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Narrative:
the school's phone calls, rarely returns the calls and always seems too busy to communicate with the school personnel. Other confidential interviews stated that the school does not call LS. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegation that LS is not responding to C1's school's calls may have happened or is 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 811 and appeal rights were explained and given to licensee Renell Hannah.

Investigation Findings:
13On May 1, 2025, Licensing Program Analyst (LPA) Maryjane Perez arrived unannounced at Divine Kindness Small Family Home (SFH) and met with licensee Renell Hannah to deliver the finding for the above stated allegation. On 11/01/2024, Community Care Licensing received complaint allegation that licensee is not responding to foster children's school's calls. On 11/06/ LPA M. Perez conducted a health and safety inspection where no immediate hazards were observed. Lpa M. Perez interviewed licensee (LS), staff 1 (S1), client 1 (C1), and client 2 (C2). LPA was unable to contact County Social Worker (CSW). In regard to the allegation, it was specifically reported that C1's school has concerns about not being able to reach LS. During investigations, confidential interviews reported that LS always answers school phone calls or returns missed calls when unable to answer right away. Confidential interviews continued stating that if LS is unable to answer a call at that exact moment the school has the option to reach out to a relative, therefore, someone is always available. Another confidential interview stated that there have been numerous occasions where LS does not answer UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: MaryJane Perez 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: DIVINE KINDNESS SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 05/01/2025


state: CA

facility_name: DIVINE KINDNESS SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On March 15, 2024 at 10: AM, Licensing Program Analysts (LPAs) Rafael Enriquez and Babatunde Aborchie began a pre-licensing inspection for a Small Family Home license. Divine Kindness Small Family Home was previously licensed and has relocated to the above address for a new license. LPAs met with applicant Renell Hannah who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there were two children placed in the home. The applicant was approved to serve six children ages 2 to 17. The home is single story building with four bedrooms and two baths home which is set up as follow: · Bedroom #1 has no beds, will sleep licensee, has a bathroom, a walk-in closet. It was vacant · Bedroom #2 had two twin-sized beds; it was vacant. It sleeps one foster child. · Bedroom #3 had no beds. It was vacant. It will sleep two foster children. · Bedroom #4 had two beds. It was vacant. It will sleep one foster child. · A living room, a kitchen, dining area, storage, two bathrooms, two car garage, backyard, and a laundry room. 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 is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Inside the facility there was no fireplace. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and sharp objects were locked in a cabinet in the kitchen. Cleansers/chemicals were inaccessible and stored in a locked cabinet in the kitchen. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable food. A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be at 116.9 degrees. First Aid kit were accessible with all required items and it was in the kitchen pantry. A Fire extinguisher was observed and properly charged. All the appropriate forms were posted in view of facility clients. As stated by applicant, there were no weapons/firearms and there were no pools or other bodies of water. 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 relocation will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to licensee.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: Licensee- Renell Hannah


summary: Facility Evaluation

raw_content:
Narrative:
On March 16, 2026, Licensing Program Analyst (LPA) Cynthia Ramos met with Licensee Renell Hannah 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 Divine Kindness Small Family Home (SFH). The facility was toured inside and out with the Licensee. The home is a single-story home with 4 bedrooms and 2 bathrooms, the home was set up as follows: Upon entering the home, there is the kitchen, living room area with couches and dinning table. The kitchen was inspected and organized. Bedroom #1 consisted of two twin size beds, adequate closet and drawer space, this room was occupied by two female clients ages 14 and 12 years old. Bedroom #2 contained two twin size bed and was vacant. Bedroom #3 consisted of two twin size beds and adequate closet and drawer space, this bedroom was occupied by two male clients ages 12 and 13 years old. Bedroom #4 was occupied by the Licensee and adult son, per Licensee this bedroom remains locked at all times. All bathrooms in the home were inspected and were working properly. Laundry room was also inspected and noted to be locked. 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. Carbon monoxide and smoke alarms were tested and working properly at the time of inspection. All hazardous items have been properly made inaccessible to clients. The medications were locked in the office cabinet. Cleansers/chemicals were locked under the sink in the kitchen. Sharp knives were inaccessible and stored in the hallway closet. The first aid kit was inspected and contained all required items. Per Licensee, there are no guns or weapons in the home at this time. The hot water temperature was tested and noted to be 118.7 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 by the entrance of the home. The backyard where clients have access to play is completely fenced and free of hazards. There are no pool or bodies of water in the home. The garage was also inspected and remains locked at all times. A total of 2 staff records and 4 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 Renell Hannah.

met_with: Licensee, Renell Hannah


facility_name: DOWNTAIN HOME, THE

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The investigation revealed an allegation whereby an unknown minor individual may have contacted the only foster child in placement through Instagram in a sexually suggestive manner of communication and in person at the resource home. Confidential statements obtained during the investigation were unable to corroborate the allegation as the foster child denied that they have been contacted by anyone on social media or in person at the resource home with a sexual connotation. The foster child denied any knowledge of the minor individual described by the complainant who allegedly contacted the foster child. The resource parent stated that no individual has visited the resource home soliciting contact with the foster child, and that she was unaware of any inappropriate contact that allegedly occurred with the child's social media. Other statements obtained during the investigation were unable to corroborate the allegation. Based on the information gathered, the allegation is unsubstantiated as the preponderance of evidence to prove the allegation was not met although the allegation may have happened or is valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On February 7, 2024 at 11: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up inspection to deliver the findings of a complaint investigation concerning the allegation above. LPA Rarela discussed the findings with the facility representative named above. During the course of the investigation, LPA obtained the statements from the resource parent on 1/29/24, the foster child on 1/29/24, a school personnel on 1/29/24, and the placing agency social worker on 2/5/24 (see Confidential Names Form dated February 7, 2024). LPA also reviewed documents including the placing agency service reports, foster child's Needs and Services Plan, incident reports, and training history of the resource parent. It was alleged that the resource parent did not adequately supervise a foster child resulting in inappropriate communications with an unknown minor individual. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNTAIN HOME, THEFACILITY NUMBER: VISIT DATE: 02/07/2024

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

report_type: Complaint Investigation

met_with: Sheila Downtain, Licensee

complaint_status: unsubstantiated


raw_content:
Narrative:
Based on the information gathered during confidential interviews, relevant parties confirmed the allegation. The licensee admitted to restraining client on one occasion due to client attempting to AWOL from the facility. Confidential interviews indicated client was restrained by the licensee on one occasion. Client was held down by client's legs and arms by the licensee. CSW indicated the licensee admitted to restraining client one time due to client wanting to AWOL. The other agency's investigative report indicated the licensee admitted licensee restrained the client on one occasion. Based on the information gathered, the allegation stated above is/are SUBSTANTIATED. A substantiated finding means the preponderance of evidence standard has been met. These violation pose an immediate and/or potential Health, Safety, or Personal Rights risk to children in care. The Small Family Home is being cited under California Code of Regulations Title 22, Division 6, Chapter 4, Article 06. Continuing Requirements 83072 (d)(11) Personal Rights. Appeals rights were provided, and a copy of the report and LIC 9099-D has been provided to the FFA representative mentioned above. On 4/2/24 the Department received a complaint alleging licensee did not prevent client from AWOLing. Based on the information gathered during confidential interviews, relevant parties denied the allegations indicating the licensee would attempt to redirect, call social worker, and call law enforcement when client would AWOL. Confidential interviews indicated the licensee would attempt to convince the client not to leave, would report the AWOL and would call law enforcement. CSW indicated the licensee would call CSW each time client AWOL'd from the facility. CSW had no issues with supervision. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On July 11, 2024, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegation. LPA Cabral met with the Licensee Sheila Downtain. During the investigation, LPA Cabral interviewed the licensee (AD) on 4/9/24. LPA interviewed once client (C1) on 4/18/24 (see Confidential Names Form LIC 811 dated July 11,, 2024). LPA reviewed police reports, client's health, and education passports, needs and service plan, medical visit forms, foster care agreement, incident reports and case plan. LPA reviewed the other agency's investigative report on 6/19/24. On 4/2/24 the Department received a complaint alleging licensee restrained client in a rough manner. It was further alleged that licensee held client down by client's arms and legs to prevent the client from leaving the facility. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Larry Cabral 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 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION MONTEREY PARK CRP RO, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: DOWNTAIN HOME, THEFACILITY NUMBER: VISIT DATE: 07/11/2024

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

met_with: Sheila Downtain, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 02/15/23, Licensing Program Analysts (LPAs), Pamela Silva and Ashley Ruacho, conducted an unannounced inspection at the small family home (SFH) above for the purpose of conducting a 2-Yr Required inspection. LPAs met with the licensee of the home, Ms. Sheila Downtain. Currently, there is one (1) minor non-ambulatory client in placement. There are no bodies of water on premises. A physical plant inspection was completed. The facility license, facility sketch and personal rights form were all prominently displayed in the home. All exits, and hallways were observed to be free and clear of hazards and obstruction. Smoke detectors and carbon monoxide detectors are in working order. Water temperature was tested and was within regulatory guidelines. First aid kit was readily available and complete. Food supplies, both perishable and non-perishable, were checked and found to be sufficient. Knives and sharps are locked in a kitchen drawer. Medications are locked inside a small cabinet located within the laundry room. Chemicals and cleaning products are locked in a cabinet in the laundry room. Ms. Sheila confirmed there are no weapons and/or ammunition in the home. Overall, the facility is clean, safe and sanitary. The following sleeping arrangements were noted: Bedroom # Licensee and partner sleep in it. Bedroom # It has two twin bed and sleeps two adopted adult sons.. Bedroom # It has two twin bed and sleeps two adopted adult daughters. Bedroom # It has two twin beds and sleeps the minor client and one minor legal guardianship daughter. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good condition. Each bedroom has sufficient drawer and closet space. Bedrooms are arranged so that no more than two persons share a room and there is one person per bed. There are two full bathrooms in the home, and both are found to be in working order. The licensee is the main caretaker of the home. Client file is stored under lock and key in the file cabinet in the living room. There was no Emergency Disaster Plan for LPAs to review. There was no documentation of emergency drills. LPAs reviewed one (1) client records. Licensee's file was not available on site. Licensee's CPR and First Aid is expired. LPAs checked required criminal record and child abuse index check clearance or exemption for all adults in the home. The client is nonverbal. The client's files contained: Admission Agreement, Medical Assessment, Consent Forms, Emergency Information, Individual Family Service Plan, Immunization Record and Personal Rights. LPAs issued three (3) deficiency citations (see LIC809D) and one (1) Technical Advisory LIC9102TV during today's inspection. An exit interview was conducted and a copy of this report, LIC811, LIC809D, LIC9102TV, along with appeal rights, were provided to licensee, Ms. Sheila Downtain.

met_with: Sheila Downtain


summary: Facility Evaluation

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Narrative:
On February 5, 2025, at 11:00 a.m., Licensing Program Analyst (LPA) John Bonilla arrived at The Downtain Home, a Small Family Home (SFH), for the purpose of conducting an unannounced Annual/Required inspection. LPA met with Sheila Downtain, Licensee. The SFH currently does not have any clients in placement. There are no bodies of water on the premises. LPA toured the home and observed the following: the facility license, personal rights poster, and evacuation plan were posted in a prominent location. Exits, hallways and doors were observed to be free and clear of hazards and obstructions. The home had three complete first aid kits readily available, fire extinguisher in home was up to date and charged. Medications are kept in a locked cabinet in the laundry room next to the kitchen. Cleaning supplies are kept locked in the laundry room as well, away from medications. Smoke detectors and carbon monoxide detectors in the home were tested and found to be working properly. Knives and sharp objects are kept locked in a kitchen drawer. There was observed to be an adequate food supply of perishable and non-perishable foods. There is ample space for activities both inside and outside the home. Licensee confirmed that there were no weapons or ammunition on site. Overall, the facility is safe and sanitary. There were no deficiencies issued during today's inspection. Exit interview conducted. A signed copy of this report was provided to Licensee. No further action required.

visit_type: Annual


summary: Facility Evaluation

raw_content:
Narrative:
On April 30, 2024, at 9:00 a.m., Licensing Program Analyst (LPA) John Bonilla arrived at The Downtain Home, a Small Family Home (SFH), for the purpose of conducting an unannounced Annual/Required inspection. LPA met with Sheila Downtain, Licensee. The SFH currently does not have any clients in placement. There are no bodies of water on the premises. LPA toured the home and observed the following: the facility license, personal rights poster, and evacuation plan were posted in a prominent location. Exits, hallways and doors were observed to be free and clear of hazards and obstructions. The home had three complete first aid kits readily available, fire extinguisher in home was up to date and charged. Medications are kept in a locked cabinet in the laundry room next to the kitchen. Cleaning supplies are kept locked in the laundry room as well, away from medications. Smoke detectors and carbon monoxide detectors in the home were tested and found to be working properly. Knives and sharp objects are kept locked in a kitchen drawer. There was observed to be an adequate food supply of perishable and non-perishable foods. There is ample space for activities both inside and outside the home. Licensee confirmed that there were no weapons or ammunition on site. Overall, the facility is safe and sanitary. The SFH was issued one deficiency and one technical violation during this inspection. Refer to LIC809-D and LIC9102-TV. Exit interview conducted. A signed copy of this report, LIC809-D, and LIC9102-TV were provided to Licensee. Appeal rights provided. No further action required.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On February 11, 2026, at 9:27 a.m., Licensing Program Analyst (LPA) Christopher J. Williams arrived at The Downtain Home, a Small Family Home (SFH), for the purpose of conducting an unannounced Annual/Required inspection. LPA met with Sheila Downtain, Licensee. The SFH currently does not have any clients in placement. No staff are presently employed. There are no bodies of water on the premises. LPA toured the home accompanied by Licensee and observed the following: the facility license, personal rights poster, and evacuation plan were posted in a prominent location. Exits, hallways and doors were observed to be free and clear of hazards and obstructions. The home had three complete first aid kits readily available, and the fire extinguisher in home was up to date and charged. Medications are kept in a locked cabinet in the laundry room (utility closet) next to the kitchen. Cleaning supplies are kept locked in the laundry room as well, away from medications. Smoke detectors and carbon monoxide detectors in the home were tested and found to be working properly. Knives and sharp objects are kept locked in a kitchen drawer. There was observed to be an adequate food supply of perishable and non-perishable foods. There is ample space for activities both inside and outside the home. Licensee confirmed that there were no weapons or ammunition on site. Overall, the facility is safe and sanitary. A signed copy of this report was discussed and provided to the Licensee. Exit interview conducted. No deficiencies were cited at this time.

met_with: Shelia Downtain, Administrator


facility_name: DUROJAIYE SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On the above date Licensing Program Analyst (LPA) Babatunde Aborchie, met with licensee Ms. Patricia Durojaiye who granted access to the home. The purpose of this visit is to conduct an annual required inspection of the small family home. Presently there are two foster children in placement and two of the two were present during time of inspection (See LIC 811). The home is single story with four bedrooms and three bathrooms. Bedroom #1 has two twin beds, it is occupied by C Bedroom #2 has a twin and a queen bed, it is occupied by C Bedroom #3 has a bunk bed two twin beds and a full bed. Bedroom #4 is the master bedroom, it is occupied by Licensee and her spouse. 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. Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The fireplace is properly screened. All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in the closet by the living room. Cleansers/chemicals are locked and stored in the laundry room cabinet. Sharp knives are inaccessible and stored in a locked closet by the living room. The first aid kit is in the locked closet. There are no guns or weapons as stated by Licensee at this time. The hot water temperature was tested and noted to be 115 degrees. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. LPA observed Psychotropic medication for C2, does not have current court order or written authorization. LPA interviewed two of two clients C1 and C2

met_with: Licensee - Patricia Durojaiye


summary: Facility Evaluation

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Narrative:
On December 21, 2023, at 9: AM Licensing Program Analyst (LPA) Karen Beal visited the facility today to conduct an annual/random visit. The home has 4 bedrooms, 3 baths and is set up as follows: · Bedroom #1 is set up as the client's bedroom. · Bedroom #2 has a twin and full beds in it. · Bedroom #3 has two twin beds · Bedroom #4 is the master bedroom and sleeps Licensee and her spouse. In the bedroom designated for Client #1, there is adequate drawer and closet space for their belongings. All hazardous items have been properly made inaccessible to areas where children will have access. The medications and the sharp knives are locked and stored in the closet. Cleansers/chemicals were locked and stored in cabinets in the laundry room and hallway closet. The First Aid Kit is stored in the pantry and contains all the required items. The smoke detector located in the hallway was tested and was in good working order. The license states there is no gun or weapon in the home at this time. LPA observed the home to be clean and sanitary. The home had an adequate food supply of perishable and non-perishable food items. A tour of the backyard was done and was free of any hazards. The Licensee has a pool that was made inaccessible and has a five-foot mesh fence and a self-latching gate that swings outward. A review of all adults living in the home was done and all individuals who require caregiver background checks have received criminal record and child abuse index check clearances. Based on this annual inspection, the home is operating within the limitations of the license. An exit interview conducted, a copy of this report and appeal rights was discussed and left with Licensee.

met_with: Licensee, Patricia Durojaive


summary: Facility Evaluation

raw_content:
Narrative:
On 6/25/ Licensing Program Analyst (LPA) Cynthia Ramos and Licensing Program Manager Abdoulaye Traore (LPM) arrived at Durojaiye Small Family Home (SFH) to conduct a random annual inspection. LPA and LPM met with licensee who granted access into the home and led a tour of the home. The home is single story-house with four bedrooms and three bathrooms. During the inspection, LPA and LPM observed that the home consisted of a formal living room with sofa and a large dining table, a kitchen, a family room, the garage and four bedrooms. Bedroom #1 consisted of two twin-size beds, and it sleeps an adult (A1). Bedroom #2 consisted of two twin-size beds and sleeps an adult (A2). Bedroom #3 was a guest bedroom that contained a queen-size bed and a twin-size bed currently vacant. Bedroom #4 was the master bedroom and occupied by the Licensee. There were three bathrooms in the home, and they were clean and in good conditions. Bedrooms are arranged so that no more than two clients share a room, and only one client per bed. No bedroom was commonly used for other purposes, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for residents' belongings. Beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good repair. The fireplace was properly screened. All hazardous were locked items and inaccessible to residents. The medications, cleaners/chemicals and First Aid Kid were locked and stored in the closet by the living room. Per Licensee, there are no guns or weapons in the home. The LPM and LPA observed the home to be clean and organized. All windows and screens were in good repair. The smoke and carbon monoxide detectors were tested and operable. The water temperature was tested and measured at 114.6.F. LPA and LPM observed a minimum of seven-day non-perishable and a three-day perishable supply of food. The backyard was also inspected, and there were no hazards or obstructions observed. The pool was observed and inspected to be inaccessible by a five-foot mesh fence that had a self-latching gate that swings outward as required. There were six cameras in total, three of them were in common areas of the home and the other three were outdoors and meet the title 22 camera policy. Based on today's inspection and observations, there are no deficiencies being cited at this time. An exit interview was conducted, and a copy of this report was provided to Licensee.

met_with: Licensee, Patricia DuroJaive


facility_name: DYER SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On 05/25/2022 at 1:30pm, Licensing Program Analyst (LPA) Enrique Hernandez arrived at the above facility, for the purpose of conducting an Annual Required Inspection on the Small Family Home. LPA met with the Ryan Dyer Facility Administrator (FA), who granted access into the home and toured the facility both inside and out. This is a two-story house with 5 bedrooms, one bedroom is being utilized as an bedrrom for staff, 4 bathrooms, Living Room, family room, Dining area, kitchen, laundry area and attached 3 cars garage. There are 2 fireplaces in the home with a secured screen on it and made inaccessible to the consumers. There is a body of water on the premises, a spa with a tight fitted locked cover that meets the Regulations. On the first floor the following was observed: Bedroom #5(downstairs) is used as a staff room. Living Room/Family Room(downstairs): There is adequate furniture which appears to be in good condition. Formal Dining Area and Breakfast area: one dining tables observed with (4) chairs. Kitchen: There is a stove/oven with (6) burners all working properly at this time. There is a microwave and double door refrigerator/freezer. The food service in the home is adequate with perishable/nonperishable food supplies. Caregiver ensures three nutritious meals, snacks. Knives/ Sharp objects are stored in the kitchen and are kept locked. Chemicals and cleaning solutions are kept in locked. The medication will be centrally located in the cabinet by the family room on the first floor. Continue on LIC 809-C On the second floor the following was observed: Bedroom #1: Occupied by FA, LPA observed a king bed, private bath and two walk in closets and dresser. There is a private balcony and an emergency exit with stairs. Bedroom #2: is occupied by client #1. LPA observed a twin bed, walk in closet, dresser and chair. Bedroom #3: is occupied by client #2. LPA observed a twin bed, dresser and closet. Bedroom #4: is occupied by clients #3 and #4. LPA observed two twin beds, wall dresser and closet. All smoke detectors were tested and were operating properly in the home at the time of the inspection. Carbon Monoxide alarms were installed and available in the home. LPA observed tow fire extinguishers in the home all in working condition. There are no bars on the windows. There is adequate linen supply in the hallway closet. LPA observed that all materials required to be posted in the living room and posted in visible way to all consumers. The hot Water was tested and was at a safe temperature of 119F degrees. There is a Jacuzzi on the on the premises with a lock tight cover on it which meets the requirements. There are no firearms or dangerous weapons in the home. Licensee is current with training hours and CPR/First Aid expiration date 8/14/2023. The facility has a BMW X5 passenger SUV to and BMW X5 passenger SUV to transport consumers. Current automobile insurance is with Mercury Insurance Company. Due to time constraints, LPA will return to review the client/staff files in order to complete the Exit Interview was conducted with the Administrator and due to technical difficulties with the LPA's printer, LPA will email a copy of the report to the Facility Administrator. .

met_with: Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/2/23 at 11:00am, Licensing Program Analyst (LPA) Nancy O'Connell arrived at the above facility, for the purpose of conducting an Annual Required Inspection at the Small Family Home. LPA met with the Ryan Dyer Facility Administrator (FA), who granted access into the home and toured the facility both inside and out. This is a two-story house with 5 bedrooms, one bedroom is being utilized as a bedroom for staff. There are 4 bathrooms, Living Room, family room, Dining area, kitchen, laundry area and attached 3 cars garage. There are 2 fireplaces in the home with a secured screen attached and made inaccessible to the consumers. There is a body of water on the premises, a spa with a tight fitted locked cover that meets the regulations. On the first floor the following was observed: Bedroom #5(downstairs) is used as a staff/covid isolation room. Living Room/Family Room(downstairs): There is adequate furniture which appears to be in good condition. Formal Dining Area and Breakfast area: one dining table observed with (4) chairs. Kitchen: There is a stove/oven with functioning burners. There is a microwave and double door refrigerator/freezer. There is perishable/nonperishable food supplies present within the refrigerator/freezer that meet duration requirements. Caregiver communicates shopping list is developed regularly to ensure provision of well- rounded meals. Knives/ Sharp objects are stored near the kitchen and are kept locked. The medication is centrally stored and locked in kitchen area, underneath extra sink. Continue on LIC 809-C On the second floor the following was observed: Bedroom #1: Occupied by FA, LPA observed a king bed, private bath, closets and dresser. There is a private balcony and an emergency exit with stairs. Bedroom is locked and clients are not permitted within this room or on this balcony. Bedroom #2: is occupied by client #1. LPA observed a twin bed, walk in closet, dresser and chair. Due to client behaviors, bedroom is maintained with minimum essentials Bedroom #3: is occupied by client #2. LPA observed a twin bed, dresser and closet. Bedroom #4: is occupied by clients #3 and #4. LPA observed two twin beds, wall dresser and closet. This bedroom has a fireplace that is secured and non functional. The bedroom has a balcony that is locked and non- accessible to clients. All smoke detectors were tested and were operating properly in the home at the time of the inspection. Carbon Monoxide alarms were installed and available in the home. LPA observed two fire extinguishers in the home all in working condition. Windows do not have bars on exterior. There is adequate linen supply in the hallway closet. LPA observed that all materials required to be posted in the living room and posted in visible way to all consumers. The hot water was tested and was at a safe temperature of 110F degrees. There is a Jacuzzi on the on the premises but it is locked and is not utilized by anyone. The facility has a BMW X5 passenger SUV to and BMW X5 passenger SUV to transport consumers. Automobile insurance and registration was observed and confirmed to be current. Due to time constraints, LPA will return to review the client/staff files in order to complete the inspection. Exit Interview was conducted with the Administrator and a copy of the report will be emailed to the Facility Administrator. .

met_with: Ryan Dyer, Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/09/2024 at 10: AM Licensing Program Analyst (LPA) Rosslyn Gray arrived at the above facility, for the purpose of conducting an Annual Required Inspection on the Dyer Small Family Home. A Health and Risk assessment was conducted upon arrival at the facility. The facility is licensed to provide care and supervision for four (4) developmentally disable male children ages 3-17 years old. Ambulatory only. There is currently four (4) male NonMinor Dependents (NMD) in placement. The administrator reported referrals are from the placement agency Tri-County Regional Center. LPA met with the Ryan Dyer Facility Administrator (FA), who granted access into the home and toured the facility both inside and out. This is a two story house with 5 bedrooms, one bedroom is being utilized as a bedroom for staff. There are three (3) bathrooms, Living Room, family room, Dining area, kitchen, laundry area and attached 3 cars garage. There are 2 fireplaces in the home with a secured screen attached and made inaccessible to the consumers.There is a body of water on the premises, a spa with a tight fitted locked cover that meets the regulations.The Licensee confirmed that there are no firearms or dangerous weapons in the facility. LPA-Gray observed the follow during the inspection: There is a three (3)-car garage utilized for storage. Vehicle #1 is parked outside of the garage will be utilized as needed. Make & Model BMW-X5; Registration Expiration 08/12/2024. Proof of Insurance is for both vehicles. (National Liability July 13, 2024); Vehicle #2 is utilized to transport the clients; Make & Model BMW-X5; Registration. The Make and Model (2018 BMW-X5); Registration (Expiration 07/19/2024. The Licensee displayed his Driver's License expiration June 6, 2025. Both vehicles were checked for tires, headlights, taillights, turn signals, horn, and windshield wipers). The Licensee ensured that no smoking is allowed in in either of the vehicles. Outdoor Area: The activity space is free of hazard materials and debris. The ground is completed covered with green turf grass. There is recreational equipment the includes a Putting Green, Ping Pong Table, Hockey/ Soccer net and several fruit trees. The Hot Water Heater is located in the garage. Two air conditioning units. The facility trash cans are located on the west side of the house. LPA observed all windows, screens, and blinds drapes from the inside and outside of the facility were observed to be in good condition. The passageways and porches are unobstructed. All posting requirements were met, (i.e Facility License, food menu, regulations, the Emergency Disaster plan, the personal rights, the facility sketch, and contact for local physicians, dental and mental health professional. The cleaning supplies solutions, disinfectants sharp knives are also inaccessible in key locked cabinet in the under the wet bar. LPA observed a blue tooth enter connected combined Smoke detector and Carbon Monoxide; tested to be operable. 1st Floor: LPA-Gray observed the following. Bedroom #5(downstairs) is used as a staff room. is equipped with comfortable mattress, clean linen, double sliding closet doors, 3 drawer dresser, a lounge chair, a ceiling fan, There is adequate lighting and the windows and drapes. Living Room: There are 3 television, two sofas, 1 reclining chair. Family Room: There is adequate furniture which appears to be in good condition. Dining Area: Breakfast nook, game room, dining table observed with (4) chairs. Kitchen: There is a stove/oven with (6) burners all working properly at this time. There is a microwave and double door refrigerator/freezer. The food service in the home is adequate with perishable/nonperishable food supplies. Caregiver ensures three nutritious meals, snacks. Knives/ Sharp objects are stored in the kitchen and are kept locked. Chemicals and cleaning solutions are kept in locked. The medication will be centrally located in the cabinet by the family room on the first floor. 2nd Floor: LPA-Gray observed the follow during the inspection: Bedrooms: Each bedroom is equipped with comfortable mattresses, clean linen, closet doors, 3 drawer dresser, a lounge chair, s adequate lighting and the windows and drapes. All observed to be in good condition Bedroom #1: Occupied by Licensee. LPA observed a king bed, private bath, closets and dresser. There is a private balcony and an emergency exit with stairs. Bedroom is locked and clients are not permitted within this room or on this balcony. Bedroom #2: is occupied by client #1. LPA observed a twin bed, walk in closet, dresser and chair. Bedroom #3: is occupied by client #2. LPA observed a Full sized twin bed, dresser and closet. Bedroom #4: is occupied by clients #3 and #4. LPA observed two full sized beds, wall dresser and closet. This bedroom has a fireplace that is secured and non functional. The bedroom has a balcony that is locked and non- accessible to clients. Bathrooms: There are three (3) bathrooms equipped with bathroom with a tub, shower, sink and toilet; inspected and found to be clean. Bathroom #1 is located is located on the 1st floor, bedroom is located in #2 #3 is located hallway in between 2 and 3. LPA ensured that all toilets flushed, and tested water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. LPA observed two fire extinguishers in the home all in working condition. There is adequate linen supply in the hallway closet. LPA observed that all materials required to be posted in the living room and posted in visible way to all clients. LPA ensured that all toilets flushed, and tested water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. There is a Jacuzzi on the on the premises but it is locked and is not utilized by anyone. The Small Family Home operates within license conditions and limitations including capacity limitations. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. LPA reviewed the Licensee's Training certificates (Certified by the Board of Registered Nurses) LPA obtained the Facility Profile and Personnel Report and confirmed that the Licensee have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. Client Records: LPA reviewed four (4) client records on file. Staff Records: LPA reviewed four (4) staff record. Client Interviews: No interviews were conduct due to the children being at school at the time of the inspections, in addition to reportedly being non verbal. Staff Interviews: LPA interviewed three (3) staff on duty identified as the administrator. There were no deficiencies cited at this time. LPA concluded the Annual/Required. An exit interview was conducted, and a copy of this report was left at the facility with the Ryan Dyer Facility Administrator

met_with: Ryan Dyer Facility Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On 05/30/2025 at 09: AM Licensing Program Analyst (LPA) Miguel Gomez arrived at the above facility, for the purpose of conducting an Annual Required Inspection on the Dyer Small Family Home. A Health and Risk assessment was conducted upon arrival at the facility. The facility is licensed to provide care and supervision for four (4) developmentally disable male children ages 3-17 years old. Ambulatory only. There is currently four (4) male NonMinor Dependents (NMD) in placement. The administrator reported referrals are from the placement agency Tri-County Regional Center. LPA Gomez met with the Ryan Dyer Facility Administrator (FA), who granted access into the home and toured the facility both inside and out. This is a two story house with 5 bedrooms, one bedroom is being utilized as a bedroom for staff. There are three (3) bathrooms, Living Room, family room, Dining area, kitchen, laundry area and attached 3 cars garage. There are 2 fireplaces in the home with a secured screen attached and made inaccessible to the consumers. There are no bodies of water on the premises. The Licensee confirmed that there are no firearms or dangerous weapons in the facility. LPA-Gomez observed the follow during the inspection: There is a three (3)-car garage utilized for storage. Proof of Insurance is for vehicle. (National Liability July 13, 2025); Vehicle #1 is utilized to transport the clients; Make & Model BMW-X5(Expiration 07/08/2025). The Licensee displayed his Driver's License expiration June 6, 2025. vehicle was checked for tires, headlights, taillights, turn signals, horn, and windshield wipers). The Licensee ensured that no smoking is allowed in in either of the vehicles. Outdoor Area: The activity space is free of hazard materials and debris. The ground is completed covered with green turf grass. There is recreational equipment the includes a Putting Green, Ping Pong Table, Hockey/ Soccer net and several fruit trees. The Hot Water Heater is located in the garage. Two air conditioning units. professional. The cleaning supplies solutions, disinfectants sharp knives are also inaccessible in key locked cabinet in the under the wet bar. LPA Gomez observed a blue tooth enter connected combined Smoke detector and Carbon Monoxide; tested to be operable. 1st Floor: LPA-Gomez observed the following. Bedroom #5(downstairs) is used as a staff room. is equipped with comfortable mattress, clean linen, double sliding closet doors, 3 drawer dresser, a lounge chair, a ceiling fan, There is adequate lighting and the windows and drapes. Living Room: There are 2 television, two sofas, 1 reclining chair. Family Room: There is adequate furniture which appears to be in good condition. Dining Area: Breakfast nook, game room, dining table observed with (4) chairs. Kitchen: There is a stove/oven with (6) burners all working properly at this time. There is a microwave and double door refrigerator/freezer. The food service in the home is adequate with perishable/nonperishable food supplies. Caregiver ensures three nutritious meals, snacks. Knives/ Sharp objects are stored in the kitchen and are kept locked. Chemicals and cleaning solutions are kept in locked. The medication will be centrally located in the cabinet by the family room on the first floor. 2nd Floor: LPA-Gomez observed the follow during the inspection: Bedrooms: Each bedroom is equipped with comfortable mattresses, clean linen, closet doors, 3 drawer dresser, a lounge chairs adequate lighting and the windows and drapes. All observed to be in good condition Bedroom #1: Occupied by Licensee. LPA Gomez observed a king bed, private bath, closets and dresser. There is a private balcony and an emergency exit with stairs. Bedroom is locked and clients are not permitted within this room or on this balcony. Bedroom #2: is occupied by client #1. LPA Gomez observed a twin bed, walk in closet, dresser and chair. Bedroom #3: is occupied by client #2. LPA Gomez observed a Full sized twin bed, dresser and closet. Bedroom #4: is occupied by clients #3 and #4. LPA Gomez observed two full sized beds, wall dresser and closet. This bedroom has a fireplace that is secured and non functional. The bedroom has a balcony that is locked and non- accessible to clients. Bathrooms: There are three (3) bathrooms equipped with bathroom with a tub, shower, sink and toilet; inspected and found to be clean. Bathroom #1 is located is located on the 1st floor, bedroom is located in #2 #3 is located hallway in between 2 and 3. LPA Gomez ensured that all toilets flushed, and tested water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit. LPA Gomez observed two fire extinguishers in the home all in working condition. There is adequate linen supply in the hallway closet. LPA Gomez observed that all materials required to be posted in the living room and posted in visible way to all clients. LPA Gomez ensured that all toilets flushed, and tested water temperature measured within safe temperatures, at not less than 105 and did not exceed 120 degrees Fahrenheit.There was Jacuzzi on the premises but has removed from the home. The Small Family Home operates within license conditions and limitations including capacity limitations. Facility personnel are instructed to report violations of personal rights. Licensee will report changes in the plan of operation affecting service to clients. Licensee will report client injuries requiring medical treatment. LPA reviewed the Licensee's Training certificates (Certified by the Board of Registered Nurses) LPA Gomez obtained the Facility Profile and Personnel Report and confirmed that the Licensee have required criminal record clearance. DOJ, FBI and Child Abuse Response; which meet qualification. Client Records: LPA Gomez reviewed four (4) client records on file. Staff Records: LPA Gomez reviewed four (4) staff record. Client Interviews: No interviews were conduct due to the children being at school at the time of the inspections, in addition to reportedly being non verbal. Staff Interviews: LPA Gomez interviewed three (3) staff on duty identified as the administrator. There were no deficiencies cited at this time. LPA concluded the Annual/Required. An exit interview was conducted, and a copy of this report was left at the facility with the Ryan Dyer Facility Administrator

met_with: Ryan Dyer


facility_name: EASON SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On April 16, 2025, at 9: AM Licensing Program Analyst (LPA) Erika Butler, arrived at Eason Small Family Home for the purpose of conducting a Pre-Licensing Inspection. LPA with Applicant Geremy Eason who granted access to the home and together a tour of the interior and exterior home was conducted. The home is set up as follows: This is a three bedroom, one bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area. Living room: is equipped with mounted TV, sectional couch, ottoman, fireplace with a door, exercise bike and cabinet. Dining room: is equipped with a table with 6 chairs, file cabinet, and printer. Kitchen: is equipped with a refrigerator/freezer, a six burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the laundry room. LPA observed a covered trash can. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. 809 continued on page 1 of Bedroom #1: Applicants bedroom equipped with queen bed, crib, drawer space, adequate closet space, adequate lighting, and window with bar. Bedroom #2: used for belongings for their baby, shoe cabinet, drawer space, adequate closet space, adequate lighting, and window with bar. Bedroom #3: client's bedroom equipped with twin bed, drawers space, adequate closet space, lighting, and window bars. Bathroom: Bathroom was observed to be clean and in working condition. Vehicle: The Applicant will use a Mercedes GLE to transport client. Insurance is valid from April 6, 2025 - April 6, 2026. The vehicle was observed to be in good condition. The home's temperature is maintained by central air/heating. LPA observed two fully charged fire extinguishers which are located in the hallway, and in the cabinet. Extra linens will be stored in cabinet in the hallway. 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 with required items. Disinfectants and cleaning solutions are kept in a locked cabinet in the hallway. LPA reminded Applicant 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. Report continued on LIC 809C. (Page 2 of 3) 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. Applicant informed that the following corrections will need to be made: Applicant will purchase a lock box for refrigerated medication. Applicant will remove bars from the remaining windows. Applicant needs to set up a Guardian Account. LPA informed Applicant that a Component II meeting will be held April 22, 2025, at AM. An exit interview was conducted. A copy of report will be emailed to Applicant Geremy Eason.

met_with: Geremy Eason


summary: Facility Evaluation

raw_content:
Narrative:
On April 22, 2025, at AM, a Component II Office Visit was held to discuss the application received for Eason Small Family Home located at W. 78th Place Los Angeles, CA 90043. Attending Component II were the following individuals: Geremy Eason, Applicant, Erika Butler, Licensing Program Analyst. 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: Section A Documents 1. Budget Information Form (LIC 420) 2. Health Screening Report (LIC 503) 3. Out of State Criminal Record Disclosure Form (LIC 508D) Continued on C Program Statement Applicant needs to revise the Program Statement. The Applicant was advised of the following revision and/or corrections needed to the application and/or Program Statement: Revisions are due by May 18, 2025. Email revisions to erika.butler@dss.ca.gov. The Applicant's fingerprints and fire inspection are pending. A copy of this report will be emailed to the Applicant, Geremy Eason..


summary: Facility Evaluation

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Narrative:
On May 13, 2025, at 10: AM, Licensing Program Analyst (LPA), Erika Butler conducted a Small Family Home (SFH) Component III office meeting with Applicant, Geremy Eason . LPA Butler met with Applicant to discuss forms required to be maintained, available, and posted at the facility for inspections. We discussed child and personnel records that are required to be documented, retained and available for inspection. We also discussed specific requirements, concerns and issues operating a SFH, such as, reporting requirements, personnel requirements, supervision, intake issues, compatibility, removal/discharge policies, complaint procedures, transportation, health services, food, hygiene, visitation, personal property, searches, and community sensitivity. Licensee is pending revisions to Program Statement. A copy of this report was provided to the Applicant, Geremy Eason.


summary: Facility Evaluation

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Narrative:
On April 16, 2025, at 9: AM Licensing Program Analyst (LPA) Erika Butler-Williams, arrived at Eason Small Family Home for the purpose of conducting a Post Licensing Inspection. LPA met with Geremy Eason, Licensee and a health and safety assessment was conducted prior to entering facility. The home is set up as follows: This is a three bedroom, one bathroom home located in a residential area. The home consists of a living room, dining room, kitchen, laundry space, and backyard area. Living room: is equipped with mounted TV, sectional couch, ottoman, fireplace with a door, exercise bike and cabinet. Dining room: is equipped with a table with 6 chairs, file cabinet, and printer. Kitchen: is equipped with a refrigerator/freezer, a six burner gas stove (all burners were operational at the time of the inspection), and microwave. Sharp knives will be kept inaccessible in a locked cabinet in the laundry room. LPA observed a covered trash can. LPA observed ample and non-perishable food items. The Applicant will ensure that three nutritious meals and snacks will be provided to the clients. continued on C Bedroom #1: Applicants bedroom equipped with queen bed, crib, drawer space, adequate closet space, adequate lighting, and window with bar. Bedroom #2: used for belongings for their baby, shoe cabinet, drawer space, adequate closet space, adequate lighting, and window with bar. Bedroom #3: client's bedroom equipped with twin bed, drawers space, adequate closet space, lighting, and window bars. Bathroom: Bathroom was observed to be clean and in working condition. Vehicle: The Applicant will use a Mercedes GLE to transport client. Insurance is valid from April 6, 2025 - April 6, 2026. The vehicle was observed to be in good condition. The home's temperature is maintained by central air/heating. LPA observed two fully charged fire extinguishers which are located in the hallway, and in the cabinet. Extra linens will be stored in cabinet in the hallway. 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 with required items. Disinfectants and cleaning solutions are kept in a locked cabinet in the hallway. LPA reminded Applicant 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. LPA reviewed the following records during the inspection: LPA reviewed a total of two (2) records and confirmed files contained current CPR/First Aid cards, health screening, and TB test results. All personnel have required criminal record clearance: DOJ, FBI and Child Abuse, which meet qualification. An exit interview was conducted. A copy of report will be emailed to Licensee, Geremy Eason at easonsmallfamilyhome@gmail.com.


facility_name: EDANO HOME

summary: Facility Evaluation

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Narrative:
On 4/22/22 at 9:26AM, Licensing Program Analyst (LPA) Mariah Hawkins made a visit to the Small Family Home to conduct a required annual inspection. LPA met with Licensee Maria Edano and informed of the purpose of the visit. Safety precautions were taken, including mask-wearing and pre-visit screening call. The CARE Inspection Tool was used to conduct this inspection. The facility is clean, tidy, and free of obstructions and serious hazards. There are two double-occupancy bedrooms downstairs, currently with one resident to each room. Hot water and room temperatures measured within permitted ranges, at 114. F and F, respectively. Linens are clean, and bathroom and kitchen are in sanitary condition. Food meets the quality and quantity standards to meet the needs of the residents in care. Caregivers are certified in First Aid/CPR and have background clearances associated to the facility. Facility files are organized and complete. At 10:30AM, LPA observed that the medication administrator records (MARs) for resident R1 (See LIC Confidential Names) did not log psychotropic medications separately. Fluoxetine and Clonidine should be logged on separate logs each. LPA printed a copy of the LIC 622B Psychotropic MAR at visit. LPA is issuing a citation of California Code of Regulations, Title 22, Division 6, Chapter 4, Article 6, Section 83070(b)(12) Children's Records. See attached LIC 809-D. The following were observed during visit and advisories issued (See attached LIC 9102s): During file review, LPA observed that the most current JV-220 had not been received by the social worker yet, authorizing the current psychotropic medications for resident R1. Licensee checked email and could not find an email from social worker. Physician's orders are maintained, and the MAR reflects administration follows prescribing physician's orders. The previous JV-220 was available for review. LPA advises that Licensee continue to follow-up with social worker to ensure documentation of authorization is on file. During file review, LPA observed that there was no LIC Register of Facility Clients, or version of client roster. LPA provided the form at visit, and licensee completed at visit. LPA advises that Licensee ensure to maintain this form in a central location in the home, updating whenever there are changes to residents in care. During file review, LPA observed that the personnel records did not contain a scan of Licensee's driver license. Licensee's driver license was observed to be valid and current. LPA advised that copies/scans of the driver licenses for all facility staff/caregivers who drive residents be maintained in the personnel records. During tour and file review, LPA observed that there were no copies of the menus for the past 30 days, reflecting what was served. LPA advises that Licensee ensure copies of weekly menus are maintained for at least 30 days. During tour, LPA observed multiple dog feces around the backyard and side yard. LPA advises, as technical assistance, that these be picked up to maintain the outdoor activity space in safe and hazard-free condition. An exit interview was conducted, appeal rights provided, and a copy of this report was left with Licensee Maria Edano, whose signature on this form confirms receipt.

met_with: Licensee Maria Edano


summary: Facility Evaluation

raw_content:
Narrative:
On 4/6/23, Licensing Program Analyst (LPA) Mariah Hawkins conducted a case management visit at the facility and met with Licensee Marie Edano. The visit was announced. The purpose of this visit is to confirm the transition of the facility to a new location. The prelicensing inspection at that location was completed just before this visit, and no deficiencies were observed. Licensure of the new site is anticipated for 4/7/23. Licensee plans to move over fully to the new site this weekend. LPA obtained the old license and will send the new license by 4/7/23. An exit interview was conducted, and a copy of this report was left with Licensee Marie Edano, whose signature on this form confirms receipt.

met_with: Licensee Marie Edano


summary: Facility Evaluation

raw_content:
Narrative:
On 4/6/23, Licensing Program Analyst (LPA) Mariah Hawkins conducted an announced and scheduled prelicensing inspection and met with Licensee Marie Edano. There are currently two clients in the licensee's care, who are on an outing with Licensee Ramon Edano. The facility is clean and tidy. The smoke detectors were observed to be working, and hot water in the client bathroom measured within the permitted range. The kitchen is stocked with food to meet the needs of the clients in care. Bathrooms are ready for use, with shower curtains, toiletries, and linens. Medications and sharps will be stored in a locked cabinet inside, and client files will be stored in a separate locked cabinet in the garage. Personnel files will be stored inside. The first aid kit will be maintained in the garage cabinet. There are three client bedrooms, with one double-occupancy and two single-occupancy rooms. The single-occupancy bedrooms are furnished and ready for the two clients in care and are decorated similarly to their rooms at the old facility site to ease the clients' transition over to the new site. Licensee plans to move over completely this weekend once licensed. No deficiencies were observed, and there are no pending items. Licensure is anticipated for 4/7/23. An exit interview was conducted, and a copy of this report was left with Licensee Marie Edano, whose signature on this form confirms receipt.


summary: Facility Evaluation

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Narrative:
On 7-19-23, 9:09AM Licensing Program Analysts George Karkazis and Deputy Director Kevin Gaines conducted an unannounced Post Licensing Inspection at listed facility. LPA and Deputy Director met with Marie Edano, Licensee and toured the facility inside and out. Safety precautions were taken including screening call. The Small Family Home is licensed to serve four clients. Present during the inspection were one staff and no clients. At 9:25AM LPA Karkazis reviewed client and staff files. All client and staff files were complete, current, and in order. Files were stored in a locked cabinet in the garage. At 10:45AM, LPA Karkazis toured the facility. LPA Karkazis observed four bedrooms and two bathrooms. LPA observed facility license, personal rights, facility sketch, meal menu, and other forms posted on the walls throughout the facility. LPA Karkazis tested the water temperature and found it to be 111 degrees which is in range. The thermostat read 73 degrees, which is within range. Sharps were locked and chemicals were safely stored. There were two days of perishable foods and seven days non-perishable foods present. The medication was also stored and locked in the upper kitchen cabinet. The facility is in good repair and clean. LPA Karkazis interviewed one staff and no clients, no clients present. At 10:56AM LPA Karkazis toured the backyard. There were no open bodies of water. The backyard was in good repair and clean. At this time there were no deficiencies. An exit interview was conducted, appeal rights discussed and a copy of this report was given to Marie Edano, Licensee.

met_with: Marie Edano, Licensee


summary: Facility Evaluation

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Narrative:
On 04/12/24 at 10AM Licensing Program Analyst (LPA) Celeste Aparicio, Assistant Program Administrator (APA) Angela Carmack, and Policy Analyst (PA) Jennifer Scott made an unannounced visit to the facility for the purpose of conducting the facility's annual inspection. LPA met with Licensee's Ramon and Marie Edano who helped facilitate the inspection and were informed of the purpose of this inspection. The CARE Tool was used to conduct this inspection. At the beginning of the inspection LPA, APA, and PA started with the physical plant section of the CARE tool by conducting a walkthrough of the facility inside and out. LPA observed a four-bedroom house with a dining area, kitchen, living room and client bathroom located in the hallway. Client bedrooms were supplied with proper bedding including clean linens and lighting in accordance with the client's preference/needs. Sufficient drawer space to accommodate the child's clothing and personal belongings was provided and located in the dining area and the garage due to the client's behaviors. All toilets, sinks, bathtubs, and showers were maintained in a safe and sanitary operating condition. LPA observed a smoke alarm and carbon monoxide detectors located in the hallway. In the kitchen LPA observed the sharp knives and scissors to be in a locked cabinet, there was sufficient two day perishable and seven day nonperishable food supply, a menu posted on the refrigerator, and a proper supply of utensils for the clients to use when dinning. LPA opened the cabinet under the kitchen sink and observed one container of disinfectant cleaning solution wipes located inside a cabinet. This cabinet is accessible to the clients in care. LPA issued a citation of California Code of Regulations, Title 22, Section 83187(r)(3) Buildings and Grounds. A fire extinguisher was observed on a kitchen wall in case of emergency. A second fire alarm was observed to be in the dining area and appeared to be in working condition. Continued on LIC809-C... The house thermostat read at 68 degrees and water temperature measured at 105.6F. LPA and PA made their way to the backyard of the facility where the following was observed: the licensee provided outdoor activity space with a wide open area for the clients to play, there was a rusty shovel, fence door without secured wiring, and metal pole of the ground of the back yard. LPA issued a technical violation for the objects observed in the backyard. APA and PA reviewed two client files and LPA reviewed three staff files. All files were complete and organized. LPA is issuing one technical violation for one staff member lacking a health. LPA conducted an exit interview with Licensee, Marie Edano, at 4:15PM. A copy of this report was provided at the completion of this inspection.

met_with: Ramon & Marie Edano


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On 04/02/ Licensing Program Analysts (LPAs), Celeste Aparicio and Will Ea made an unannounced visit to the facility for the purpose of conducting the facility's annual inspection. LPAs met with Licensee Marie Edano, and informed the Licensee on the purpose of this inspection. The CARE Tool was used to conduct this inspection. LPAs reviewed the facility's plan of operations, client files, staff files, and conducted a walk through of the facility inside and out. During the facility walk through LPAs observed the facility to be maintained at 68 degrees, hot water temperature to measure within range, a large outdoor activity space free from hazards, and each child to have their own bedroom and beds equipped with clean comfortable mattresses, blankets, and pillows as needed. Overall the facility appeared to be clean, safe, sanitary, and in good repair. No clients were present at the facility during the time of the inspection due to clients being at school. All clients are nonverbal. LPAs reviewed 2 of child's records and 4 of staff personnel files on site at the facility. LPAs interviewed 1 of staff on site to discuss the facilities policies and procedures of operation. (See page LIC809-C) PAGE During the personnel file review, LPAs found that staff S3 and S4 (See LIC 811) does not have a background clearance associated to the facility. LPAs informed licensee about the need to remove the staff from the premises. LPAs identified three areas in which there were Technical Violations. (See associated LIC9102 forms). LPAs are issuing citations of California Code of Regulations (CCR), Title 22, Sections 80019(e) Criminal Record Clearance. An exit interview was conducted, and a copy of this report, the LIC 811, LIC9102s and the licensee's appeal rights were provided to the Licensee, whose signature on this form confirms receipt.

Deficiencies:
80019(e): Criminal Record Clearance

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1522 shall prior to working, residing or volunteering in a licensed facility

met_with: Marie Edano


summary: Facility Evaluation

raw_content:
Narrative:
On April 3, 2026, Licensing Program Analyst (LPA) Celeste Aparicio conducted an unannounced annual inspection of the facility. Upon arrival, the LPA met with Licensee Marie Edano and explained the purpose of the visit. The CARE Tool was utilized to complete the inspection. LPA reviewed the facility's Plan of Operation, client records, and staff personnel files, and conducted a walkthrough of both the interior and exterior of the facility. During the inspection, the facility temperature was observed to be 68°F, and the hot water temperature was within the required range. Overall, the facility was clean, safe, sanitary, and in good repair. It was also appropriately furnished and organized to meet the needs of the clients and to ensure their safety. At the time of the inspection, no clients were present, as they were attending school. Client interviews were not conducted because all clients are nonverbal. LPA reviewed two (2) client records and four (4) staff personnel files. Additionally, two (2) staff interviews were conducted. No deficiencies were observed or cited during this inspection. The required annual inspection has been completed. An exit interview was conducted, and a copy of this report was provided to the facility.


facility_name: EDEN LOVING HOME

raw_content:
Narrative:
During investigation, licensee denied refusing to pick up FC1 from the treatment center. Licensee stated FC1 was a danger to self and others in the home, therefore licensee reached out to emergency services for FC1 to be seen at the treatment center. A confidential interview stated FC1 was scratching and causing injuries to staff. Confidential witness observed FC1 scratching staff and believed FC1 needed a higher level of care. Confidential witness was not sure the home was an appropriate placement for FC1. Based on the confidential interviews, the allegation that LS refused to pick up FC1 from the treatment center, may have happened or is 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.

Investigation Findings:
13On June 5, 2024, at 12: PM, Licensing Program Analyst (LPA) Babatunde Aborchie met Eden Loving Small Family Home Licensee Sandra Emele to deliver the investigative finding for the above stated allegation involving the Small Family Home and foster child. On August 9, 2023, at 9: AM, Licensing Program Analyst (LPA) Sarah Lo arrived at the small family home to initiate the investigation and conducted a safety inspection. On August 23, 2023, at 3: PM, LPA Babatunde Aborchie interviewed licensee (LS), Staff 1 (S1), foster child 1(FC1). LPA was unable to interview county social worker. On July 31, 2023, a complaint report was referred to Community Care Licensing (CCL) alleging Licensee (LS) refused to pick up client from the treatment center. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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 CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: EDEN LOVING HOMEFACILITY NUMBER: VISIT DATE: 06/05/2024

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

met_with: Licensee


raw_content:
Narrative:
During investigation, confidential interview denied not providing adequate supervision to FC1 and FC2 while in care. Confidential interview stated there was always one-on-one supervision for FC1 and FC2. Another confidential interview denied LS not providing adequate supervision to FC1 and FC2 while in care. The confidential interview revealed staff was injured to prevent FC1 from punching FC2. Additional confidential interview stated LS was preventing FC1 from reaching FC2 and added that FC1 would brag about being strong by hitting others. Based on the confidential interviews, the allegation that (LS) did not provide adequate supervision to FC1 and FC2 while in care, may have happened or is 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. A copy of this report and LIC 811 was provided to the SFH.

Investigation Findings:
13On June 5, 2024, at 1: PM, Licensing Program Analyst (LPA) Babatunde Aborchie met Eden Loving Small Family Home Licensee Sandra Emele to deliver the investigative finding for the above stated allegation involving the Small Family Home and foster child. On August 21, 2023, at 1: PM, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at the small family home to initiate the investigation and conducted a safety inspection. LPA interviewed licensee (LS), staff 1 (S1), foster children 1 and 2 (FC1 and FC2). LPA was unable to interview county social worker. On August 15, 2023, a complaint report was referred to Community Care Licensing (CCL) alleging that Licensee (LS) did not provide adequate supervision to the minors while in care. It was specifically stated that FC1 punched FC2. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie 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 CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: EDEN LOVING HOMEFACILITY NUMBER: VISIT DATE: 06/05/2024

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


raw_content:
Narrative:
On December 07, Licensing Program Analyst (LPA) Babatunde Aborchie conducted an unannounced complaint inspection to the Small Family Home (SFH) and met with licensee (LS) Sandra Emele to initiate an investigation for the above allegations between LS, FC1, and FC2. LPA B, Aborchie conducted health and safety inspection with no immediate concerns and conducted interviews with licensee (LS) and staff #1 (S1). In addition, LPA M. Chavez conducted collateral interviews with FC1, FC2, and County Social Workers. Regarding the above allegation that licensee and an adult in the home handled foster child in a rough manner, it was specifically reported that LS grabbed FC1 by the wrists and pulled FC1 into the house and grabbed FC1 by the feet and dragged FC1 across the floor. During investigation, a confidential witness stated that LS was dragging FC1 inside the SFH and even recorded the incident occurring. Another confidential interview disclosed that they received a blurry image of what appeared to be FC1 being dragged down the hallway by an adult man. However, other interviews denied handling any foster children in a rough manner. LPA's received inconsistent information. Regarding the above allegation that licensee yelled at foster children, a confidential interview disclosed that LS does not yell at foster children in home however, when necessary, LS will use a higher voice level to redirect foster child's behaviors. Another confidential interview disclosed that LS would yell but not a lot. LPA received a conflicting information. In regard to licensee did not prevent foster child from being harmed by another child and did not provide a safe and comfortable environment for foster children allegations, a confidential interview disclosed that a child at the SFH would hit, curse, and push FC1 and LS could not control the child nor discipline the child. In addition, confidential interviews disclosed that there was an incident where the child was throwing rocks at FC1 and FC2 and LS could not get the incident under control ultimately leading to calling the police for help. As a result, FC1 did not feel that the SFH was a safe and comfortable environment. Furthermore, confidential interview disclosed that when living at SFH FC1 always felt nervous and had anxiety and living there felt like a jail. Another confidential interview disclosed that staff always ensured supervision and at no time has a child hit another child. Regarding the above allegations adult in the home spoke inappropriately to and threatened foster child. It was specifically reported that an adult male threatened FC1 that he would pour ice cubes down FC1's shirt after telling FC1 no to going outside and that an adult female told FC1 to shut up after throwing FC1 on to a bed. It was also specifically reported that an adult female told FC2 "your mother is a bad mother. She's not worried about you." A confidential interview disclosed that no adult in the SFH has ever threatened foster children and it was specifically stated that FC2 constantly called biological mother to report dislikes in the home and would sometimes make-up stories. Another confidential interview disclosed that adults in the home told FC2 that FC2's biological mother didn't care about FC1 and FC2 because she isn't doing her classes. In addition, confidential interview disclosed that an adult male tried to trip FC2 then pulled down FC'1 shirt to pour ice onto FC1's body. Regarding the allegation that resource parent did not administer foster child's medication in a timely manner. A confidential interview disclosed that when FC2 was sick FC2 did not receive medicine. Another confidential interview disclosed that both FC1 and FC2 do not have any doctor prescribed medication but when FC2 had a cough or upset stomach, FC2 was given an over-the-counter remedy. Another confidential interview disclosed that FC2's biological mother prescribed FC2 an over-the-counter medication for a cough. In addition, confidential interview stated that when FC2 was on the phone with bio-logical mother the mother heard FC2 cough and then stated that FC2 coughed because FC2 was not being given the over-the-counter medication. LPA received a conflicting information. Based on interview and record review, the allegations that licensee and an adult in the home handled foster child in a rough manner; licensee yelled at foster children; licensee did not prevent foster child from being harmed by another child; licensee did not provide a safe and comfortable environment for foster children; Adult in the home spoke threatened and inappropriately to foster child; and licensee did not administer foster child's medication in a timely manner may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, these allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Licensee.

Investigation Findings:
13On 08/28/2024, at 10: AM, Licensing Program Analyst (LPA) Maya Chavez arrived unannounced to Eden Loving Small Family Home (SFH) and met with Licensee (LS) Sandra Emele to deliver the investigative findings regarding the allegations involving foster child #1 (FC1), foster child #2 (FC2) and the Small Family Home (SFH) Licensee as listed on the Confidential Names List, LIC 811, dated 08/28/2024. On December 26, 2023, Community Care Licensing (CCL) received a complaint alleging that licensee and an adult in the home handled foster child in a rough manner; licensee yelled at foster children; licensee did not prevent foster child from being harmed by another child; licensee did not provide a safe and comfortable environment for foster children; Adult in the home spoke threatened and inappropriately to foster child; and licensee did not administer foster child's medication in a timely manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez 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: EDEN LOVING HOMEFACILITY NUMBER: VISIT DATE: 08/28/2024

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

met_with: Licensee- Sandra Emele


raw_content:
Narrative:
In regard to the allegation that licensee forced the minors to sleep, it was specifically reported that LS made FC1 and FC2 go to bed between 5:00PM and 6:00PM. During a confidential interview it was stated that LS would make FC1 and FC2 go to bed at 5:00PM while the sun was still up because LS is tired. Another confidential interview stated that FC1 and FC2 are sent to their room after dinner so that LS can sweep and mop the downstairs area after dinner. Then, FC1 and FC2 turn in their tablets at 8:00PM so they can go to bed at 9:00PM. In regard to the allegation that licensee denied the minors access to food, a confidential interview stated that FC1 and FC2 have freedom to get snacks in between meals and that LS prepares meals daily. Another confidential interview stated that LS provides food, and it is fine. LPA didn't receive any additional information. Regarding the allegation that licensee demonstrated inappropriate form of discipline, it was specifically reported that when FC1 misbehaved, the one-on-one staff would throw FC1 over his shoulder. A confidential interview disclosed that there was a time FC1 went outside without permission, therefore, FC1 was dragged back inside by the wrists by LS. Confidential interview also disclosed that another time when FC1 was in trouble an adult picked FC1 up and threw FC1 into the bedroom. Another confidential interview stated that the LS disciplines FC1 and FC2 by taking away their tablet privileges or time-out in their bedrooms. In regard to the allegation that licensee allowed a minor to provide care and supervision to other minors in care, it was specifically reported that there is a fifteen-year-old foster child in the SFH that at times has supervised FC1 and FC2. During a confidential interview, it was disclosed that when LS went to the store there were no adults in the home and that a fifteen-year-old watched FC1 and FC2 while LS was at the store. Another confidential interview disclosed that LS's daughter who is in college comes home on the weekends and supervises FC1 and FC2 and has fingerprint clearance. Based on interview and record review, the allegations that LS forced the minors to sleep; LS denied the minors access to food; LS demonstrated inappropriate form of discipline; LS allowed a minor to provide care and supervision to other minors in care may have occurred, however, there was not a preponderance of evidence to support the alleged violations, therefore, these allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to Licensee.

Investigation Findings:
13On 08/28/2024, at 10: AM, Licensing Program Analyst (LPA) Maya Chavez arrived unannounced to Eden Loving Small Family Home (SFH) and met with licensee Sandra Emele to deliver the investigative findings regarding the allegations involving foster child #1 (FC1), foster child #2 (FC2) and the Small Family Home (SFH) staff as listed on the Confidential Names List, LIC 811, dated 08/28/2024. On January 25, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee forced the minors to sleep; licensee denied the minors access to food; licensee demonstrated inappropriate form of discipline; licensee allowed a minor to provide care and supervision to other minors in care. On January 31, Licensing Program Analyst (LPA) K. Beal conducted an unannounced complaint inspection to the SFH and met with licensee (LS) Sandra Emele to initiate an investigation for the above allegations between LS, FC1, and FC2. Lpa K. Beal conducted health and safety inspection with no immediate concerns and interviewed licensee. In addition, LPA M. Chavez conducted a collateral interview with FC2 and attempted to conduct interviews with FC1 and County Social Worker. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez 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: EDEN LOVING HOMEFACILITY NUMBER: VISIT DATE: 08/28/2024

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

met_with: License- Sandra Emele


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Regarding the allegation that licensee pulled foster child's hair, it was specifically alleged that the licensee snatched FC1's headphones off FC1's head and pulled FC1's hair. During investigation, confidential interview stated that L1 did take FC1's headphones off FC1's head because FC1 had the tendency to throw them at L1. It was added that L1 also took FC1's laptop away so FC1 would not throw it at L1. LPA was unable to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. In regard to the allegation licensee interacted with foster child in an inappropriate manner, it was specifically alleged that L1 and FC1 swung at each other until school staff separated them. Confidential interview denied that L1 tried to hit FC1. It was added that school staff never had to separate them because they never tried to hit each other and FC1 moved away from L1 immediately after FC1 got triggered. LPA was unable to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Based on confidential interviews, the allegations that L1 pulled FC1's hair and L1 interacted with FC1 in an inappropriate manner may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal rights were reviewed and provided to facility representative.

Investigation Findings:
13On August 28, 2024, Licensing Program Analyst (LPA) Maya Chavez arrived at Eden Loving Home Small Family Home (SFM) and met with Licensee Sandra Emele to deliver the findings for the allegations stated above involving the SFH's staff and foster child (FC1) as listed on the Confidential Names List (LIC 811) dated August 28, 2024. On March 14, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1. LPA was not able to interview FC1 because they refused to be interviewed. On March 05, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee pulled foster child's hair and licensee interacted with foster child in an inappropriate manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Maya Chavez 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: EDEN LOVING HOMEFACILITY NUMBER: VISIT DATE: 08/28/2024


summary: Facility Evaluation

raw_content:
Narrative:
On April 15, 2021 at 9: AM, Licensing Program Analyst (LPA) Babatunde Aborchie began a pre-licensing inspection for a Small Family Home license. Eden Loving Small Family Home was previously licensed and has relocated to the above address for a new license. LPA met with applicant Sandra Emele who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there is a child placed in the home. The applicant is applying to serve six developmentally disabled children ages 3 to 18. The home is a three-story building with six bedrooms and five baths home which is set up as follow: First floor: · Bedroom #1 has two twin-sized beds; it was vacant · Two living rooms, a kitchen, dining area, storage, a bathroom, the garage and the patio/backyard. Second floor: · Bedroom #2 had two full-sized beds; it sleeps two of licensee's daughters ages 15 and 17 years old. · Bedroom #3 had two twin-sized beds. It was vacant. It will sleep two foster children. · Bedroom #4 had two twin-sized beds. It sleeps 1 foster child currently in placement. · Bedroom # The master bedroom, it had a king-sized bed and sleeps licensee's/applicant. · A laundry room, A loft, and three bathrooms. Third floor: · Bedroom #6 had one twin-sized bed; it sleeps licensee's 13 years old son. · A bathroom 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 is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and sharp objects were locked in a cabinet in the kitchen. Cleansers/chemicals were inaccessible and stored a locked cabinet in the kitchen. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable food. A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be at 114.5 degrees. First Aid kit were accessible with all required items and it was in the kitchen pantry. A Fire extinguisher was observed and properly charged. All the appropriate forms were posted in view of facility clients. As stated by applicant, there were no weapons/firearms and there were no pool or other body of water. 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 the license capacity increase will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to licensee


summary: Facility Evaluation

raw_content:
Narrative:
On April 13, 2023, at 10: AM, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Eden Loving small family home. LPA met with licensee who granted access to the home. The purpose of this visit is to conduct annual required inspection of the small family home. Presently there are two foster children in placement and one of two was at home during inspection. See (LIC 811). The home is a three-story building with six bedrooms and five baths home which is set up as follow: First floor: · Bedroom #1 has two twin-sized beds; it was vacant · Two living rooms, a kitchen, dining area, storage, a bathroom, the garage, and the patio/backyard. Second floor: · Bedroom #2 had two full-sized beds; it sleeps one of licensee's biological daughter aged 16 years old. · Bedroom #3 had two twin-sized beds. It sleeps one foster child. · Bedroom #4 had two twin-sized beds. It sleeps 1 foster child and 1 biological son aged 14 years. · Bedroom # The master bedroom, it had a king-sized bed and sleeps licensee/applicant. · A laundry room, A loft, and three bathrooms. Third floor: · Bedroom #6 had one queen bed; it is currently vacant. · A bathroom 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 is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and sharp objects were locked in a cabinet in the kitchen. Cleansers/chemicals were inaccessible and stored a locked cabinet in the kitchen and laundry room. There was adequate food storage space and a supply of two days of perishable foods and a week of non-perishable food. A proper storage of all food was discussed. Trash cans for storage of solid waste had tight fitting lids. The water temperature was observed to be at 112.5 degrees. First Aid kit were accessible with all required items, and it was in the kitchen pantry. A Fire extinguisher was observed and properly charged. All the appropriate forms were posted in view of facility clients. As stated by applicant, there were no weapons/firearms and there were no pool or other body of water. The backyard where children will have access to play was completely fenced and free of hazards. LPA observed Psychotropic medication for FC2, has current court order and written authorization. LPA interviewed one foster child FC1. LPA was unable to interview FC2 due to FC2 being in school during inspection. There are no deficiencies to be cited at this time. An exit interview was conducted. A copy of this report was provided to licensee.

met_with: Sandra Emele