raw_content:
Narrative:
Confidential witness statements indicated that RP1, RP2, and facility staff constantly monitor C1 and C2's interactions. Confidential interviews stated that C1 and C2 would not interact with each other due to their age and maturity level. Confidential interviews revealed that RP1, RP2, and facility staff would not allow C2 to sexually and verbally harass C1. Confidential interviews denied the allegation of sexually harassing children in care. The Department also received an allegation that the foster parent (RP1 and RP2) did not ensure the foster child (C1) lived in a safe, healthy, and comfortable home. Confidential interviews stated that C1 was not safe at the SFH because gang members worked or would visit the SFH. Confidential interviews stated that the visitor had tattoos on the arms and face and believed the visitor was a gang member due to seeing tattoos. Confidential interviews revealed that the RP1 and RP2's adult relatives occasionally visited them at SFH. Confidential interviews stated that RP1 and RP2 would visit with their family members on their side of the SFH in the garage area. Confidential witness interviews revealed that the SFH visitors would not interact with C1 or C2. Confidential witness interview statements indicated that RP1 and RP2's adult family relatives have tattoos on their necks. Confidential interviews indicated that the SFH would not hire a gang member to provide care and supervision for the C1 and C2. Confidential interviews stated that the adult relative fingerprint cleared, owns, and operates an SFH. Confidential interviews indicated that when entering the SFH, the client's bedrooms and living area are located on the right side of the SFH and that RP1 and RP2's bedrooms and living area are located on the left side of the SFH. Confidential interviews indicated that C1 would sneak out of their bedroom window throughout the night. Confidential interviews stated that C1 would return to the SFH the following day. Confidential interviews indicated that C1 would put themselves in an uncomfortable, unhealthy, and unsafe environment by leaving the SFH. Confidential interviews indicated that RP1, RP2, and facility staff provided C1 with a comfortable, healthy, and safe home. Based on inconsistent confidential interviews, the allegations that the foster parent (RP1 and RP2) did not prevent a child (C2) from sexually harassing other children (C1), that the foster parent (RP1 and RP2) did not prevent a child (C2) from verbally harassing other children (C1) in care, and foster parent (RP1 and RP2) did not ensure foster child (C1) lives in a safe, healthy, and comfortable home are unsubstantiated. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, appeal rights were explained, and a copy of this report was provided to Small Family Home Facility Manager Cynthia Alvarez.

Investigation Findings:
13On May 14, 2024, at 9:58 am, Licensing Program Analyst (LPA) Jose Gonzalez conducted an unannounced visit and met with Creer Small Family Home Facility Manager Cynthia Alvarez to deliver the findings for the above-stated allegations on the Small Family Home (SFH) as listed on the Confidential Names List, LIC 811, dated 05/14/2024. LPA inspected the SFH at 8:59 am on December 7, 2023; no health and safety hazards were observed. LPA reviewed the SFH file and two children's records (C1 and C2). During the investigation, interviews were conducted with children (C1 and C2), a Foster Parent (RP1 and RP2), and a Direct Support Professional (DSP). The Department received a complaint on November 28, 2023, that the foster parent (RP1 and RP2) did not prevent a child (C2) from sexually harassing and verbally harassing other children (C1) in care. Confidential witness statements indicated that C1 disrespected and verbally harassed RP1, RP2, C2, and facility staff. Confidential interviews stated that C2 sexually and verbally harassed C1.Confidential interviews indicated that C1 was verbally harassed by RP1 and RP2 when verbally redirected to follow the SFH rules.**CONT** ***This is an amended LIC 9099 document originally signed on 05/14/2024*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Cheraki Davis LICENSING EVALUATOR NAME: Jose Gonzalez 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: CREER SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 05/14/2024

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

met_with: Facility Manager Cynthia Alvarez


state: CA

facility_name: CREER SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
The allegation that staff do not ensure that child's dental needs are met specifically refers to C1 having really bad teeth. Confidential interviews revealed that C1 went to the dentist every six months. Other information obtained stated the allegation occurred. Based on confidential interviews and record reviews, the allegation that L1 was not ensuring that C1's hygiene needs were met and L1 did not ensure that C1's dental needs were met, may have occurred, however, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811, and appeal rights were given to House Manager Cynthia Alvarez.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

report_type: Complaint Investigation

met_with: Cynthia Alvarez

complaint_status: unsubstantiated


raw_content:
Narrative:
L2 had a good relationship and would watch Martial Arts fights on TV together. Confidential interviews provided conflicting statements including never hearing any conversations in the facility that were intimidating in nature and not remembering if anyone intimidated anyone at the facility. Confidential interviews could not confirm or dispute that conversations between C1 and L2 were ever intimidating in nature. Based on confidential interviews the preponderance of evidence standard has not been met and the allegation that Resource Parent (L2) intimidates minor (C1) in care, may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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

met_with: Marie Pomee, Caregiver


raw_content:
Narrative:
The allegation that staff yelled at client specifically refers to L1 and LS yelling at C1 for pushing C2. Confidential interviews revealed that L1 and LS did not yell at the clients in the home. Other confidential interviews revealed that L1 and LS yell at the clients. The allegation that staff made inappropriate comments to client specifically refers to LS telling C1 that LS has the right to "fuck up" anyone who is being physical. Confidential interviews revealed LS did not make this comment. Other confidential interviews reveled that LS made this comment to C Based on confidential interviews and record reviews, the allegation that staff did not provide adequate supervision resulting in minor being hit by other minors in care, L1 and LS yelled at C1, and LS made inappropriate comments to C1, may have occurred, however, are not supported or proven by evidence. Therefore, the above allegations are unsubstantiated. A copy of this report, LIC 811, and appeal rights was emailed to Licensee Kedra Creer

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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


raw_content:
Narrative:
Confidential interviews revealed C1 would only drink when C AWOLed. Confidential interviews further revealed that C1 would AWOL several times a week. Confidential interviews also revealed that there is no alcohol in the home as L1 does not drink. Other information obtained stated the allegation occurred. Based on confidential interviews and record reviews, the allegation L1 is not providing adequate supervision, resulting in C1 drinking excessive amounts of alcohol and Xanax while in care, may have occurred, however, it is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811, and appeal rights were given to House Manager Cynthia Alvarez.

Investigation Findings:
UnsubstantiatedEstimated Days of Completion: Estimated Days of Completion: Estimated Days of Completion:

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


summary: Facility Evaluation

raw_content:
Narrative:
On Friday May 20, 2022, at 9: AM Licensing Program Analyst (LPA) Linda Haynes conducted a pre licensing inspection of the facility. At time of inspection LPA met with applicant Kedra Creer. The facility was toured inside and out with applicant Kedra Creer. The home is a one-story residence with four bedrooms and three bathrooms. Bedroom # 1 is furnished with two twin beds and will be the clients bedroom. Bedroom # 2 is furnished with one twin bed and is the sons bedroom. Bedroom # 3 is furnished with one Queen bed and is the guest bedroom. Bedroom # 4 is furnished with one king bed and is the master bedroom Bedrooms are arranged so that no more than two clients are in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. Hot water in bathroom number one measured to be 105 degrees, bathroom number two measured 106.7 degrees, and bathroom number three measured 105. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications will be stored in a locked cabinet in the kitchen. Cleansers/chemicals are stored in a cabinet in the locked laundry room. Sharp knives are inaccessible and stored in a cabinet in the kitchen. The First Aid Kit is located in the laundry room and contained all required supplies. The facility's smoke detectors and carbon monoxide detectors in each bedroom were checked and were operable. There are no guns located in the facility as stated by applicant Kedra Creer. The following required posted items will be made accessible to clients: Grievance Procedures, Personal Rights, and Visitation policies. () The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is a pool the fence is a mesh fence that is five feet high and has a self closing self locking gate that opens away form the pool.. The applicant will be scheduled for a Component III prior to licensure. The request of License will be forwarded to Licensing Program Manager for final approval. Exit interview conducted and a copy of this report was discussed and provided to applicant Kedra Creer on this date.

report_type: Facility Evaluation

visit_type: Prelicensing

met_with: KEDRA CREER


summary: Facility Evaluation

raw_content:
Narrative:
On November 10, 2022 at 10: AM, Licensing Program Analyst (LPA) Linda Haynes, met with licensee Kedra Creer who granted access to the home. The purpose of this visit was to conduct a post licensing inspection of the small family home. Presently there are two clients in placement and no client was present during the inspection. The home is single story with four bedrooms and three bathrooms. Bedroom #1 has one full bed, and sleeps C Bedroom #2 has one full bed, and sleeps C Bedroom #3 has a two twin beds, and sleeps the licensee's two sons Bedroom #4 is the master bedroom, it is occupied by Licensee, and her spouse. Bedrooms are arranged so that there is no more than one client per 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. 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. All hazardous items have been properly made inaccessible to areas where children will have access. The medications are locked and stored in cabinet in the kitchen. Cleansers/chemicals are locked and stored in the cabinet in the locked laundry room . Sharp knives are inaccessible and stored in a locked cabinet in the kitchen. The first aid kit is in the locked laundry room and contained all required supplies. There are no guns or weapons as stated by Licensee at this time. The hot water temperature was tested and noted to be 108.3 degrees in bathroom one, 107.9 degrees in bathroom 2 and the clients do not have access to bathroom 3. All facility smoke detectors and carbon monoxide detectors are in appropriate working order; fire extinguisher is properly charged and serviced. LPA reviewed 2 of 2 client files all and required documentation was in the files. LPA reviewed 1 of 1 staff file and all required documentation was in the file. LPA observed that there was more than one psychotropic medication on one MAR. There will be a technical advisory note issued for this. LPA explained to Licensee that it is one psychotropic medication per MAR. LPA observed a two day supply of non-perishable and a seven day supply of perishable foods. LPA observed a pool on grounds there is a mesh fence around it with and automatic closing gate the pool contains no water at this time. Based on this post licensing inspection, the home is operating within the limitations of the license and is appropriate for a capacity of 2 children, ages 3-17 years, ambulatory only. Exit interview conducted and a copy of this report was discussed and left with Licensee.

met_with: Kedra Creer


raw_content:
Narrative:
interviews revealed conflicting statements. Due to being unable to interview all individuals, confidential interviews did not corroborate the allegations with a preponderance of evidence. Based on confidential interviews and records reviewed the allegations that licensee made an inappropriate comment towards C1, and licensee demonstrates inappropriate forms of discipline, which may have occurred, however, they are not supported or proven by the evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Sylvia Lizarraga. Due to technical difficulties, a copy of this report, LIC 811, and appeal rights were emailed to the licensee. A copy of this report will be placed in the facility file.

Investigation Findings:
13On September 14, 2024, at 12:20 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and met with Sylvia Lizarraga, Caretaker, to discuss the investigative finding for the allegations noted above. LPA Adaleyci Caballero conducted an inspection of the facility on April 30, 2024, at 11:10 am, and no deficiencies were observed. LPA Linley interviewed four staff (S1-4), and LPA was unable to interview three clients (C1-3), LPA was unable to interview three County Social Workers (CSW1-3), and LPA was unable to interview three staff (S5-7), despite multiple attempts to contact them. The following documents were reviewed during the investigation: C Needs and Services Plan, C Discharge Notice, Special Incident Reports, and shift notes. On April 25, 2024, Community Care Licensing (CCL) received allegations that licensee made an inappropriate comment towards C1, and licensee demonstrates inappropriate forms of discipline. It was reported that S2 called C1 a "junkie," and C1 had their cell phone and free time restricted. Confidential UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 N CRP RO, MAIN ST., SUITE FACILITY NAME: CREER SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/14/2024

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

met_with: Sylvia Lizarraga


raw_content:
Narrative:
providing a safe environment for minors in care. It was reported that on April 25, 2024, an unknown individual was outside of the facility and needed assistance walking back into the facility, due to appearing to be under the influence of an unknown substance. It was also reported that Law Enforcement or ambulances are constantly going to the facility. Some interviews indicated that the facility called Law Enforcement when clients ran away from the facility or called the ambulance when clients needed medical care. Due to being unable to interview all individuals, although multiple attempts were made, confidential interviews did not corroborate the allegation with a preponderance of evidence. Based on confidential interviews and records reviewed the allegation that the licensee is not providing a safe environment for minors in care, which may have occurred, however, it is not supported or proven by the evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was reviewed with Cynthia Alvarez. Due to printer malfunction, a copy of this report, LIC 811, and appeal rights were emailed to the licensee, Kedra Creer. A copy of this report will be placed in the facility file.

Investigation Findings:
13On September 23, 2024, at 12:30 pm, Licensing Program Analyst (LPA) Charmaine Linley arrived unannounced at the facility and there was no one present at the facility. LPA called licensee who stated a staff member would arrive within 30 minutes. LPA left the facility and returned at 1:07 pm. LPA met with Cynthia Alvarez, Facility Director, to discuss the investigative finding for the allegation noted above. LPA Adaleyci Caballero conducted an inspection of the facility on April 30, 2024, at 11:44 am, and no deficiencies were observed. LPA Linley interviewed four staff (S1-4), and LPA was unable to interview three clients (C1-3), LPA was unable to interview three County Social Workers (CSW1-3), and LPA was unable to interview three staff (S5-7), despite multiple attempts to contact them. The following documents were reviewed during the investigation: Personnel Roster, C Needs and Services Plan, C Placement Agreement, C Personal Rights form, C Court Report, Special Incident Reports, and Shift Notes. On April 26, 2024, Community Care Licensing (CCL) received an allegation that the licensee is not UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Charmaine Linley 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 N CRP RO, MAIN ST., SUITE FACILITY NAME: CREER SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/23/2024

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


raw_content:
Narrative:
Based on confidential interviews, the allegations that the staff yells at C1 in care and the staff does not treat C1 with dignity and respect may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was given to Creer Small Family Home (SFH), Cythina Alvarez, Facility Director.

Investigation Findings:
13On July 10, 2025, at 11: AM, Licensing Program Analyst (LPA) Sarah Lo met with Creer Small Family Home (SFH), Cythnia Alvarez, Faciity Director, to deliver the finding for the above-stated allegations. On 10/08/24, LPAs Adaleyci Caballero and Rachel Vanegas inspected the SFH, and no immediate health and safety hazards were observed. The investigation included interviews with the Licensee (L1), two Foster Children (C1, C2), two County Social Worker (CSW1, CSW2) and two staff (S1, S2). On October 03, 2024, Community Care Licensing (CCL) received a complaint alleging that the staff yells at minor (C1) in care and the staff does not treat minor (C1) with dignity and respect. Specifically, it was reported that it was disclosed that C1 wants to leave the placement because C1 "gets yelled at" and "they are mean" to them. Although the Department received detailed information, the confidential interviews provided inconsistent statements that would validate the allegations. (continued on LIC 9099c) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: CREER SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 07/10/2025

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

met_with: Cythnia Alvarez, Faciity Director


raw_content:
Narrative:
Confidential interviews revealed that L1 is not currently residing in the SFH, rarely is present in the SFH, and L1 would only show up when there is an issue in the SFH. Confidential interviews revealed that staff facilitate the daily activities and take care of the clients' needs, for example, taking the clients to school, to their medical appointments, cooking, cleaning and intake for new clients. Confidential interviews revealed that L1's bedroom in the SFH is staged to show L1 sleeps in the bedroom. LPA interviews revealed that L1 was never present when they conducted unannounced visits and that staff would contact L1 to request L1's presence at the SFH to meet with LPAs. Based on confidential interviews, the preponderance of evidence standard has been met and the allegation that L1 does not reside in the home is substantiated. The Licensee is being cited for violations of Health and Safety Code (HSC) 1502(a)(6), states that the home must be the residence of the Licensee. An exit interview was conducted, appeal rights were explained, and a copy of this report and LIC 811 was provided to Cynthia Alvarez, Facility Director. Confidential interviews revealed conflicting statements about the alleged incidents. Confidential interviews revealed that there is a seventeen-year-old individual who is hired to take care of L1's biological child, not to supervise the clients. Other confidential interviews entailed that the seventeen-year-old is hired to supervise the clients. LPA was not able to obtain a preponderance of evidence regarding the allegation. Based on confidential interviews, the allegation that L1 is not following personnel requirements may have occurred, however, is not supported or proven by evidence. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with appeal rights was given to Creer Small Family Home (SFH), Cynthia Alvarez, Facility Director.

Investigation Findings:
13On July 31, 2025, at 12: PM, Licensing Program Analysts (LPAs) Sarah Lo and Gilbert Marquez met with Creer Small Family Home (SFH), Cynthia Alvarez, Facility Director, to deliver the finding for the above-stated allegation. On 10/21/24, LPA Adaleyci Caballero inspected the SFH, and no immediate health and safety hazards were observed. The investigation included interviews with the Licensee (L1), two Clients (C1, C2), County Social Workers (CSW1, CSW2), two Staff (S1, S2) and six Licensing Program Analysts (LPA1- LPA6). LPA Lo reviewed documents related to Licensee's physical address. On October 11, 2024, Community Care Licensing (CCL) received a complaint alleging that the Licensee (L1) does not reside in the home. Specifically, it was reported that L1 does not live in the SFH and is rarely present. (continued on LIC 9099c) SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Ann Valenzuela LICENSING EVALUATOR NAME: Sarah Lo 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: CREER SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 07/31/2025

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: Cynthia Alvarez, Facility Director


summary: Facility Evaluation

raw_content:
Narrative:
On March 4, 2024 at 1: PM, Licensing Program Analyst (LPA) Linda Haynes completed a pre-licensing inspection of Creer Small Family Home. LPA met with Applicant Kedra Creer who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients in placement at this time. The home is a two story building with six bedrooms and three bathrooms which are set up as follows: · Bedroom #1 (Master) has one bed will sleep the applicant. · Bedroom #2 (Client's) has one bed, it will sleep one client. · Bedroom #3 (Client's) has one bed, it sleeps one client. · Bedroom #4 (Client's) has one bed, it will sleep one client. · Bedroom #5 (vacant) · Bedroom #6 (vacant) · A great room/living room, kitchen, dining area, three bathrooms, an attached two car garage, laundry room, and the backyard. The Client's bedrooms were arranged so that no more than one client will be in a room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There was a smoke detector in every bedroom. The six smoke detectors were checked, and they were working properly. There are two carbon monoxide detector one is located in the hallway downstairs and one is located in the hallway upstairs.. The carbon monoxide detectors were checked and they were working properly. The home's central air conditioning module was located on the back porch. The home's hot water heater was located inside the garage. The appliances were in working order. The client's files will be locked inside a 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 foods. A trash can for storage of solid waste had a tight-fitting lid and was present. The sharp knives will be in the locked laundry room. The medications will be located in a locked cabinet in the hallway. The hot water was accidentally turned off the hot water could not be measured at this time. The home's First Aid kit was accessible and is located in the laundry room and contained all required supplies. Two fire extinguishers were present in the home one is located in the kitchen by the kitchen cabinets and one is located upstairs in the loft area. They were observed to be properly charged and inspected by the fire department. Licensee stated there were no weapons/firearms in the home. There is no pool or other body of water at the home. The backyard where clients will have access to play was completely fenced. The following corrections needs to be made: · Hot water temperature needs to be between 105 degrees Fahrenheit and 120 degrees Fahrenheit. · Lock needs to be installed on laundry room door. · Lock needs to be installed on medication closet. · Lock needs to be in stalled on cabinet housing client files. An exit interview was conducted. Application will be forwarded to the Licensing Program Manager for Licensing.


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Jose Gonzalez arrived announced to Creer Small Family Home and met with Facility Manager Cynthia Alvarez to deliver an amended report originally delivered on May 14, 2024.

visit_type: Case Management


summary: Facility Evaluation

raw_content:
Narrative:
On March 7, 2025 at 9: AM, Licensing Program Analyst (LPA) Linda Haynes conducted an annual / Post Licensing Inspection of the facility. At 9: AM the interior and exterior or the facility was toured I was accompanied by Administrator (AD) Cynthia Alvarez. The home is a two story residence with six bedrooms and three bathrooms. There are currently 2 clients in placement and there was one client present at time of inspection. Bedrooms are arranged so that no more than one client is in a room. There is one bed per bedroom and one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and operable. The hot water in bathroom one measured to be 131 degrees Fahrenheit, bathroom two measured to be 128 degrees Fahrenheit, and bathroom three measured to be 128 degrees Fahrenheit this is above the regulations which is 105 degrees to 120 degrees Fahrenheit. All hazardous items have been properly made inaccessible to areas where client will have access. Cleansers/chemicals are locked and stored in the locked laundry room. The First Aid kit was located in a cabinet in the kitchen and contained all required supplies. The facility's smoke detectors in all bedrooms were checked and were operable. The carbon monoxide detector was located in the hallway and was operable. There are no guns or weapons in the home as stated by AD. The following required posted items were observed accessible to clients: Grievance Procedures, Personal Rights, Visitation Policies, and Current Menu. The Fire extinguisher needs to be inspected and tagged by the fire department. Clients medications were observed to be inaccessible and stored in a locked kitchen cabinet in locked safes. The medication logs are kept updated and the dispensing records had no discrepancies. LPA observed a minimum seven day non-perishable and two day perishable supply of food. There was a variety of snacks available for clients as well. One of two clients were interviewed and indicated that they feel safe in the home and accorded their personal rights. The facility outside grounds were also inspected and it was observed to have a fence that needed to be repaired and a board with nails laying on the back patio that needs to be removed. At 11: AM LPA reviewed 2 of 2 client files all required documentation was in the file. At 12: PM LPA reviewed 2 of 9 staff files. All staff that work at the facility have department of Justice, FBI, and Child Abuse Central index clearances. Two out of two files were missing a duty statement. Based on this inspection the facility is being cited for California Code of Regulations, Title 22, Division Six, Regulation Section 80088(e) (a) and (3) Furniture, Fixtures, Equipment, and Supplies. LPA observed the hot water temperature to measure more than 120 degrees in three out of three bathrooms. A Technical Violation will be issued for fire extinguisher not being inspected by the fire department. A Technical Violation will be issued for one window missing a screen, the fence in the backyard needs to be repaired, a burnt couch and a board with nail needs to be removed from property. A Technical Assistance Note will be issued for Duty Statements missing form staff files. A copy of this report was reviewed and given to AD Cynthia Alvarez, along with a Confidential Names List (LIC 811), Technical Violations, LIC D, Technical Assistance Notes, and Appeal rights.

visit_type: Annual


raw_content:
Narrative:
Confidential witnesses provided consistent statements that staff did attend to C1 and the other clients' needs. Furthermore, it was revealed that sometimes C1 or other clients wanted space so staff would grant them space. CSW2 stated that CSW2 was never informed that the facility was not meeting clients' emotional needs. Other confidential witnesses stated that most staff did not meet clients' needs and only some staff met clients' needs while other staff ignore clients. Regarding the allegation that facility staff threatened C1, confidential witnesses denied that facility staff threatened C1. Furthermore, LPA was also informed that facility staff would remind C1 that some of C1's behaviors must be reported but staff never threatened C1. CSW2 stated that CSW2 was not informed that facility staff were threatening clients. CSW2 did not have suspicions of abuse, neglect or personal rights violations occurring at the facility. Other confidential witnesses informed LPA that facility staff threatened clients. LPA received conflicting information regarding both allegations. Based on confidential interviews the allegations staff are not meeting the needs of C1 while in care and staff are threatening C1 while in care, may have occurred, however, they are not supported or proven by evidence. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted, appeal rights explained, and a copy of this report was provided to Cynthia Alvarez.

Investigation Findings:
13On January 16, 2026, at 9: AM Licensing Program Analyst (LPA) Michael Almaraz met with Creer Small Family Home (SFH) staff, Cynthia Alvarez, to issue the finding for the above allegations involving client (C1) listed on the confidential names list (LIC 811) dated January 16, 2026. The complaint was jointly conducted by LPA Almaraz and LPA Linda Haynes. On May 9, 2025, at 9: AM LPA Haynes conducted a safety inspection of the facility, and no immediate health and safety hazards were observed. Furthermore, LPA Haynes conducted one staff (L1) interview, and one client (C1) interview. During the investigation LPA Almaraz interviewed two clients (C2, C3), one county worker (CSW2), one confidential witness, and five staff (S1, S2, S3, S4, S5). On April 30, 2025, the Department received a complaint alleging staff are not meeting the needs of a minor while in care and staff are threatening a minor while in care. It was specially alleged that S1 does not attend to C1's emotional needs and facility staff threatened C1. (continued on page 2...) UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Michael Almaraz 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 61-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION RIVERSIDE N CRP RO, MAIN ST., SUITE FACILITY NAME: CREER SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 01/16/2026

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


facility_name: CRESAP SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On 6/15/19 @ 8:49 am Licensing Program Analyst (LPA) Belinda Gilmer made an announced visit to this facility to conduct a required annual inspection. LPA met with Licensee/Administrator Sunshine Gate. This is a six (6) bedroom four (4) bath home in a residential area. Currently, five people are living in the home, three of which are adults and two youths. There are no foster children placed in the home during this visit. All of the youth in the home is a legal guardian. LPA and Licensee/Administrative, Sunshine Gates, a tour of the home inside and outside of the home. The following were observed during the tour: Living room, kitchen, family room, bedrooms, and bathrooms. The sleeping arrangements are as followed: Bedroom #1 sleeps licensee with a king-sized bed. Bedroom #2 is vacant with a queen size bed. Bedroom #3 sleeps regional center client a twin size bed. Bedroom #4 sleeps legal guardian youth has a two twin size bed. Bedroom #5 sleeps legal guardian a twin size bed. Bedroom #6 sleeps legal guardian with a twin-size bed. LPA observed all bedrooms have adequate furniture and storage spaces. Clients' mattresses and beddings were observed clean and in good repair. During the touring of the home, the following was also observed: Smoke detectors were tested and are operable. Water temperature was tested, LPA observed two fire extinguishers one in the kitchen and one outside the laundry room. There were the required three-day perishable and nonperishable foods at the time of this visit. Sharp knives were observed stored and locked in the upper kitchen cabinet next to the stove. Exit and passageways were free from hazards. According to the licensee, there were no weapons in the home. Licensee and all staff have current first aid and CPR certificates that will expire on 04/20/23. Licensee has completed 12 hours of annual training. Licensing was advised to update the identification and emergency information form LIC 601 for the client; obtain criminal record clearance for the 18-year-old youth placed in the home, request an age exception for the 18-year-old if required. An exit interview was conducted and a copy of the LIC 809, LIC 811 was emailed during this exit interview.

met_with: Sunshine Gates


summary: Facility Evaluation

raw_content:
Narrative:
On June 26, 2023, 9:45AM Licensing Program Analyst (LPA) Timika Martin made an announced visit to this facility to conduct a required annual inspection. LPA met with Administrator, Sunshine Gate. This is a six (6) bedroom four (4) bath home in a residential area. Currently, five people are living in the home, the Licensee, one (1) foster child, one (1) legal guardian and two (2) non-minor dependents. LPA and Administrator conducted a tour of the home. The following were observed during the tour: Living room, kitchen, family room, bedrooms, and bathrooms. The sleeping arrangements are as followed: Bedroom #1 sleeps licensee Bedroom #2 is vacant and used as a guest room/office Bedroom #3 sleeps legal guardian Bedroom #4 sleeps Non-Minor Dependent # Bedroom #5 sleeps Non-Minor Dependent # Bedroom #6 sleeps Foster Child LPA observed all bedrooms have adequate furniture and storage spaces. Clients' mattresses and beddings were observed clean and in good repair. During the touring of the home, the following was also observed: Smoke detectors were tested and are operable. Water temperature was tested, LPA observed two fire extinguishers. There were the required three-day perishable and nonperishable foods at the time of this visit. Sharp knives were observed stored and locked in the kitchen cabinet next to the stove. Exit and passageways were free from hazards. According to the licensee, there were no weapons in the home. Licensee and all staff have current first aid and CPR certificates. Licensee has completed 12 hours of annual training. LPA conducted an interview with the Administrator. An exit interview was conducted and a copy of the LIC 809, LIC 809-C and LIC 811 was emailed during this exit interview.

met_with: Sunshine Gates, Administrator


summary: Facility Evaluation

raw_content:
Narrative:
On June 14, 2024, 9: AM Licensing Program Analyst (LPA) Timika Martin made an announced visit to this facility to conduct a required annual inspection. LPA met with Administrator, Sunshine Gate. This is a six (6) bedroom four (4) bath home in a residential area. Currently, six people are living in the home, the Licensee, two (2) foster children, one (1) legal guardian and two (2) non-minor dependents. LPA and Administrator conducted a tour of the home. The following were observed during the tour: Living room, kitchen, family room, bedrooms, and bathrooms. The sleeping arrangements are as followed: Bedroom #1 sleeps licensee Bedroom #2 is vacant and used as a guest room/office Bedroom #3 sleeps Foster Child and Legal Guardian Bedroom #4 sleeps Foster Child Bedroom #5 sleeps Non-Minor Dependent # Bedroom #6 sleeps Non-Minor Dependent # LPA observed all bedrooms have adequate furniture and storage spaces. Clients' mattresses and beddings were observed clean and in good repair. During the touring of the home, the following was also observed: Smoke detectors were tested and are operable. Water temperature was tested, LPA observed multiple fire extinguishers. There were the required three-day perishable and nonperishable foods at the time of this visit. Sharp knives were observed stored and locked in the kitchen cabinet next to the stove. Exits and passageways were free from hazards. According to the licensee, there were no weapons in the home. Licensee have current first aid and CPR certificates. Licensee has completed 12 hours of annual training. LPA reviewed four (4) client files and one (1) staff file. LPA conducted an interview with the Administrator. An exit interview was conducted and a copy of the LIC 809, LIC 809-C and LIC 811 was emailed during this exit interview.


summary: Facility Evaluation

raw_content:
Narrative:
On June 19, 2024, 9: AM Licensing Program Analysts (LPAs) Emad Elias and Claudia Portillo made an announced visit to this facility to conduct a required annual inspection. LPA met with Administrator, Sunshine Gate. This is a six (6) bedroom four (4) bath home in a residential area. Capacity: Census: 2 (1) foster child (1) NMD one (1) legal guardian one (1) adopted LPAs and Administrator conducted a tour of the home. The following were observed during the tour: LPAs observed all bedrooms have adequate furniture and storage spaces. Clients' mattresses and beddings were observed clean and in good repair. LPA obtained and reviewed the following updated documentation: · LIC Personnel and client roster · Disaster Drills logs The Small Family Home (SFH) program followed 4 applicable areas of the Compliance and Regulatory Enforcement (CARE) Tools, for Children's Residential licensees: physical plant, operations, staff, and client files. Community care licensing (CCL) focuses its efforts on three priority areas: prevention, compliance, and enforcement. LPAs reviewed 1 staff and 2 client files. One staff interview was conducted. An exit interview was conducted, and a signed copy of this report was provided to the facility representative along with LIC 809, LIC 809D, LIC 811(Confidential Names) and Technical Advisory/violations, and appeal rights explained.


facility_name: CRESCENT LIGHT SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Continue from page 1 . . . The caregiver (S1) denied the allegation and stated that minor was not threaten to be slap or hit. S1 stated that no corporal punishment is used to the minors in the home and that the minors are talked to about consequences for bad behavior. S1 stated that the minor and her come to an agreement when deciding on a consequence for a given behavior. A second caregiver stated that she has not seen S1 slap or threaten any of the minors in the home. The confidential interviews revealed contradicting statements. One minor refused to give a statement about the home and the caregiver and a second minor reported not witnessing S1 threatening to slap the other minor in the home or hitting the other minor. The second minor reported feeling safe in the home and did not report any concerns. The County Social Workers for both minors stated having no concerns with the care and supervision in the home. Based on the interviews and records reviewed, the allegation is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On April 11, 2025, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Ebony Gray. The purpose of the inspection was to deliver the revised finding for the above complaint allegation. During the course of the investigation, LPA interviewed two adults in person in the facility on 02/06/25, LPA conducted telephone interview with County Social Worker (CSW) on 03/27/25, LPA conducted telephone interview with one minor on 03/28/25 and LPA conducted a telephone interviews with County Social Worker (CSW2) and made contact with one minor on 04/08/25 (see Confidential Names Form LIC 811 dated April 11, 2025). LPA also reviewed documents including but not limited to Client's Individual Child/Young Adult Characteristic and Behavior form, Special Incident Reports (SIR), Staff Rooster and Schedule, County Investigation Report, Law Enforcement Report and other documents. It was alleged Resource Parent threatens minor in care. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto 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 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: CRESCENT LIGHT SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 04/11/2025

met_with: Ebony Gray


raw_content:
Narrative:
On 2/14/25 the Department received a complaint alleging facility staff hit child in care. It was alleged the child was "smacked" on child's legs multiple time to wake up child. Based on the information gathered during confidential interviews, facility staff denied the allegation indicating no clients have been hit by facility staff. Staff indicated client needed to wake up for a doctor's appointment and staff just tapped client on feet to wake client up. Confidential interviews could not corroborate the allegation due to contradicting statements being made during interviews. CSW1, CSW2 and ERW indicated having no concerns with the facility. The other agency's investigative report indicated the information that was provided by the child was contradicting to what was on the referral. The child denied being hit by staff. The child stated child never received any marks or bruises from staff. 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 May 21, at 9: AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with the facility administrator Ebony Gray. During the investigation, LPA Cabral interviewed one facility staff (AD) on 2/19/25, one facility staff (S1) on 2/20/25. LPA interviewed on client (C1) on 3/26/25 and another client (C2) on 3/27/25 (see Confidential Names Form LIC 811 dated May 21, 2025). LPA reviewed incident reports and text message from the facility. LPA interviewed two county social workers (CSW1 & CSW2) on 2/20/25. LPA interviewed another county social worker (ERW) on 2/28/25. LPA reviewed the other agency's investigative report and response notice on 5/16/25. UnsubstantiatedEstimated 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: CRESCENT LIGHT SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 05/21/2025

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

met_with: Ebony Gray, Administrator


raw_content:
Narrative:
On 05/08/25 the Department received a complaint alleging facility staff does not prevent a client in care from engaging in inappropriate behavior. It was alleged that the client is sending nude pictures to others via the client's cell phone. Based on the record review, confidential interviews, and additional information gathered the allegation was not corroborated. All parties interviewed denied the allegation indicating the client is not engaging in any type of inappropriate behavior while at the facility. Staff indicated the client is always supervised. Confidential interviews indicated the client has not sent anyone any nude photos of the client. Based on the interviews and records reviewed the allegation is/are found unsubstantiated. Although the allegation may have happened or is 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 August 21, 2025, 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 Facility Administrator Ebony Gray. During the investigation, LPA Cabral interviewed one facility staff (AD) on 5/14/25, two facility staff (S2 & S3) and one client (C1) on 5/21/25 (see Confidential Names Form LIC 811 dated August 21, 2025). LPA reviewed the needs and services plan (NSP) from the facility. LPA attempted to interview one county social worker (CSW) on 5/15/25. LPA reviewed the other agency's response notice. UnsubstantiatedEstimated 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: CRESCENT LIGHT SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 08/21/2025

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


raw_content:
Narrative:
Continue from page 1 . . . The facility (GH) staff denied the allegation and stated the minor has not been left without supervision for long periods of time and the minor is check constantly through out the day. The staff stated the minor was in the hospital two times and was checked during the stay via in person the first time or by telephone other times due to the limited visited hours, the staff reported that the minor's county social worker was notified via text and special incident reports were created for the incidents. The staff reported that the minor was taken groceries shopping in order to get food that the minor prefers and are stored in the refrigerator for the minor. It was reported that the minor is encourage to eat but does not sometimes and buys food on line frequently. The staff stated that the minor has not left the facility without permission and is allow to go out with supervision. The confidential interviews revealed that the minor was taken to buy groceries and that there is food in the facility but not all the time. The confidential interviews revealed that there is always people in the facility and the staff check on the clients but different times frames were given. It was reported that the minor has not left the facility without permission on her own or that the minor was allowed to do so. It was also reported that the caregiver was hard to get a hold of and did not respond to messages. Other information indicated that the minors have not been left without supervision and that there is always food in the facility. Other information indicated that the minor has not left the facility on her own and that the staff checks on them frequently. It was reported that the caregiver does reply to messages in a short amount of time. LPA did not find corroborating evidence to substantiate the allegations. Based on the interviews and records reviewed, the allegation is found to be unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove the allegations. Copies of LIC9099, LIC9099C, LIC811 and Appeals rights were provided and discussed with the facility representative mentioned above. There were no deficiencies cited.

Investigation Findings:
13On October 23, 2025, Licensing Program Analyst (LPA) Heriberto Perez conducted a follow-up complaint inspection to the above facility and met with Ebony Gray. The purpose of the inspection was to deliver the revised finding for the above complaint allegations. During the course of the investigation, LPA interviewed two staff, two clients in the facility and conducted a telephone interview with County Social Worker on 08/05/25 (see Confidential Names Form LIC 811 dated October 23, 2025). LPA also reviewed documents including but not limited to Client's Need and Service Plan, Special Incident Reports (SIR), County Investigation Narrative and other documents. It was alleged Staff are not supervising minor appropriately, Staff are not meeting minor's needs and Staff did not notify authorized representative of incident. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Heriberto 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 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: CRESCENT LIGHT SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 10/23/2025


summary: Facility Evaluation

raw_content:
Narrative:
On 7/9/ Licensing Program Analyst (LPA) Dawn Mahecha met with applicant Ebony Gray at the Monterey Park Children's Residential office for the purpose of a component 2 inspection. LPA and applicant discussed the following: · Fingerprinting and associating individuals to facility. · Financial information and supportive documentation. · Personnel report · Program Statement/ Plan of operation · Component 3 orientation Applicant will update program statement, obtain fingerprints, update financial report, personnel report and emergency disaster plan, and provide updates to LPA by July 16, 2024. Exit interview completed, no deficiencies cited, and a copy of this report was given to applicant.

met_with: Ebony Gray, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On 8/9/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Crescent Light Small Family Home for the purpose of a Pre-licensing inspection. LPA met with applicant and together did a walk thru of facility. LPA observed the following: This is a two story single family home located in a residential area. This home is a five (5) bedroom, four and a half (4 1/2) bathroom home with two (2) living spaces, kitchen, off wing suite and attached three (3) car garage. Home has backyard and cameras located on exterior of home. Cameras do have sound capabilities and are monitored by applicant. No cameras are located in private restricted areas of home. LPA observed the following: Downstairs Off wing suite- occupied by kitchenette, bathroom, storage closet equipped for stackable washer/ dryer, empty bedroom and moveable gym equipment in adjacent room. Suite is located off single car garage and side door. Doors from inside can be closed off to rest of home and locked Kitchen- Had required perishable and non- perishable food, pantry and locked cabinets for cleaning supplies and knives located under island. Dining room table had required amount of seating for capacity of 6 children. Living space occupied by one (1) sectional, TV mounted on wall. Storage closet located behind kitchen occupied by filing cabinet for client files, medications and first aid kit. 1/2 bathroom. Required signs hanging in kitchen area Upstairs: Bedroom 1: Vacant occupied by two (2) twin beds, closet and dresser drawers available Bathroom #1: Shared between bedrooms 1 and Bedroom 2: Vacant occupied by two (2) twin beds, closet and dresser drawers available Bedroom 3 (attached bathroom): Vacant occupied by two (2) twin beds, closet and dresser drawers available (all doors have inner locking mechanisms) Master Bedroom (attached bathroom): Occupied by licensee, walk in closet, door to bedroom able to be locked with key. Fire extinguishers were checked and up to code. First Aid Kits had proper materials. All passage ways were clear and free from obstructions. All bathrooms maintained Non- slip mats. All adult beverages, hazardous cleaning solutions are kept locked and made inaccessible to children. LPA reviewed emergency disaster booklet set in place for facility. LPA observed planned employee files and children files and required documents were present. At the time of this inspection all smoke detectors and carbon monoxide machines tested audible. Home has an alarm system maintained by applicant. At the time of this inspection facility was observed to be in good repair. On 8/8/ LPA and applicant completed component 3 virtually. LPA discussed with applicant about documents needed in emergency disaster booklet including logs of quarterly training, employee rights, employee training logs for all completed training's and duty statement. LPA also discussed maintaining extra linens, towels and having plastic mattress covers. Exit interview completed, no deficiencies observed or noted and a copy of this report was provided to applicant.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/26/ Licensing Program Analyst (LPA) Dawn Mahecha made an announced visit to the Crescent Light Small Family Home for the purpose of a Post-licensing inspection. LPA met with Administrator and together did a walk thru of facility. LPA observed the following: This is a two story single family home located in a residential area. This home is a five (5) bedroom, four and a half (4 1/2) bathroom home with two (2) living spaces, kitchen, off wing suite and attached three (3) car garage. Home has backyard and cameras located on exterior of home. Cameras do have sound capabilities and are monitored by applicant. No cameras are located in private restricted areas of home. LPA observed the following: Downstairs Off wing suite- occupied by kitchenette, bathroom, storage closet equipped for stackable washer/ dryer, empty bedroom and moveable gym equipment in adjacent room. Suite is located off single car garage and side door. Doors from inside can be closed off to rest of home and locked Kitchen- Had required perishable and non- perishable food, pantry and locked cabinets for cleaning supplies and knives located under island. Dining room table had required amount of seating for capacity of 6 children. Living space occupied by one (1) sectional, TV mounted on wall. Storage closet located behind kitchen occupied by filing cabinet for client files, medications and first aid kit. 1/2 bathroom. Required signs hanging in kitchen area Upstairs: Bedroom 1: Occupied by one client, (2) twin beds, closet and dresser drawers available Bathroom #1: Shared between bedrooms 1 and Bedroom 2: Vacant/ occupied by one client currently, two (2) twin beds, closet and dresser drawers available Bedroom 3 (attached bathroom): Occupied by Administrators biological son Master Bedroom (attached bathroom): Occupied by licensee, walk in closet, door to bedroom able to be locked with key. Fire extinguishers were checked and up to code. First Aid Kits had proper materials. All passage ways were clear and free from obstructions. All bathrooms maintained Non- slip mats. All adult beverages, hazardous cleaning solutions are kept locked and made inaccessible to children. LPA reviewed emergency disaster booklet set in place for facility. LPA observed employee files and children files and required documents were present. At the time of this inspection all smoke detectors and carbon monoxide machines tested audible. Home has an alarm system maintained by applicant. At the time of this inspection facility was observed to be in good repair.


summary: Facility Evaluation

raw_content:
Narrative:
On 2/26/ Licensing Program Analyst (LPA) Dawn Mahecha made an unannounced visit to the Crescent Small Family Home (SFH) for the purpose of a case-management incident inspection. LPA met with Administrator and discussed the following incidents: 1. Incident that occurred on 1/23/2025 with child calling law enforcement and needing transfusion 2. Late reporting of incidents 3. One client cutting themselves with razor Administrator stated the following: Incident that occurred on 1/23/2025 child ran away from facility. Child returned to the house the afternoon of 1/24/2025. Child asked if she could get a check up because she knew she missed her appointment that was scheduled that day in the morning. I contacted the clinic but clinic was unable to fit her in for another appointment that day. Child had an already scheduled appointment for 1/28/2025. Child did not disclose having symptoms to me and took it upon themselves to telephone the ambulance and told fire department she was feeling dizzy but never disclosed to me. In regards to late reporting I was unclear as to times and submitting the special incident reports (SIRs). I have been submitting them to the county placing agency and keeping record of incidents but was unclear as to where and when SIRs needed to be submitted to licensing. Since receiving updated information I am continuing to update and submit incidents within the time documented to send. Regarding client cutting themselves with razor. Client had razor prior to placement. Client was using razor for trimming their eyebrows. County never stated that child had a history of cutting themselves. Noted in child's file was that she would dislodge needles but did not state she couldn't maintain grooming items with razors. Child is teenager and county identified providing child with Tilt to transition child into own care. Since incident of child cutting all razors were removed and made inaccessible to children. Exit interview completed, no deficiencies cited. A technical violation was issued for late reporting of incidents and a copy of this report was provided to Administrator.


facility_name: CRYSTAL SPRINGS HOME

summary: Facility Evaluation

raw_content:
Narrative:
On 02/14/2023 at 09:41am, Licensing Program Analyst (LPA) Sarah Lo conducted an annual inspection at Crystal Springs Home Small Family Home (SFH). At the time of inspection LPA Lo met with Licensee Anne Maina. Licensee stated the current census is zero. The facility was toured inside and out with Licensee. The home is a two-story residence, and the home is set up as follows: Downstairs: Bedroom #5: the room consist of a full-size bed; it will sleep one foster child - currently vacant. There was a living room, dining area, the kitchen, the garage, and an additional storage under the stairs. Upstairs: Bedroom #2: the room consist of a full-size bed - It sleeps Licensee's daughter. Bedroom #3: the room consist of a full-size bed (loft style) - It sleeps Licensee's son. Bedroom #4: the room consist of a full-size bed - it sleeps Licensee's daughter. Bedroom #1: the room consist of a Cal-King size bed and a crib - it sleeps Licensee, and the crib was vacant. It will sleep a foster child/infant. Bedrooms are arranged so that no more than two foster children are in a room, and there is one foster child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate shelf and closet space for foster child's belongings. Upstairs outside the bedrooms, there was a loft designated game and play area which contained toys and books. It was observed to be safe, clean, and age appropriate for the age group of children to be cared for. The smoke detectors were checked and were working properly. The carbon monoxide detector is located in the front entrance and hallway are operable. Continue on LIC 809-C The fireplace was in the living room area, and it was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The bathroom was clean and in good repair. The hot water was tested in the foster children's bathroom was measured to be 113.2 degrees. Proper storage of all food was noted and trash cans for storage of solid waste have tight fitting lids. The medications were stored and locked in a cabinet in the kitchen cabinet next to the refrigerator. Cleansers/chemicals are stored in a locked under the kitchen sink. Sharp knives were inaccessible and stored in a locked drawer in the kitchen next to the stove. The First Aid Kit is located in the cabinet next to the refrigerator and contained all required supplies. There were no guns or weapons as stated by the Licensee at this time. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for foster children as well. The following required posted items were observed accessible to clients: Facility Sketch, Emergency Disaster Plan, Grievance Procedures, Personal Rights, Visitation policies, and current menu. Currently, there are no foster children in the home. However, if there is foster children, the children files will be kept in a locked filing cabinet located upstairs in the loft area. The facility outside grounds was also inspected and it was observed to be clean and well maintained. The backyard is completely fenced and free of hazards. Emergency exits were free from obstruction. There were no pool or other body of water and the backyard where children will have access to play was completely fenced and free of hazards. LPA did not review any foster child file or complete interview due to census is zero. LPA reviewed two of two staff files during the inspection and noted to have everything. LPA conducted one staff interview at this time. Based on the facility inspection and file reviews this date, there was no deficiency found at this time. A copy of this report was reviewed and given to Licensee Anne Maina

met_with: Anne Maina, Lincensee


summary: Facility Evaluation

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Narrative:
On May 21, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Crystal Spring Home Small Family Home (SFH) to conduct an unannounced random annual inspection. Currently, there is no client in placement, and the home is licensed for a capacity of two clients (two ambulatory clients and medically fragile). The Facility was toured both inside and out with licensee. The home is a two story building with five bedrooms and four bathrooms. During the inspection, LPA observed that the downstairs consisted of the kitchen, a living room, the garage, a dining area with a large table and one bedroom. Bedroom #5 was vacant, and it consisted of a full-size bed. The medications were stored and locked in a storage container in the kitchen cabinet. Sharp knives were inaccessible and stored in a locked cabinet in the kitchen. The First Aid Kit was in the closet and kitchen cabinet, contained all required items. The garage was inspected and used for storage. The water temperature was tested and measured at 118 degrees F. LPA observed a minimum of seven-day non-perishable and a three-day perishable supply of food. There was a variety of snacks available for clients as well. In addition to the downstairs space, there was also one full bathroom fully functioning and hallway closets for storing coats and shoes. A trash can was observed to have tight fitting cover. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. The fire extinguisher was observed and operable. The upstairs consisted of a laundry room that always remained locked. There was a master bedroom #1 for licensee and spouse and it consisted of a Calking size bed and a bathroom; The licensee's bedroom is not accessible for the clients; Bedroom #2 was utilized by a biological daughter 17-year-old, the room consisted of a full-size bed, a closet space. Bedroom #3 was utilized by a biological son 14-year-old, the room consisted of a full sized bed, a closet space. Bedroom #4 was utilized by a biological daughter 13-year-old, the room consisted of a full-size bed, a closet space. All bedrooms were arranged for one child per bed. No room was commonly used for other purposes other than a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. Cleansers/chemicals were locked and stored in the laundry room. The upstairs space includes a loft with some furniture, a television and there was an additional bathroom used for the clients. All hazardous items have been properly made inaccessible to areas where clients have access. All windows and screens were in good repair. There were no guns or weapons in the home as stated by Licensee. There was a total of four cameras, the four cameras were located in common areas and outdoor which meet the title 22 camera policy. There were no clients in placement currently. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Based on today's inspection and observations, there are no deficiencies being cited at this time. An exit interview was conducted, and a copy of this report was discussed and provided to Licensee.

met_with: Humprey Gachanaja


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Narrative:
Another interview stated that LS1 asked C1 to stop speaking about C2 and to end the phone call until the situation had calmed down. Interviews indicated the licensees do not speak inappropriately to clients; however, the clients may speak inappropriately to one another. Another interviewee reported not being familiar with the incident. LPA was unable to obtain additional information. Based on confidential interviews and a review of pertinent documents, the allegation that the licensee spoke inappropriately to client 1 may have occurred; however, there is not a preponderance of evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated. An exit interview was conducted, a copy of this report and LIC 811 and appeal rights were provided to licensees Humphrey Gachanja and Anne Maina.

Investigation Findings:
13On March 6, 2026, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Crystal Springs Small Family Home (SFH) and met with licensees Humphrey and Anne Maina to deliver the findings for the above allegation. On December 1, 2025, Community Care Licensing received a complaint alleging the licensee spoke inappropriately to a child in care. On December 3, 2025, LPA Perez conducted a health and safety inspection of the facility and no hazards were observed. LPA Perez obtained pertinent documents and interviewed Licensee 1 (LS1), Licensee 2 (LS2), and Social Worker (SW), and attempted to interview Client 1 (C1) and Client 2 (C2). In regard to the allegation, it was specifically alleged that during dinner the foster parents called C1 "a white boy," made derogatory comments regarding C1's ethnicity, and stated that C1's parent did not love C1. During confidential interviews, it was reported that on Thanksgiving Day C1 was on a phone call with their biological mother and began speaking loudly and disrespectfully about C2. C2 overheard the conversation and began yelling derogatory comments back at C1. 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: CRYSTAL SPRINGS HOMEFACILITY NUMBER: VISIT DATE: 03/06/2026

met_with: Licensees- Humphrey and Anne Maina


facility_name: CUNHA'S SMALL FAMILY HOME

summary: Complaint Investigation - Substantiated - 1 deficiency - 1 allegation

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Narrative:
..continued from LIC- Through confidential interviews with the LPA two out of two shared the victim (C1), had an aversion to water, did not like getting their face wet while bathing, and had no swimming experience. Eleven out of eleven confidential interviews revealed C1 was not using a floatation device. It was reported the reason C1 was not using a floatation device was there were two lifeguards present and C1 was only playing in the shallow end of the pool. FM and Regional representative confirmed that C1 presented with signs of autism and was developmentally delayed, although C1 not been officially diagnosed with autism. Eleven people interviewed by LPA and the County Social Workers stated C1 played in the shallow end of the pool without interacting much with the other children during the event. Two out of seven foster parents interviewed reported FM was sitting within five feet of the shallow end of the pool socializing with other adults. Four out of six foster youth interviewed, who were present at the pool, stated they did not interact with C1 or notice C1 in distress. The surveillance video footage revealed that C1 ventured toward the middle and the deep end of the pool several times, without FM noticing. In the video C1 was between the shallow and deep end of the pool while drowning and reaching their arms above the surface of the water, for approximately three minutes. Based on LPAs confidential interviews conducted, and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The licensee is cited on the attached LIC9099D under the Health and Safety code 1550 (c) Conduct Inimical: Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or people of this state. Per the new Civil Penalty laws, Health and Safety (H&S) Code section 1548(d), a civil penalty determination is pending due to the substantiated allegation concerning serious injury sustained to C1. An exit interview was conducted and a copy of this report and appeal rights were provided to FM.

Investigation Findings:
13Licensing Program Analyst (LPA), Stefanie Whitlow, conducted an unannounced complaint investigation for the allegation, "Minor sustained a death while in care." LPA conducted a home inspection and interviewed the Foster Mother (FM) regarding the incident, which occurred during a large gathering at a private pool club. LPA also spoke with Humboldt County Child Protective Services (CPS) and obtained documentation of interviews conducted by CPS. The documentation obtained from CPS includes: confidential interviews with the Eureka Police Department, FM of the deceased, guardianship child of FM, five foster parents and two foster children present at the pool when the incident occurred. LPA viewed surveillance video footage taken of the incident at the pool and the police report. LPA interviewed two foster parents and four foster children present at the pool, the Redwood Coastal Regional Center Specialist assigned to the victim, and visited the private club where the incident occurred. Continued on LIC 9099-C... SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Stefanie Whitlow 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 25-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, COHASSET RD., Suite Chico, CA Facility Name: Cunha's Small Family Homefacility Number: Visit Date: 08/26/ Narrative 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32..continued from LIC- Through confidential interviews with the LPA two out of two shared the victim (C1), had an aversion to water, did not like getting their face wet while bathing, and had no swimming experience. Eleven out of eleven confidential interviews revealed C1 was not using a floatation device. It was reported the reason C1 was not using a floatation device was there were two lifeguards present and C1 was only playing in the shallow end of the pool. FM and Regional representative confirmed that C1 presented with signs of autism and was developmentally delayed, although C1 not been officially diagnosed with autism. Eleven people interviewed by LPA and the County Social Workers stated C1 played in the shallow end of the pool without interacting much with the other children during the event. Two out of seven foster parents interviewed reported FM was sitting within five feet of the shallow end of the pool socializing with other adults. Four out of six foster youth interviewed, who were present at the pool, stated they did not interact with C1 or notice C1 in distress. The surveillance video footage revealed that C1 ventured toward the middle and the deep end of the pool several times, without FM noticing. In the video C1 was between the shallow and deep end of the pool while drowning and reaching their arms above the surface of the water, for approximately three minutes. Based on LPAs confidential interviews conducted, and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The licensee is cited on the attached LIC9099D under the Health and Safety code 1550 (c) Conduct Inimical: Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or people of this state. Per the new Civil Penalty laws, Health and Safety (H&S) Code section 1548(d), a civil penalty determination is pending due to the substantiated allegation concerning serious injury sustained to C1. An exit interview was conducted and a copy of this report and appeal rights were provided to FM. SUPERVISORS NAME: Daniel Allmon LICENSING EVALUATOR NAME: Stefanie Whitlow LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: LIC9099 (FAS) - (06/04)Page: 2 of Control Number 25-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, COHASSET RD., SUITE FACILITY NAME: CUNHA'S SMALL FAMILY HOMEFACILITY NUMBER: 125000557

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

Deficiencies:
15501: Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or people of this state.

met_with: Foster Mother

complaint_status: SUBSTANTIATED

title:
2
3
4
5
6
7Health and Safety code 1550 (c) Conduct Inimical


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) (analyst name) made an unannounced annual inspection at Cunha Small Family Home located at Wisteria Way. Arcata, Ca at 11: AM, on 12/30/21. LPA met with, Foster Mother (FM), Judy Cunha. LPA conducted a walk-through of the facility inside and out. FM currently has no placements, but does have one guardianship child. LPA observed three bedrooms, and one bathroom. LPA interviewed FM. LPA did not conduct any client interviews, as there were no current placements. LPA, Whitlow, inspected and reviewed the following: Posting of license, disinfectants/cleaning solutions inaccessible. Refrigerator temperature was below 45 degrees F and freezer Temperature at 0 degrees. LPA observed nonperishable food for one week and fresh perishable foods for two days. There was a working telephone and cell phone. Carbon monoxide detectors and smoke detectors are in working order. LPA observed a fully stocked First Aid Kit, a common room available, dining area furniture in good condition, Medication is centrally stored and locked. Hot Water was between 105-120 degree F. LPA observed a fire extinguisher, clean toilets, and bath and shower fixtures in good repair. There were laundry facilities available. Bedrooms contained required linen and furnishings, FM's motor Vehicle is properly maintained. The facility was free of vermin. LPA is providing technical advisory (TA), in reference to California Code of Regulations, 80023(a): Disaster and Mass Casualty Plan. There were no deficiencies observed. An exit interview was conducted and the LIC 809 was signed and sent to FM electronically. FAS was not functioning properly and did not save the LIC 809 or CARES tool at the time of inspection. LPA generated both again on 1/1/22 and sent electronically to FM at 11: AM on 1/1/22.


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on 10/25/23 at 8: AM for the purpose of an annual inspection. LPA attempted an inspection and knocked the door and rang the door bell. No one responded. LPA made a call to the number listed on file but the number was not a working number. LPA made a call to Licensing Program Manager (LPM) Hillary Hall to the get correct number and made a call to the Judy Cuhna, Administrator, but Administrator said she is not home and will not be home until 3: PM. LPM will attempt at a later date.

met_with: Attempted- Annual


summary: Facility Evaluation

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Narrative:
Licensing Program Analyst (LPA) Lyta Vue arrived unannounced at the facility on this date and met with Judy Cunha, Administrator. The purpose of the visit was to complete an Annual Inspection using the CARE tool. The facility is licensed to care for four ambulatory children ages 7-17. The facility has one staff. The facility has 0 clients in placement. LPA completed a Health and Safety Inspection of the facility. The facility is a home-like setting, with two client bedrooms for three clients and a Master bedroom for the administrator. There is 1 bathroom and 1 half bathroom for clients and staff. All toilets, showers, and sinks were functioning properly. The living area is spacious, with a bookshelf with books and puzzles, and a TV. The home was clean, but cluttered, and there were no safety hazards observed. The room temperature was comfortable, and no odor was detected. Smoke alarms were in working order, the fire extinguisher was not current and has no inspection tag with date, and a first aid kit was fully stocked. Disinfectants are locked in the laundry room and medications are locked in a hall closet. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, but there are no clients. Client's bedrooms had clean bedding, along with a dresser and closet which provided ample storage space for personal belongings. There is no swimming pool or other body of water on the premises. There are no firearms or other weapons in the facility. LPA reviewed 0 client files due to no clients in placement. LPA reviewed 1 staff file only due to no hired staff. LPA interviewed 0 clients due to no clients in placement. LPA interviewed 1 staff. Annual document continued on 809c Facility is issued a citation per Title 22, division 6, 83087(e): Buildings and Grounds (e) Every small family home shall have one or more functioning carbon monoxide detectors on every occupiable level of the home, Including basements, and near all sleeping areas as required by the California Fire Code, that meets the standards established in Health and Safety Code Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The detector shall be audible in each bedroom. Facility is issued a citation per Title 22, division 6, 83008(h): Fixtures, Furniture, Equipment, and Supplies (h) The licensee shall keep at least one operational fire extinguisher in the home, as required by Title 24, Part 9, of the California Fire Code. A signed copy of this LIC-809, LIC-809C, and LIC 809D report was provided to Judy Cunha, Administrator. An exit interview was conducted. Appeal rights were provided.

met_with: Judy Cunha, Administrator


facility_name: CYNTHIA ROBINSON SMALL FAMILY HOME

summary: Facility Evaluation

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Narrative:
On October 04, 2024, Licensing Program Analyst (LPA) Rafael Enriquez met with applicant Cynthia Robinson for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the notification of incomplete application (LIC 184), Letter of Application Revisions, and additional correspondence to assist with the revisions needed to the application. Copy of this report was emailed to applicant and a signed copy will be placed in the facility file.

met_with: Applicant- Cynthia Robinson


summary: Facility Evaluation

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Narrative:
On October 31, 2024 on 10: AM Licensing Program Analyst (LPA) Maryjane Perez and Licensing Program Manager (LPM) Abdoulaye Traore arrived at Cynthia Robinson Small Family Home to conduct pre-licensing inspection for an initial license. LPA and LPM met with applicant Cynthia Robinson who led a tour of the entire home. The applicant is applying for a capacity of six children ages 0 to 17. The home is a two- story building with five bedrooms and four bathrooms. The downstairs consists of one bedroom, and it will sleep two non-ambulatory children and has two twin size beds- currently vacant, a furnished living room, a bar area, a dining room with a table, kitchen and the garage. The second floor consists of a master bedroom for the applicant, an office, a large loft with furniture and television, a bedroom furnished with two full size bed to be utilized for two children and currently vacant, a bedroom furnished with one full-size bed and bathroom, another bedroom furnished with a Cal-King-size bed and another 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 were adequate drawers and closets for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives, sharp objects, and cleaners/ chemicals were locked in a cabinet in the garage with a locked door. There was adequate food storage space and a supply of three 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 degrees. First Aid kit was accessible with all required items, and it was in the laundry room. Two fire extinguishers were observed. The fireplace was in the living room area, and it was properly screened. 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 observed at this time. Applicant was advised to contact the department within 30 days of their first placement and the Component III orientation was completed on October 10, 2024. The request for licensure will be forwarded to Licensing Program Manager for final review and approval. An exit interview was conducted. A copy of this report was provided to applicant Cynthia Robinson.

met_with: Licensee- Cynthia Robinson


summary: Facility Evaluation

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Narrative:
On April 2, 2025, Licensing Program Analyst (LPA) Maryjane Perez began a post-licensing inspection for Cynthia Robinson Small Family Home (SFH). LPA met with licensee Cynthia Robinson who led a tour of the home. The facility was toured both inside and out. Currently there is three children placed in the home. The licensee was approved for a capacity of six children ages 0 to 17. The home is a two- story building with five bedrooms and four bathrooms. The downstairs consisted of one bedroom that is utilized for one client and has two twin size beds that were missing bed frames but had storage space for personal belongings. The hallway leading to the bathroom has fire extinguisher #1 and a storage closet storing extra household items. Bathroom #1 was downstairs and was fully functioning with water temperature reaching 112.2 degrees F. The laundry room was accessible to clients but had locked cabinets storing clients files, personnel records, medications, cleaning supplies, first aid kit (missing anti-septic solution), and extra hygiene supplies. There was also fire extinguisher #2 as well as all required postings such as personal rights, emergency disaster plan, facility sketch, and daily schedule in the laundry room. The Kitchen was clean and sanitary with a fully stocked refrigerator and pantry storing perishable and nonperishable foods. There was also a table. There was living room #1 that had a couch and television, living room #2 that had couches and a dining room that had a dining room table with adequate seating. The upstairs consisted of a master bedroom for licensee with bathroom #2, an office, a loft that had a facility sketch posted as well as fire extinguisher #3. There was bedroom #3 that had two full size beds and closet space that was occupied by two clients. There was bathroom #3 that was fully functioning, a linen closet with adequate towels and linen. Bedroom #4 had a full size bed and bathroom #4 that was utilized as a guest bedroom. Bedroom #5 had a cal-king size bed and was utilized for licensee's daughter on rare occasions. The garage stored extra household items and an extra freezer with abundance of foods. The garage was locked at all times. The home has a telephone service. The backyard where children will have access to play is completely fenced and free of hazards. There is no pool or other body of water. 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 were adequate drawers and closets for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Facility cited for violation of California Code of Regulations, Title 22, Division Six, Chapter 4. regulation 83088 (c): Fixtures, Furniture, Equipment, and Supplies. See 809D. The client and facility files were reviewed as well as one staff and two clients were interviewed. Exit interview conducted and a copy of this report, 3 technical assistances and 1 deficiency were discussed and provided to licensee Cynthia Robinson.


summary: Facility Evaluation

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Narrative:
On April 3, 2026, at 10:20 pm, Licensing Program Analyst (LPA) Julian Lucas conducted an unannounced annual random inspection at Cynthia Robinson Small Family Home (SFH). LPA met with Administrator Cynthia Robinson and completed a physical plant inspection at 10:30 am. LPA observed the facility to be a two story house. The downstairs entrance consisted of a formal study room, a living room with one sofa and a formal dining room with one table and eight chairs. There is also a family room that consists of a television and two sofas and one breakfast table with eight chairs. There is a kitchen that was clean and sanitary with a pantry storing perishable and nonperishable foods. The kitchen sink had a temperature reading of 117.4 degrees Fahrenheit. There are cabinets, one refrigerator/freezer with an adequate supply of perishable and non-perishable foods, including available fruit, and the food menu is posted. All sharps are kept in a locked cabinet drawer. The garage is utilized for storage there is a refrigerator/freezer and an additional stand-alone freezer with an adequate amount of perishable foods. There is one bedroom that is utilized for one child and has a full-size bed with the appropriate linens, pillows, comforters, and mattresses is in good repair. There is a dresser and closet space for personal belongings. The hallway leading to the bathroom has fire extinguisher and a storage closet storing extra household items. The bathroom was downstairs and was fully functioning with water temperature reaching 117.4 degrees Fahrenheit. LPA observed the laundry room, which is accessible to clients, with locked storage cabinets storing client files, personnel records, medications, cleaning supplies, first aid kit and extra hygiene supplies. Continued on LIC 809-C There was also a fire extinguisher 2 as well as all required postings such as personal rights, emergency disaster plan, facility sketch, Licensing posting, and daily schedule in the laundry room. The upstairs consisted of a master bedroom for licensee with bathroom, there is a loft that has a facility sketch posted as well as a fire extinguisher. There are four additional bedrooms upstairs with full-size beds with the appropriate linen including closet space and dresser drawers. Two of the bedrooms are occupied by two children. One child per room. LPA observed the backyard where the children have access to play. The backyard is completely fenced and clean and free of debris and hazards. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Appliances were in working order. All hazardous items have been properly made inaccessible to areas where children will have access. LPA reviewed three staff files and three client files. LPA interviewed one staff member. Based on the annual random inspection on this date, there were no deficiencies found. An exit interview was conducted with the Administrator, Cynthia Robinson. Exit interview conducted. A copy of this report and LIC 811 were provided to the Administrator, Cynthia Robinson.

met_with: Cynthia Robinson, Administrator