathrooms in the home were inspected and were working properly. Bedrooms are arranged so that no more than two clients share a room, and there is one client per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. All hazardous items have been properly made inaccessible to clients. The medications were locked in a kitchen cabinet. Cleansers/chemicals were locked in the hallway closet. Sharp knives were inaccessible and stored in the kitchen's drawer. ... The first aid kit was inspected and contained all necessary items. Per Licensee, there are no guns or weapons in the home. The hot water temperature was tested and noted to be 113.7 degrees Fahrenheit. Proper storage of all food was noted. Trash cans for storage of solid waste have tight fitting lids. The Emergency Disaster Plan with exit map, Title Personal Rights, and visitation policies were posted. The backyard where clients have access to play is completely fenced and free of hazards. There is no pool or bodies of water in the home. The carbon monoxide and smoke alarms were tested and were in good working conditions at the time of inspection. A total of 4 staff records and 2 client records were reviewed and were in compliance. Based on today's inspection, there are no deficiencies to be cited at this time An exit interview was conducted, and a copy of this report was provided to the Licensee Angie Sanabria.

met_with: Licensee, Angie Sanabria


facility_name: MAPENDO SMALL FAMILY HOME

summary: Facility Evaluation

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Narrative:
On September 14, 2021 at 1:19 pm Licensing Program Analyst (LPA) Darlene Almaraz-Oseguera conducted an annual inspection at the facility. The home was toured inside with licensee's Julie and Morisho Amisi. The home is a two story residence with six bedrooms and 3 bathrooms. The home is a two-story home and consists of: Downstairs: a living room, a family room, a kitchen, a dining area and two bedrooms. Bedroom # 1, the room was furnished with a queen size bed. It was vacant. It will sleep a caregiver Bedroom #2, the room was furnished with two cribs/toddler beds and it will sleep two foster children age 0-2, Upstairs: Bedroom #3, master bedroom. The room was furnished with of a king bed. It sleeps the licensee's. Bedroom #4, the room was furnished with a king size bed. It was vacant Bedroom #5, the room was furnished with a queen bed It sleeps Amisi's 10-year-old son Bedroom #6, The room was furnished with a king bed. It was vacant. There was another room used as exercise which contained sporting equipment's such as treadmill's and a stationary bike. Bedrooms are arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Outside the upstairs bedrooms were a loft designated office area which contained cabinets to store children records. There was also a plenty of space for children to play. The fireplace was located in the family room area and it was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. Cleansers/chemicals were locked and stored in the laundry rooms. Sharp knives were inaccessible and stored in a locked cabinet in the kitchen area. The hot water temperature was tested and noted to be 110 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible and contained all required items. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. Licensee's stated that there is one weapon in the home and that the weapon/gun is locked and stored in the master bedroom closet , and the ammunition is locked and stored separately in the garage. There were no pool or other bodies of water. The backyard where children will have access to play was completely fenced and free of hazards. Facility will accept only two ambulatory developmentally disabled children and licensed for a capacity of 2 foster children age 0-17. Facility prefers to serve children that are medically fragile and with special health care needs 0-2. The Licensee's meet the requirements for the 8 hours of annual foster care training. Licensee's First Aid and CPR cards expire on March 18, 2023. A review of staff records on this date indicates that all adults residing in the home or providing care and supervision to children have received fingerprint and child abuse index check clearances. Exit interview conducted and a copy of this report was discussed and provided this date.

met_with: Licensee's


summary: Facility Evaluation

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Narrative:
On November 9, 2023 at 9:35 am, Licensing Program Analyst (LPA) Karen Beal conducted a pre-arranged random annual. LPA met with Amisi and Julie Morisho. The Facility was toured both inside and out with Julie. The home is a two-story home and consists of: Downstairs: a living room, a family room, a kitchen, a dining area and two bedrooms. Bedroom # 1, is used for storage Bedroom #2, the room was furnished with two cribs/toddler beds and it will sleep two children. Currently vacant. Upstairs: Bedroom #3, master bedroom. The room was furnished with of a king bed. It sleeps the applicants. Bedroom #4, the room was furnished with a queens size bed. Its occupied by 12 year old bio-child. Bedroom #5, the room is used as an office. Bedroom #6, The room is currently a workout room. It may be used for placement children. There was another room used as exercise which contained sporting equipment's such as treadmill's and a stationary bike. Bedrooms are arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes used as a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. Upstairs the loft area is an office area which contained cabinets to store children records and is used as an office. A trash can for storage of solid waste had a tight fitting lid. The sharp knives are in a locked cabinet in the kitchen. Cleaning supplies are located in the locked laundry room. The hot water in the kitchen measured at 120F measured at and the bathroom measured at 118F. ***Continued to LIC 9099-C*** The home's First Aid kit was accessible and is located in the kitchen it had all required supplies. One fire extinguisher available in the home. It is located on the wall outside of the dining area. The fire extinguisher was properly charged but was not inspected by the fire department. The fire alarm/carbon monoxide were tested as working properly. There is no pool or other body of water. The backyard is fenced in with plenty of space for children to play. CPR and the First Aid cards expires on 3/1/25. Exit interview conducted and a copy of this report was given.

met_with: Licensee, Julie Morisho


summary: Facility Evaluation

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Narrative:
On December 8, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Mapendo Small Family Home (SFH) for required 2-year inspection. There are no clients in placement. The home was licensed for a capacity of two clients (non-ambulatory). The Facility was toured both inside and out with the licensee. The home is a two-story building with seven bedrooms and three full bathrooms. During the inspection, LPA observed that downstairs consisted of the kitchen, a living room, a den, a dining area and two bedrooms. Bedroom #1 was furnished with two cribs; it would sleep two clients. Bedroom #2 was furnished with a queen-sized bed. It was vacant. Sharp knives were inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit was in the kitchen cabinet and contained all required items. The garage was inspected and used for cars and storage. The water temperature was tested and measured at 115 degrees F. LPA observed a minimum of seven-day non-perishable and a three-day perishable supply of food. There was a variety of snacks available for clients. In addition to the downstairs space, there was also one full bathroom fully functioning. A trash can was observed to have tight fitting cover. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. Medications will be stored in a locked kitchen cabinet by the refrigerator. Two fire extinguishers were observed and operable. Upstairs was bedroom #3 furnished with a treadmill, used as a gym room. Bedroom #4, it was fully furnished with a king-size bed. It was vacant. Bedroom #5 was fully furnished with one king-sized bed, a closet and plenty of storage space. It was used as a guest room. Bedroom #6, it was fully furnished with a queen-sized bed, it sleeps biological son age fourteen years. Bedroom #7 was furnished with a king-sized bed; master bedroom, it sleeps the licensee and the spouse. The licensee's bedroom is not accessible to the clients. All bedrooms were arranged for one child per bed. No room was commonly used for other purposes other than a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. Cleansers/chemicals were locked and stored in the laundry room. The upstairs space includes additional storage, an office, and an additional bathroom. All hazardous items have been properly made inaccessible to areas where clients have access. All windows and screens were in good repair. Licensee states that there was a gun/weapon in the home and that the gun is locked and stored separately in a locked coded safe, and the ammunition is locked and stored separately in a box. The licensee was reminded that the gun must be locked and stored separately in a coded safe, and the ammunition was locked and stored separately in a box. There was a total of four cameras, located outdoors, which met the title 22 camera policy. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Based on today's inspection and observations, there are no deficiencies being cited at this time. A copy of this report will be provided to the licensing program manager for final approval. An exit interview was conducted, and a copy of this report was discussed and provided to Licensee.

met_with: Licensee


facility_name: MARGARET AND HENRY SMALL FAMILY HOME

summary: Facility Evaluation

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Narrative:
On September 10, 2024, Licensing Program Analyst (LPA) Rafael Enriquez met with applicant Margaret Mwangi & Henry Benson for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the notification of incomplete application (LIC 184), letter of Incomplete Application, and additional correspondence to assist with the revisions needed to the application. Copy of this report was emailed to applicant and a signed copy will be placed in the facility file.

met_with: Applicants Margaret Mwangi & Henry Benson