summary: Facility Evaluation

raw_content:
Narrative:
On March 27, 2023, at 8:54AM Licensing Program Analyst (LPA) Shalisa Stiger and Licensing Program Manager (LPM) Rosa Rodriguez, conducted an unannounced inspection to the above facility. The Administrator was not available at this time, LPA Stiger called the Administrator and was informed they were at a doctor's appointment and will return around 11:00AM. LPA Stiger and LPM Rodriguez drove to a nearby Starbucks to wait for the Administrator's call. Administrator called LPA Stiger at 9:37AM to advise they were headed back to the home. LPA Stiger advised they will be back at the home at approximately 10:00AM. At 10:05AM, LPA Stiger met Administrator who assisted with this inspection. LPA Stiger observed the facility to be clean, safe, sanitary, and in good repair both inside and outside. The facility is a single story home with solar panels. LPA Stiger observed a two (2) trash cans with lids on side of home and one (1) vehicle parked out front. The facility consisted of five bedrooms, two bathrooms, two living rooms, kitchen, dining room, laundry room, and garage. Bedroom 1- Master Bedroom consisted of queen bed, walk in bathroom with two sinks and shower. This bedroom is also used as an office for Administrators and files are located here. Lighting was in working order. Smoking detector in room, tested and in working condition. Thermostat set at 69 degrees. Bedroom 2-consists of two (2) clients: C1 and C2. There are two (2) twin beds, two (2) dressers and one (1) closet with clothes and blankets for extra bedding. Lighting was in good repair. Smoke detector in room, tested and in working condition. Bedroom was observed to be clean and in good repair. Bedroom 3- Consists of one (1) client C3 and (1) vacanct bed. There are two (2) twin beds, one (1) closet with clothes and blankets for bedding. Lighting was in good repair. Bedroom was observed to be clean and in good repair. Report continued on LIC809-C. Bedroom 4- Consists of two (2) clients C4 and C5. Two (2) twin beds, two (2) dressers, one (1) closet with clothes, diapers and extra linen. Lighting was in good repair. Bedroom was observed to be clean and in good repair. Bedroom 5- Staff room consists of one (1) twin size bunk bed used for late shift staff and to take breaks. Room is inaccessible to clients. Lighting was in good repair. All common areas were furnished and the furniture was in good repair. The hallway bathroom for clients has a walk in shower, double sink, water temperature was at 110. F. Refrigerator and dry food storage was stocked for perishable for three (3) days and non-perishable food for seven (7) days. All hazardous items have been properly made inaccessible to areas where children have access. The medications were locked and stored in a kitchen cabinet. Cleansers/chemicals were locked and stored in laundry room. Sharp knives were made inaccessible and locked in a kitchen drawer. The smoke detectors located in the hallways and all the bedrooms were in good working order. The carbon monoxide detector was located in the hallway near the bedrooms were tested and in working order . The living room consisted of a sofa and two (2) chairs with a piano. The dining room consists of a table with five (5) chairs and tableware for clients. Non-perishable and staff foods are stored in the cabinets of the dining room. Family room consisted of one sofa and table with four (4) chairs. A fireplace sealed with a glass door and controls were locked. Lighting was in good repair. LPA observed client files and staff files to be in a secure area and locked. First aid was complete with all the required items and located in the kitchen area. Fire extinguisher was serviced. LPA Stiger observed the facility license, emergency disaster plan, floor/exit plan, foster youth rights, developmental disabilities rights are posted. Lastly, LPA toured the backyard and noted no trip hazards. LPA Stiger identified and completed all the domains of the CARE Tool during today's inspection. One citation was issued on the LIC809-D page. Exit interview conducted and a copy of this report was issued.

met_with: Myrna Carrillo, Administrator


state: CA

facility_name: ROLANDO & MYRNA CARILLO'S HOME

summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Misty Valencia arrived unannounced at the facility on this date and met with Myrna Carrillo, Administrator. The purpose of the visit was to complete an Annual Inspection using the CARE tool. The facility is licensed to care for five ambulatory for children ages 0-20 years old, but has an age exception. The facility has five staff. Staff and other adults residing/working in the home have complete Criminal Record Clearances on file. The facility has five of clients in placement, who are Alta Regional Center clients. LPA completed a Health and Safety Inspection of the facility. The facility is a home-like setting, with three client bedrooms, one staff bedroom and a Master bedroom for the administrators. There are one bathroom for clients, and one for staff. All toilets, showers, and sinks were functioning properly. The living area is spacious with a couch. The home was clean and organized. The room temperature was comfortable and no odor was detected. Smoke alarms were in working order, fire extinguishers were current, and a first aid kit was fully stocked. Disinfectants, knifes and medications are locked in a cabinet. LPA observed the kitchen to have at least 2 days of perishable food and 7 days of non-perishable food on hand, with additional food stored in the cabinet . 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. continued on 809-C LPA reviewed five client files. All clients had a current Individual Program Plan (IPP) on file created by the Regional Center. Clients were current on CHDP medical exams and dental exams. LPA reviewed five staff files. Staff files contained sufficient training hours and CPR and First Aid was current. LPA interviewed no clients due to them all being non-verbal. LPA interviewed two staff. Facility is issued a citation per Child's Records 83070(b)(11) (b) For each child in the home, the licensee shall maintain a separate, complete, and most up to date record or file that includes the following: (11) A copy of the current court order, or written authorization of the child's parent or guardian, for each psychotropic medication, as defined in Section 83001(p)(2) A signed copy of this LIC-809 (and LIC-809C, and LIC 809D, if applicable) report was provided to Myrna Carrillo, Administrator. . An exit interview was conducted. Appeal rights were provided (if applicable)

report_type: Facility Evaluation

visit_type: Annual


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On October 10, 2024 at 2:09pm Licensing Program Analysts (LPAs), Tatyana Shulz and Orlando Areizaga made an unannounced visit to conduct a case management regarding the facilities Plan of Operation not being in compliance as previously approved. LPA met with Administrator, Myrna Carillo who assisted with the inspection. Based on interviews conducted with the licensee and observations of the Plan of Operation, it was confirmed that the facility was not operating in accordance with the Plan of Operation that the Department has approved. The Plan of Operation stated that the age range of clients accepted into the facility are 6-16 years of age. There are currently 4 clients in placement whose ages exceed the approved age range with no age exception requests for either client. The facility has since updated their license to reflect the new age range accepted, 6-17 years old and non-minor dependents. Also, the facility is currently in the process of transitioning into an Adult and Senior program. An exit interview was conducted with Administrator, Myrna Carillo and a copy of this report and the Appeal Rights were discussed and provided to the Administrator. This case management investigation is closed, and the facility has been cited for Plan of Operation 80022 (k) (See LIC 809D).

Deficiencies:
80022(k): 1
2
3
4
5
6
7

visit_type: Case Management

met_with: Myrna Carillo-Administrtaor

title:
1
2
3
4
5
6
780022 (k) Plan of Operation
The facility shall operate in accordance with the terms specified in the Plan of Operation and may be cited for not doing so.

This requirement is not met as evidenced by

description:
1
2
3
4
5
6
7


summary: Facility Evaluation

raw_content:
Narrative:
On October 10, 2024 at approximately 2:09pm Licensing Program Analysts (LPAs) Tatyana Shulz and Orlando Areizaga made an unannounced inspection to conduct a case management at the Small Family Home. LPAs were greeted by Myrna Carillo, Administrator who granted LPAs access. LPAs conducted a tour of the inside and outside of the facility where LPAs observed the following deficiency. · Cleaning products being left under the clients bathroom sink. LPA Shulz witnessed staff place the cleaning products in the locked laundry room cabinet. The facility has been cited under the California Code of Regulation on the LIC809-D page. Refer to 809-D for plan of corrections. An exit interview was conducted and a copy of this report was given to Administrator, Myrna Carillo.

met_with: Myrna Carillo- Administrator


facility_name: ROSE'S FAMILY HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
***This is an amended report issued on November 6, 2025.*** Specifically, it was reported that C1 had black marks up and down C1's legs and had scratches and bruises on C1's arms for an unknown reason. Confidential interviews and record review revealed that C1 is hyperactive and nonverbal resulting in violent tantrums that result in C1 hitting C1's self without regard for C'1 safety. Further, it was revealed that C1 has aggressive behaviors at school that result in C1 hitting and harming C1's self and others which reportedly result in bruises. Confidential interviews consistently stated that there was regularly adequate supervision in the home between the Licensee and additional staff. Other information stated the allegation occurred. Based on record review and confidential interviews, the allegation alleging that due to lack of supervision a child sustained unexplained injuries while in the small family home 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, LIC 811, and appeal rights were reviewed and provided to the Licensee, Ana Gallegos.

Investigation Findings:
13On November 6, 2025, at 12:15PM, Licensing Program Analyst (LPA), Rachel Vanegas arrived at Rose's Family Home Small Family Home (SFH) and met with Licensee, Ana Gallegos, to deliver the findings for the above stated allegation. A health and safety inspection of the SFH was conducted on June 25, 2025, and no immediate deficiencies were observed. The investigation included interviews with one staff (S1) and three county social workers. Client 1 (C1), Client 2 (C2), Client 3 (C3), and Client 4 (C4) were unable to participate in an interview due to limited verbal communication and not being enough to engage in an interview. On June 18, 2025, Community Care Licensing (CCL) received an allegation alleging that due to a lack of supervision a child sustained unexplained injuries while in the small family home. **Continued on the next page** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jennifer Smith LICENSING EVALUATOR NAME: Rachel Vanegas 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: ROSE'S FAMILY HOMEFACILITY NUMBER: VISIT DATE: 11/06/2025

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

report_type: Complaint Investigation

met_with: Licensee - Ana Gallegos

complaint_status: unsubstantiated


summary: Facility Evaluation

raw_content:
Narrative:
On September 14, 2023 at 02: PM, Licensing Program Analyst (LPA) Linda Haynes began an annual inspection of Rose's Small Family Home. LPA met with Licensee Ana Gallegos who led a tour of the home. The facility was toured both inside and out with the Licensee. Currently there are two clients in the home. The home is a two story building with five bedrooms and three bathrooms which are set up as follows: · Bedroom # 1 is the Master sleeps the Licensee and has a master bathroom. · Bedroom # 2 (Clients) has one full bed and sleeps one client. · Bedroom # 3 (Clients) has one full bed and sleeps one client. · Bedroom # 4 (Clients) has a full bed and will sleep one client. · Bedroom # 5 (Clients) has one full bed and will sleep one client. · A great room/living room, sitting room, kitchen, dining area, three bathrooms, an attached one car garage, and the backyard. The Client's bedrooms were arranged so that no more than one client will be in the room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There was a smoke detector in every bedroom. The five smoke detectors were checked, and they were working properly. The Carbon Monoxide detector is located in the kitchen and was working properly. There is a dedicated phone line. The home's central air conditioning module is located on the patio. The home's hot water heater was located in the garage. The appliances were in working order. There was adequate food storage space. There was a two day supply of perishable foods and a week of non-perishable foods. A trash can for storage of solid waste had a tight-fitting lid. The sharp knives are in a locked kitchen cabinet. The medications are located in a locked kitchen cabinet. The hot water in bathroom one (master) measured to be 126.9 degrees Fahrenheit, bathroom two 124.8 degrees Fahrenheit, and in bathroom 3 124.1 degrees Fahrenheit. The home's First Aid kit was accessible and is located in a locked cabinet in the kitchen. Two fire extinguishers are present in the home one is located on the wall by the sliding glass door and the second is located on the wall upstairs by master bedroom. They were observed to be properly charged and inspected by the fire department. There is no firearm in the home as stated by the Licensee. There is no pool or other body of water. The backyard where clients will have access to play was fenced. There is one deficiency at this time The hot water I the home measured more than 120.0 degrees in every bathroom. The home will be cited for Health and Safety Code section 80088(e)(1) (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). An exit interview was conducted. A copy of this report, LIC 809D and appeal rights was provided to Licensee Ana Gallegos.

met_with: Ana Gallegos


summary: Facility Evaluation

raw_content:
Narrative:
On September 29, 2023 at 9: AM, Licensing Program Analyst (LPA) Linda Haynes began day two of the annual inspection of Rose's Small Family Home. LPA was granted entrance to the home by Licensee Ana Gallegos. Currently there are two clients in the home. There was one client present at time of inspection At 9: AM LPA reviewed 2 of 2 client files. 1 of 2 client files had two psychotropic medications on one Medication Administration Record. Licensee will receive Technical Advisory for this. LPA could not interview clients as 2 of 2 clients are nonverbal as stated on their Individualized Placement Plan At 10: LPA reviewed 2 of 2 staff files all required documentation was present. LPA interviewed 2 of 2 staff. Licensee will receive one technical advisory for having more than one psychotropic medication per Medication Administration Record. An exit interview was conducted. A copy of this report, LIC 9102 and appeal rights was provided to Licensee Ana Gallegos.


summary: Facility Evaluation - 1 deficiency

raw_content:
Narrative:
On May 28, 2025 at 11: AM, Licensing Program Analysts (LPAs) Raina Perez-Diaz and Jacob Ortega along with Licensing Program Manager (LPM) Nicole Strickland began an annual inspection of Rose's Small Family Home. LPA met with Licensee Ana Gallegos who led a tour of the home. The facility was toured both inside and out with the Licensee. Currently there are four clients in the home. The home is a two-story building with five bedrooms and three bathrooms which are set up as follows: · Bedroom # 1 is the Master sleeps the Licensee and licensee's minor daughter, and has a master bathroom. · Bedroom # 2 (Clients) located on the first floor, has one full bed and sleeps one client. · Bedroom # 3 (Clients) located on the second floor, has one full bed and sleeps one client. · Bedroom # 4 (Clients) located on the second floor, has a full bed and sleeps one client. · Bedroom # 5 (Clients) located on the second floor, has one full bed and sleeps one client. · A great room/living room, sitting room, kitchen, dining area, three bathrooms, an attached one car garage, and the backyard. The Licensee began the tour in the front great room. LPM observed a metal latch with a master key lock being used to lock the front door. LPM asked the reasoning behind the lock and Licensee indicated Client #1 (C1) wanders away and it was added as a protective measure. LPM informed Licensee this is in violation and will be cited for California Code of Regulations (CCR) CARE FOR CLIENTS WHO LACK HAZARD AWARENESS OR IMPULSE CONTROL 80077.3(a) If a client requires protective supervision because of running/wandering away, supervision may be enhanced by fencing yards, using self-closing latches and gates, and installing operational bells, buzzers, or other auditory devices on exterior doors to alert staff when the door is opened. ***Continue on LIC 809-C*** The fencing and devices must not substitute for appropriate staffing. LPAs and LPM requested the removal of the lock and latch, explaining the locking of the door in such way is a fire hazard. Other options were discussed in lieu of the lock and latch as the locks and latch were not approved by the fire marshal during the home inspection. Licensee removed the lock and was instructed to not utilize it. The Client's bedrooms were arranged so that no more than one client will be in the room. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There was a smoke detector in every bedroom. The smoke detectors and Carbon Monoxide were checked, and they were working properly. There is a dedicated phone line. The home's central air conditioning module is located in the backyard on the patio. The home's hot water heater was located in the garage. The appliances were in working order. There was adequate food storage space. There was a two day supply of perishable foods and a week of non-perishable foods. A trash can for storage of solid waste had a tight-fitting lid. The sharp knives are in a locked kitchen cabinet. The medications are located in a locked kitchen cabinet. The hot water in downstairs bathroom accessible to the clients measured to be 113 degrees Fahrenheit. The home's First Aid kit is located in a locked cabinet in the kitchen. Two fire extinguishers are present in the home one is located on the wall by the sliding glass door and the second is located on the wall upstairs by master bedroom. They were observed to be properly charged and inspected by the fire department in February of 2025. There is no firearm in the home as stated by the Licensee. There is no pool or other body of water. The backyard where clients will have access to play was fenced. At 12: PM LPA reviewed five staff files (S1-S5) and deficiencies were observed. S1 did not have current first aid and CPR; therefore, the licensee is being cited for violation of CCR HEALTH RELATED SERVICES 83075(f)(1) The caregiver shall complete First Aid and CPR training in addition to training which increases understanding of, and skill in, caring for children. Review of staff files (S1-S5) also noted missing criminal record clearance for S3, S4, and S5; therefore, the licensee is being cited for violation of CCR CRIMINAL RECORD CLEARANCE 80019(e)(2) Obtain a California clearance or a criminal record exemption as required by the Department. The violation of 80019(e)(2) requires a civil penalty to be issued to the facility as S3 has been working at the facility since 2023. Additionally, Licensee was informed the identified staff and any other staff without approved clearances will not be able to work at the facility until the clearance is obtained. Licensee understood. ***Continue on LIC 809-C** Review of staff files (S1-S5) also noted missing training regarding child's rights to non-discriminatory care documentation for S1, S3, S4, and S5; therefore, the licensee is being cited for violation of CCR LICENSEE DUTIES AND RESPONSIBILITIES 83064(e) The licensee shall ensure that caregivers meet initial and ongoing training requirements regarding the child's right to non-discriminatory care as outlined below. Review of staff files (S1-S5) also noted missing training regarding existing laws and procedures regarding the safety of foster youth at school for S1, S3, S4, and S5; therefore, the licensee is being cited for violation of CCR LICENSEE DUTIES AND RESPONSIBILITIES 83064(f) The licensee shall ensure that individuals, who provide care and supervision of a child in a facility, have training on the existing laws and procedures regarding the safety of foster youth at school as contained in the California Student Safety and Violence Prevention Act of 2000. Review of staff files (S1-S5) also noted missing training regarding instruction on cultural competency and sensitivity relating to sexual orientation, gender identity and gender expression, and best practices for providing adequate care to lesbian, gay, bisexual, and transgender children in out-of-home care documentation for S1, S3, S4, and S5; therefore, the licensee is being cited for violation of CCR LICENSEE DUTIES AND RESPONSIBILITIES 83064(g) The licensee shall ensure that individuals, who provide care and supervision of a child in a facility, have received instruction on cultural competency and sensitivity relating to sexual orientation, gender identity and gender expression, and best practices for providing adequate care to lesbian, gay, bisexual, and transgender children in out-of-home care. Review of staff files (S1-S5) also noted missing ongoing training requirements for S1, S3, S4, and S5; therefore, the licensee is being cited for violation of CCR LICENSEE DUTIES AND RESPONSIBILITIES 83064(h) The licensee shall ensure that both caregivers and the licensee meet initial and ongoing training requirements regarding the training topics described in Section 16501.4(d) of the Welfare and Institutions Code. Due to time constraints LPA will return to the facility to complete the inspection at a later date. An exit interview was conducted. A copy of this report, LIC 811, LIC 809-D, LIC 421IM, and appeal rights was provided to Licensee Ana Gallegos.

Deficiencies:
83064(e): Licensee Duties and Responsibilities

(e) The licensee shall ensure that caregivers meet initial and ongoing training requirements regarding the child's right to nondiscriminatory care as outlined below

met_with: Licensee Ana Gallegos


summary: Facility Evaluation

raw_content:
Narrative:
On June 10, 2025, at 09: AM Licensing Program Analysts (LPAs) Raina Perez-Diaz and Jacob Ortega arrived to the facility to conduct an unannounced continuation annual inspection. LPA was granted entrance to the home by Caregiver Jennifer Cardona and Licensee Ana Gallegos. Currently there are four clients in the home. There was no clients present at time of inspection At 09: AM LPA reviewed four of four client files. Three of the four clients were missing the court order for authorization of psychotropic medication. Licensee will receive Technical Violation for this. LPA could not interview clients as all four clients are nonverbal as stated on their Individualized Placement Plan and by Licensee. LPA interviewed two staff during the inspection. A copy of this report was reviewed and given to Licensee Ana Gallegos, along with the confidential names list (LIC 811), technical violation, and appeal rights.


summary: Facility Evaluation

raw_content:
Narrative:
On November 19, 2025, at 12:55PM, Licensing Program Analyst (LPA), Rachel Vanegas arrived at Rose's Family Home Small Family Home (SFH) and met with Licensee, Ana Gallegos, for the purpose of obtaining signatures on a report. An exit interview was conducted and a copy of this report and appeal rights were reviewed and provided to the Licensee, Ana Gallegos.


raw_content:
Narrative:
Although the Department received detailed information, during the investigation there was no corroborating evidence to support the above allegation, there were no witnesses to the alleged incident and the clients in care were not interviewed due to communicative skills. LPA was not able to obtain a preponderance of evidence regarding the allegations. Based on confidential interviews, the allegation that conduct of an adult in the small family home poses a risk to children in care, 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 Rose's Family Home Small Family Home (SFH), Jennifer Cardona, Caregiver/Licensee Assistant.

Investigation Findings:
13On March 11, 2026, at 01: PM, Licensing Program Analyst (LPA) Sarah Lo met with Rose's Family Home Small Family Home (SFH), Jennifer Cardona, Caregiver/Licensee Assistant, to deliver the finding for the above-stated allegation. On 11/06/25, LPA Rachel Vanegas inspected the SFH, and no immediate health and safety hazards were observed. The investigation included interviews with seven Staff (S1, S2, S3, S4, S5, S6, S7), one Client (C2), and three County Social Workers (CSW1, CSW2, CSW3). LPA attempted an interview with clients (C1, C3, C4), however, due to communicative skills, the clients were observed and not interviewed. In addition, the client's files and County Investigation Narrative were reviewed. On October 30, 2025, Community Care Licensing (CCL) received a complaint alleging that conduct of an adult in the small family home poses a risk to children in care. Specifically, it was reported that an unclear adult has access to clients in placement. (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: ROSE'S FAMILY HOMEFACILITY NUMBER: VISIT DATE: 03/11/2026

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


facility_name: ROSE SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
Another confidential interview stated that none of the staff have told C1 to hurt themselves but C1 has suicidal ideations and tries to hurt themselves and when that happens staff will call law enforcement. Another confidential interview stated staff was nice but maintain that staff would pull C1 by the legs and restrain C1 resulting in C1 being scared to return to the facility. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegations that licensee handled client 1 in a rough manner and licensee has inappropriate interaction with C1 may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to direct care staff Rhoda Muiruri.

Investigation Findings:
13***Amended to change status to PUBLIC*** On May 23rd, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Rose small family home (SFH) and met with direct care staff Rhoda Muiruri to deliver the findings for the above stated allegations involving licensee and a foster child as listed on the Confidential Names (LIC 811). On 03/04/2025, Community Care Licensing received complaint allegation that licensee handled a client in a rough manner and licensee has inappropriate interaction with a client. On 1/08/ LPA conducted a health and safety inspection where no immediate hazards were observed. Additionally, LPA interviewed staff 1 (S1), staff 2 (S2), and client (C1). In regard to the allegations that licensee handled C1 in a rough manner and licensee has inappropriate interaction with C1, it was specifically reported that licensee pulled C1's legs out of nowhere and drag C1 to C1's room. It was further reported licensee makes C1 choke themselves by instructing C1 to put C1's hands on their own neck.No additional information was reported. During investigations confidential interviews stated that staff have never touched nor grabbed C1 in a rough manner. 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: ROSE SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 05/23/2025

met_with: Direct Care Staff- Rhoda Muiruir


summary: Facility Evaluation

raw_content:
Narrative:
On April 09, 2024, Licensing Program Analyst (LPA) Rafael Enriquez met with applicant Rose Muiruri 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- Rose Muiruri


summary: Facility Evaluation

raw_content:
Narrative:
On June 19, 2024, at 10: AM, Licensing Program Analyst (LPA) Rafael Enriquez began a pre-licensing inspection and component III for Rose Small Family Home for an initial license. LPA met with applicant Rose Muiruri who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no children placed in the home. The applicant was approved to serve two children ages 0 to 17. The home is a single-story building with four bedrooms and three bathrooms which is set up as follows: · Bedroom #1, it was furnished with a queen-sized bed. It sleeps the applicant. · Bedroom #2, it was furnished with two twin sized beds. It will sleep two foster children. It was vacant. · Bedroom #3, it was furnished with a queen-sized bed. It is a guest room. It was vacant. · Bedroom #4, the master bedroom is furnished with a king-sized bed, had a bathroom and two closets. It sleeps Applicant's mother. · There was also a living room, kitchen with dining area, a storage room, two bathrooms, three car garage, backyard, and a laundry room. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There was adequate drawer and closet space for children's belongings. The smoke detectors and carbon monoxide detectors were checked, and they were working properly. Telephone service and appliances were in working order. All hazardous items have been properly made inaccessible to areas where clients/children will have access. Sharp knives and sharp objects were locked in a drawer in the kitchen. Cleansers/chemicals were inaccessible and stored in a locked box in the garage. 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 120.0 degrees. First Aid kit was accessible with all required items, and it was in the hallway cabinet counter. A Fire extinguisher was observed and properly charged. 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 to be cited at this time. The request for licensure will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to applicant Rose Muiruri.

visit_type: Prelicensing


summary: Facility Evaluation

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Narrative:
On September 05, 2024, at 9: AM, Licensing Program Analyst (LPA) Rafael Enriquez began a post-licensing inspection for Rose Small Family Home (SFH). LPA met with applicant Rose Muiruri who led a tour of the home. The facility was toured both inside and out with the licensee. Currently there are no children placed in the home they had been recently removed from the home. The applicant was approved to serve two children ages 0 to 17. The home is a single-story building with four bedrooms and three bathrooms which is set up as follows: · Bedroom #1, it was furnished with a queen-sized bed. It sleeps the licensee. · Bedroom #2, it was furnished with two twin sized beds. It will sleep two foster children. It was vacant. · Bedroom #3, it was furnished with a queen-sized bed. It is a guest room. It was vacant. · Bedroom #4, the master bedroom is furnished with a king-sized bed, had a bathroom and two closets. It sleeps licensee's mother. · There was also a living room, kitchen with dining area, a storage room, two bathrooms, three car garage, backyard, and a laundry room. SFH is operating within capacity/limitation, it is clean, safe, sanitary and in good repair, the outdoor area is free of safety hazards, no pool, or other bodies of water on premise. The SFH has adequate supply of perishable and nonperishable foods, chemicals are locked in the laundry room and garage, knives are locked in a kitchen cabinet. The water temperature was measures at 120.1 degrees. Medications are stored in a locked box in a kitchen cabinet, the disaster plan, personal rights, and other documentation are properly posted, smoke detectors are operable/tested. There are no firearms or dangerous weapons per licensee. First aid kit is maintained, and complete First Aid certifications are current. All adults subject to background checks are cleared. There are no deficiencies to be cited at this time. An exit interview was conducted. A copy of this report was provided to Licensee Rose Muiruri.

met_with: Licensee- Rose Muiruri


summary: Facility Evaluation

raw_content:
Narrative:
On May 1st, 2026, Licensing Program Analyst (LPA) Cynthia Ramos arrived at Rose Small Family Home (SFH) for the purpose of conducting a required biennial inspection. LPA met with licensee Rose Muiruri who led a tour of the home. The facility was toured both inside and out with the licensee. Currently there are no clients in placement at the home at this time. The home is approved for 2 clients. The home is a one-story building with four bedrooms and three bathrooms which was set up as follows: Upon entering the home, there was a living room with a television, a kitchen and a dining table. The kitchen was observed to be clean and in sanitary condition. The facility maintained at least seven days of nonperishable food and three days of perishable food. Bedroom #1 was the master bedroom which contained a queen size bed and sleeps adult female. Bedroom #2 contained a queen size bed and currently sleeps the Licensee. Bedroom #3 had two twin sized beds and had adequate closet space and bedding; this room is vacant for future clients. Bedroom #4 had a queen size bed sleeps Licensee's adult son. All bathrooms were inspected and were in good working conditions. There were no pool, or other bodies of water on the premise. The knives/sharp items were locked in a kitchen drawer. The water temperature was measured at 105 degrees F. The medication box was locked and stored in a kitchen cabinet. The disaster plan, personal rights, and other documentation were properly posted in the hallway. The smoke detectors/carbon monoxide were tested and were working properly at the time of inspection. Per Licensee, there are no firearms/weapons at the home at this time. The first aid kit was inspected and contained all the necessary items. ... Based on today's inspection, the facility is being cited for (1) Type B deficiency under California Code of Regulations (CCR) for small family homes: 80087(g) please refer to LIC 809-D for additional details. This facility also received a Technical Assistance (TA) under California Code of Regulations (CCR) 83087.2(a). An exit interview was conducted and a copy of this report was provided to licensee Rose Muiruri.

met_with: Licensee, Rose Muiruri


facility_name: ROSELYN'S SMALL FAMILY HOME

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Narrative:
Based on confidential interviews, the Department determined there was not sufficient information to determine that FM's behavior poses a risk to FC1 in care. Although the allegation may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegation. The Department's finding was that this allegation is unsubstantiated. A copy of this report and confidential name list LIC 811 was given to licensee

Investigation Findings:
13On June 24, 2022, Licensing Program Analyst (LPA), Babatunde Aborchie arrived at Roselyn Small Family Home to deliver investigative findings involving the small family home. LPA met with licensee Roselyn Isigi. On April 18, LPA arrived at the small family home to initiate the allegation and conducted interviews with foster mother (FM), and foster child 1 (FC1). LPA was unable to interview FC2 due to FC2's developmental age. Additionally, LPA interviewed County Social Worker. On April 12, 2022 a complaint report was referred to Community Care Licensing (CCL) alleging Foster parent behavior poses a risk to a minor while in care. It was specified that FM dropped off FC1 unaccompanied by an adult. A confidential interview stated not knowing FC1 was not to be unaccompanied by an adult at the school party. A confidential interview also stated not to have received a notification regarding drop off process. Another confidential interview stated that FM was notified to accompany FC1 at the party. A confidential witness stated that FM provided great care to FC1 and that FM needed to be organized. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 06/24/2022

met_with: Licensee


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Narrative:
In regard to the allegation, it was specifically stated that FC1 has a foul body odor, FC1's hair is greasy, and Fc1's fingernails are dirty. During investigation, a confidential interview denied not meeting FC1's hygiene needs. Confidential interview disclosed that the heat during summer might cause FC1 to sweat. A confidential witness believed that FM took good care of FC1 and did not observe that FM did not meet FC1's hygiene needs. Based on confidential interviews, the Department determined there was not sufficient information to determine if FM did not meet foster child's hygiene needs in care. Although the allegation may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegation. The Department's finding was that this allegation is unsubstantiated. A copy of this report and confidential name list LIC 811 was given to licensee

Investigation Findings:
13On January 26, 2023, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Roselyn Small Family Home to deliver investigative findings involving the small family home. LPA met with foster mother (FM) Roselyn Isigi. On August 25, LPA arrived at the small family home to initiate the allegation and conducted interviews with foster mother (FM), and foster child 1 (FC1). Additionally, LPA interviewed County Social Worker (CSW) On April 18, 2022 a complaint report was referred to Community Care Licensing (CCL) alleging foster parent did not meet foster child's hygiene needs. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Babatunde Aborchie LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, MAIN ST., SUITE FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 01/26/2023


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Narrative:
Regarding the allegation that licensee did not pick up sick foster child from school in a timely manner, it was specifically alleged that licensee did not pick up FC1 from school when FC1 was sick. During investigation, confidential interview stated that L1 attempted to get to school to pick up FC1 but had taken L1's van to the shop because it needed vehicle repairs. It was added that L1 attempted to rent a vehicle that would accommodate FC1's wheelchair. Additional confidential interviews corroborated that L1 was trying to pick up FC1 from school, but the van was in the shop causing an unintentional delay in getting FC1 home from school. The school was able to work with L1 by providing school bus transportation. In regard to the allegation that licensee did not seek medical attention for foster child in a timely manner. It was specifically alleged that L1 did not take FC1 to doctor in a timely manner. Confidential interview stated that after L1 received their car back from the vehicle repair shop, FC1 was taken to urgent care the same day. Additional confidential interviews corroborated that L1 took FC1 to the emergency room on the same day. Based on confidential interviews, the allegations that licensee did not pick up sick FC1 from school in a timely manner and licensee did not seek medical attention for FC1 in a timely manner may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On September 26, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the findings for the allegations stated above involving the SFM's staff and foster children (FC1 and FC2) as listed on the Confidential Names List (LIC 811) dated September 25, 2024. On March 06, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC1 and FC2. On February 23, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee did not pick up sick foster child from school in a timely manner and licensee did not seek medical attention for foster child in a timely manner. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez 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: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/30/2024

met_with: Licensee- Roselyn Isigi


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Narrative:
Regarding the that licensee does not ensure youth receives transportation for medical appointments, it was specifically alleged that Licensee has not taken FC1 to the optometrist. During investigation, confidential interview stated that licensee has taken FC1 and FC2 to their appointments. It was added that they had not missed any appointments. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegations that licensee does not ensure FC1 receives transportation for medical appointments may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On September 26, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the findings for the allegation stated above involving the SFM's staff and foster children (FC1 and FC2) as listed on the Confidential Names List (LIC 811) dated September 26, 2024. On April 26, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC1 and FC2. On April 17, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee does not ensure youth receives transportation for medical appointments. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez 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: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/30/2024


raw_content:
Narrative:
Regarding the allegation that licensee does not meet a minor's dietary needs, it was specifically alleged that licensee does not provide appropriate snacks for FC1. During investigation, confidential interview stated that L1 checked with a website for appropriate foods for FC1's dietary needs. Additional confidential interviews stated that FC1 was given different foods that FC2 and FC3 due to their dietary needs. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. In regard to the allegation that licensee mishandles a minor's medications, it was specifically alleged that FC1 stated they ran out of medicine at home and the licensee had not refilled FC1's prescription. Confidential interviews stated that FC1 had arrived at the home with enough medicine for a while but would use it more often because FC1 would have unhealthy foods at school that would affect FC1. It was added that licensee worked with FC1's doctor to get more medicine. Additional confidential interviews stated that they didn't know if FC1 ran out of medicine. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Furthermore, the allegation that licensee does not communicate effectively, it was specified alleged that the licensee does not respond to the phone calls from the school. Confidential interviews stated that L1 tries having good communication with the school but that some of the staff give L1 a hard time. It was added that L1 does call the school back when she misses a call. An additional confidential interview corroborated that some of the school staff give L1 a hard time. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Finally, the allegation that licensee has not completed required documents for a minor, it was specifically alleged that licensee has not signed important paperwork regarding a safety plan for FC1. Confidential interviews stated that L1 had filled out all paperwork at the parent center in Corona. Other information obtained stated that the allegation is true. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegations that licensee does not meet FC1's dietary needs, licensee mishandles FC1's medications, licensee does not communicate effectively, and licensee has not completed required documents for FC1 may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On September 26, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the findings for the allegations stated above involving the SFM's staff and foster children (FC1, FC2 and FC3) as listed on the Confidential Names List (LIC 811) dated September 26, 2024. On May 02, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC2 and FC3. LPA was unable to interview FC1 due to FC1 refusing to be interviewed. On April 26, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee does not meet a minor's dietary needs, licensee mishandles a minor's medications, licensee does not communicate effectively, and licensee has not completed required documents for a minor. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez 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: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/30/2024


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Narrative:
Regarding the allegation that licensee does not provide minor with privacy, it was specifically alleged that FC1 found a hidden camera in the fire alarm in FC1's bedroom. During investigation, confidential interview stated that there are no cameras in any of the bedrooms. It was added that FC1 thought the little light on the fire alarm was a camera. Additional confidential interviews corroborated that there weare no cameras in the bedrooms. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. In regard to the allegation that licensee does not provide a safe environment for minor in care. It was specifically alleged that licensee comes home smelling like alcohol and makes untrue statements about drinking alcohol. Confidential interviews denied that L1 drinks alcohol. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Concerning the allegation that licensee does not provide foster child with adequate clothing, it was specified alleged that licensee only purchased FC1 three outfits to wear. Confidential interviews stated that L1 has bought FC1 and the other foster children enough clothes to wear. Additional confidential interviews stated that L1 bought them the clothes they wanted. LPA was not able to interview FC1 because FC1 refused to be interviewed. LPA was unable to gather additional information. Based on confidential interviews, the allegations that licensee does not provide FC1 with privacy, licensee does not provide a safe environment for FC1 in care and licensee does not provide FC1 with adequate clothing may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On September 26, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the findings for the allegations stated above involving the SFM's staff and foster children (FC1, FC2 and FC3) as listed on the Confidential Names List (LIC 811) dated September 26, 2024. On May 02, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC2 and FC3. LPA was unable to interview FC1 due to FC1 refusing to be interviewed. On April 30, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee does not provide minor with privacy, licensee does not provide a safe environment for minor in care and licensee does not provide foster child with adequate clothing. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez 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: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 09/30/2024


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Narrative:
Finally, the allegation that licensee yells at minors, it was specifically alleged that licensee yells at them once or twice a week. Confidential interviews stated that L1 does not yell at FC1 or FC2. Additional confidential interviews stated that L1 did yell at them. LPA received inconsistent information regarding the allegation. Based on confidential interviews, the allegations that licensee does not help FC1 use the restroom, licensee does not feed FC1 breakfast; licensee is not ensuring FC1's hygiene needs are met; licensee is not sending special diet snacks to school for FC1 and that licensee yells at FC1 may have occurred, however, there was not a preponderance of evidence to support the alleged violations. Therefore, these allegations are unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative. Regarding the allegation that that licensee does not help minor use the restroom, it was specifically alleged that licensee would not let FC1 use the bathroom at home. During investigation, confidential interviews stated that L1 helps FC1 use the bathroom in the mornings. The confidential interview added that one day while FC1 was waiting for the bus FC1 asked to use the restroom. L1 stated L1 would take FC1 to school because FC1 was going to miss the bus. When the bus arrived FC1 stated FC1 did not have to use the restroom anymore. Additional confidential interviews stated that L1 does help FC1 use the restroom every morning. LPA was unable to gather additional information. In regard to the allegation that licensee does not feed minor breakfast, it was specifically alleged that licensee does not give FC1 breakfast. Confidential interviews stated that L1 makes FC1 and FC2 breakfast every morning prior to going to school. Additional confidential interviews stated L1 would feed them eggs, bacon, toast, and hash browns. LPA was unable to gather additional information. Concerning the allegation licensee is not ensuring minor's hygiene needs are met, it was specified alleged that FC1 looks like FC1 had not bathed in a couple days. Confidential interviews stated that L1 bathes FC1 every morning. Additional confidential interview stated that L1 does not shower FC1 that L1 takes FC1 a bath. LPA was unable to gather additional information. Furthermore, the allegation that licensee is not sending special diet snacks to school for minor, it was specified alleged that the licensee does not always send FC1 with snacks to school. Confidential interview stated that L1 sends FC1 and FC2 to school with a variety of snacks. It was added that FC1 has a good appetite. LPA was unable to gather additional information.

Investigation Findings:
13On October 03, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee Roselyn Isigi to deliver the finding for the allegations stated above involving the SFM's staff and foster children (FC1 and FC2) as listed on the Confidential Names List (LIC 811) dated October 03, 2024. On September 22, 2023, Community Care Licensing (CCL) received a complaint alleging that licensee does not help minor use the restroom, licensee does not feed minor breakfast, licensee is not ensuring minor's hygiene needs are met, licensee is not sending special diet snacks to school for minor and that licensee yells at minors. On September 27, 2023, LPA Aborchie initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC1 and FC2. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez 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: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 10/03/2024


raw_content:
Narrative:
Regarding the alleging that licensee hit child with an object, it was specifically alleged that L1 aggressively threw a device at FC1 and hit FC1. During investigation, a confidential interview stated that L1 was talking to FC1 about FC1 breaking L1's Alexa device and that it fell out of L1's hand and it accidentally hit FC1 in the arm. An additional confidential interview stated that L1 did not throw the Alexa device at FC1. Additionally confidential interviews stated that L1 was throwing the Alexa device to the floor and that FC1 got in the way. LPA received conflicting information. Based on confidential interviews, the allegation that licensee hit FC1 with an object may have occurred, however, there was not a preponderance of evidence to support the alleged violation. Therefore, this allegation is unsubstantiated at this time. An exit interview was conducted, and a copy of this report along with the appeal right were reviewed and provided to facility representative.

Investigation Findings:
13On October 03, 2024, Licensing Program Analyst (LPA) Rafael Enriquez arrived at Roselyn's Small Family Home (SFM) and met with Licensee (L1) Roselyn Isigi to deliver the finding for the allegation stated above involving the SFM's staff and foster children (FC1 and FC2) as listed on the Confidential Names List (LIC 811) dated October 03, 2024. On September 04, 2024, Community Care Licensing (CCL) received a complaint alleging that licensee hit child with an object. On September 11, 2024, LPA Enriquez initiated the investigation at the SFH and obtained pertinent documents. Additionally, LPA conducted a safety inspection of the SFH, no immediate health and safety hazards were observed. During the inspection, LPA interviewed L1, FC1 and FC2. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Rafael Enriquez 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: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 10/03/2024


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Narrative:
On 04/15/25, LPA Martinez conducted a collateral interview with the county social worker (R2) assigned to Client 1 (C1). On 04/21/25, LPA Martinez interviewed Client 1 (C1) at the facility and also interviewed the facility administrator (R2). On 05/13/25, LPA Martinez interviewed Client 2 (C2) at their school to document their perspective on care provided in the home. Additionally, three attempts were made to contact the county social worker (R3) for C2; however, LPA Martinez was unable to obtain a statement. (Reference Confidential Names Form LIC 811, dated August 26, 2025). The Department received a complaint alleging that the licensee of a Small Family Home failed to meet the youth's hygiene, emotional, and dietary needs. R1 reported that all children have access to their own hygiene supplies and receive reminders or assistance with bathing and brushing teeth when necessary. The administrator explained that emotional needs are supported through daily check-ins, staff trained in trauma-informed care, and referrals to therapists when needed. The administrator also stated that meals are balanced and snacks are available. Two (2) out of Two (2) youth were interviewed for the investigation. One youth stated that they have been living with R1 for over five years and described their daily routine as waking up, dressing, eating breakfast, and attending school. Two youth confirmed that hygiene supplies are provided, and assistance is available if needed. Two youth reported that there is always plenty of food in the home and that snacks are available between meals. Two youth described not feeling unsafe or uncomfortable, and reported that staff are always available to meet their needs. These accounts were consistent in describing access to hygiene, food, and emotional support, and no discrepancies were noted across the interviews. Based on the interviews conducted, the allegations that the licensee failed to meet a youth's hygiene, emotional, and dietary needs are unsubstantiated. The administrator described systems in place to address these areas of care, and the youth's statements corroborated access to hygiene supplies, adequate meals, and supportive staff. The youth further expressed feeling safe and happy in the home. There are no deficiencies to be cited at this time. LPA Martinez conducted an exit interview and provided a signed LIC 9099 to the facility representative.

Investigation Findings:
13On 08/26/25, Licensing Program Analyst (LPA) Joe Martinez conducted a follow-up complaint inspection at the Small Family Home (SFH). LPA Martinez met with the facility representative named above. The inspection aims to deliver the finding for the above allegation(s). On 04/14/25, the Community Care Licensing Division of the California Department of Social Services received a complaint from the Centralized Complaint and Information Bureau (CCIB) with the following allegation(s): Provider is not meeting foster child's hygiene needs Provider is not meeting minor's dietary needs Provider is not meeting minors emotional needs LPA Martinez investigated the above allegation. The investigation included a review of records and confidential interviews, but it was not limited to these. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Yan Yeung LICENSING EVALUATOR NAME: Joe Martinez 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 LA & TRI-COASTAL CR, CORPORATE CNTR DR. #200A MONTEREY PARK, CA FACILITY NAME: ROSELYN'S SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 08/26/2025

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

met_with: Roselyn Isigi


summary: Facility Evaluation

raw_content:
Narrative:
Licensing Program Analyst (LPA) Juliet Robles conducted a virtual Component II session with Roselyn Small Family Home on January 23, 2025 at 3: PM via Microsoft Teams. LPA met with the applicant, Roselyn Isigi. The purpose of the meeting was to review and discuss the program statement and application. LPA introduced herself and started the meeting with asking licensee what is her reason for relocating. Licensee stated that where she lives currently is expensive and she was able to buy a house in Bakersfield with a much reasonable amount than in Norco. LPA asked licensee where she anticipates placements of clients from. Licensee stated whatever place that they can give clients like Regional Center and Bakersfield County. LPA told licensee an over concentration letter was submitted in the city zoning department last 12/23/24 and SELPA letter to schools about a new SFH facility will be opening in the area. LPA had asked licensee to re-submit documents with original signatures, with the new facility#157807024 and input the new location address in Bakersfield. · LIC 200-change the box 12A.... · Driver's License -a copy · LIC 308 · LIC 400 · LIC 402 · LIC 215 · LIC 501 · LIC 610-missing information on: IV. Temporary relocation sites: V. Utility Shut Off; VI. First Aid Kit; VII. Equipment.... Facility Program Statement Description needed to add: · grounds for dismissal/eviction/relocation/ removal of client from placement · Child Abuse Reporting Procedures. · sample of meals to include Saturday and Sunday and ensure the size/portions of food is noted on the menu. · Client's use of telephone for emergency and non-emergency.... · CCL Reporting Procedures · Sign In & Out procedures: · Please add video cameras addendum if using door cameras - inside and outside of small family home. See PIN 24-09-CRP for guidance. 1) Please add a section about Organization chart (line of Supervision) with Job Descriptions: 2) Duties and responsibilities of: * Administrator/Licensee * Caregiver sub/Assistant/Staff * In-Service training- like topics covered, how will training be documented, how often will-in service be held? * Who will be providing the training? LPA advised the licensee that all revisions and documents need to be submitted on or before 01/31/25. The Pre-licensing will take place on Tuesday, January 28, 2025. LPA advised the licensee that all documents and program statement revisions will be reviewed by her manager LPM Yan Yeung. Exit interview was conducted and a copy of this report was emailed to Roselyn Isigi.


summary: Facility Evaluation

raw_content:
Narrative:
On January 28, 2025 at approximately 1: PM, Licensing Program Analyst (LPA) Juliet Robles conducted an announced pre-licensing inspection at the above address. The licensee is relocating her Small Family Home Program from Norco to Bakersfield. Upon arrival, LPA met with Roselyn Isigi, the owner/administrator. Together they toured the external and internal areas of the home. The following was observed at the time of inspection: Physical Plant This facility is a one-story house located in a quiet residential community. The facility consists of five (5) bedrooms, three (3) bathrooms, kitchen, dining area, living room, family room, laundry room and backyard with a pool and basketball hoop. Overall, the facility is clean, sanitary and in excellent condition. Passageways are free from obstruction. Knives and sharps, disinfectants and cleaning solutions will be kept locked and secured in the kitchen. Per administrator there are no firearms on the premises. The facility has a centralized heat and air-conditioning unit. Temperatures throughout the home during the inspection were comfortable. Carbon monoxide and smoke alarms were tested and observed to be operational. The home has one fire extinguisher. The pool has a fence that is at least 5 feet high and has a self-latching device. A fire inspection was conducted by the Kern County Fire Department on 01/23/25 and a fire clearance was granted for three ambulatory clients, 2 non-ambulatory and 1 bedridden client. Fixtures, Furniture, Equipment, and Supplies Bedroom #1 a client with a wheelchair will have one twin bed and a dresser that will be used, Bedroom #2, will have 2 twin beds and 2 dressers, Bedroom #4 will have 1 or 2 twin beds and dresser, & Bedroom#5 will have 1 or 2 twin bed/s with dresser. There are two bathrooms that can be utilized by the clients. The owner/administrator will occupy bedroom # 3 and has its own bathroom. Heath Related Services and Record Keeping Medications, the first aid kit will be centrally stored and locked in a cabinet by the kitchen. The kit contains all required supplies. The client and staff files will be stored in a locked file cabinet in the administrators' bedroom. LPA also conducted Component III - Category Specific Orientation with the applicant. The following items were discussed and provided to the applicant: -Title 22 regulations on Small Family Homes - Continuing Requirements (General Licensing Requirements) - Buildings and Grounds requirements - Personnel Records (forms) - Client Records (forms) -Reporting Requirements - Other administrative forms LPA guided applicant to go to this website for additional information regarding the inspection and its CARE Tools and methods, please visit the CARE Tools web page or the Inspection Process Project web page.(www.cdss.ca.gov) On today's visit, the administrator submitted the following: LIC 200, 308, 402, 215, 420, 500 and a copy of her driver's license. The revisions for the Program Statement were explained to administrator/owner and will be submitted on/or before February 07, 2025. LPA advised licensee that all documents submitted, and revisions of PS will also be reviewed by LPM Yeung. No deficiencies were observed on this date. An exit interview was conducted a signed copy of this report was provided to the applicant.


summary: Facility Evaluation

raw_content:
Narrative:
On April 11, 2025 at 9: AM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced inspection at the Small Family Home facility and met with the licensee, Roselyn Isigi. The purpose of the inspection was about post licensing. Currently the facility has two (2) children in care. At 9: AM, LPA and licensee toured the internal and external areas of the home. The following was observed at the time of inspection: This facility is a one-story house located in a quiet residential community. The facility consists of five (5) bedrooms, three (3) bathrooms, kitchen, family room, dining area, laundry room and backyard with pool and basketball hoop. Overall, the facility is clean, sanitary and in excellent condition. Passageways are free from obstruction. Knives and sharps, disinfectants and cleaning solutions are kept locked and secured in the kitchen. Per licensee, there are no firearms/ammunition on the premises. The facility has a centralized heat and air-conditioning unit. Temperatures throughout the home during the inspection were comfortable. Carbon monoxide and smoke alarms were tested and observed to be operational. The home has one fire extinguisher. The pool has a fence that is at least 5 feet high and has a self-latching device. Medications, the first aid kit is centrally stored in a cabinet by the hallway. The first aid kit contains all required supplies. The home has toilets, wash basins, and one shower/bath for clients' use. The water temperature was tested at 105 degrees which is within regulatory guidelines. Licensee got a phone call emergency from the school to pick up one client not feeling well. This inspection will be continued on another day to complete. On today's visit LPA reminded licensee about the current LIC 503, and TB testing and any new hires will go through fingerprints and documents. LPA provided licensee PIN 24-09-CRP for the Video Cameras in Children's Residential Congregate Care Facilities. LPA reminded the licensee to submit the PS addendum by May 13, 2025. There are no deficiencies found at this time. An exit interview was conducted and LPA provided a copy of the following reports: LIC 809, LIC 811 to Ms. Roselyn Isigi, Administrator/Licensee.


summary: Facility Evaluation

raw_content:
Narrative:
On April 21, 2025 at 10: AM, Licensing Program Analysts (LPAs) Juliet Robles and Joe Martinez conducted an unannounced inspection at the Small Family Home facility and met with the licensee, Roselyn Isigi. The purpose of the inspection was about a continuation of the post licensing conducted last April 11, 2025. Currently the facility has two (2) children in care. At 10: AM, LPAs and licensee toured the internal and external areas of the home. The following was observed at the time of inspection: LPAs did a walk through and observed the following in the facility. Licensee has perishable food in the countertop kitchen like fresh fruits and breads accessible for clients in care. LPAs observed she has a locked filing cabinet that she stores medication, staff and client files in her bedroom that is locked. The following sleeping arrangements were noted: Bedroom #1 sleeps Client 1 with wheelchair access, hospital bed, closet and dresser space and table. Bedroom #2 sleeps Client 2 with a twin bed, closet space and table. Bedroom #3 for potential client with twin bed, closet Bedroom #4 for potential client with full bed, closet Bedroom #5 - Master's Bedroom sleeps Licensee with own bathroom Individual beds were observed with appropriate clean linens, pillows, comforters, and mattresses in good condition. Each bedroom has sufficient drawer and closet space. There are two full bathrooms in the home, all in working order. The licensee is the main caretaker of the home. Client and staff files are stored under lock and key in the file cabinet in the licensee's bedroom. LPA reviewed two (2) client records and one (1) staff record (See LIC Confidential Name List, dated 04/21/25). LPA checked required criminal record and child abuse index check clearance or exemption for all adults in the home. LPA interviewed the licensee and 1 client at the facility. During today's inspection, the facility is issued with one Technical Violation, nine Technical Advisory and one Type B deficiency. See LIC 809D for citation details. An exit interview was conducted and the following reports: LIC 809, LIC 809C, LIC 809D, LIC 811, LIC 9102 and appeals rights were provided and discussed with the Ms. Isigi.


summary: Facility Evaluation

raw_content:
Narrative:
On August 19, 2025, at 9: AM, an unannounced Case Management inspection was conducted by Licensing Program Analyst (LPA) Juliet Robles to discuss timely submission of incident reports to the Department. LPA Robles met with the Licensee, Roselyn Isigi. On July 07, 2025, LPA Robles received an email report from the Small Family Home (SFH) Administrator about an incident with regards to client's runaway that resulted in an accident (See Reference LIC 811, Confidential Name List dated 08/19/25). The date of the incident was July 4, 2025, the Department was notified late of the incident. On July 17, 2025, LPA Robles contacted SFH Administrator to discuss completing a process on Guardian and the program statement addendum for video camera usage. LPA Robles emailed and left voice mail messages to the administrator but no response. Per administrator, she is out of the country at that moment and will be back at the end of July. LPA had asked the administrator if she had submitted an incident report about her being away from the SFH facility. Per administrator, she stated she did but did not forward any email to LPA. Based on the above information, a technical advisory (TA) was issued to the SFH facility. Exit Interview was conducted and the following reports: LIC 809, LIC 9102, LIC 811 were provided and discussed with the administrator, Roselyn Isigi.


summary: Facility Evaluation

raw_content:
Narrative:
On February 04, 2026, at 10: AM, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced inspection at the Small Family Home facility and met with the licensee, Roselyn Isigi. The purpose of the inspection was about an Annual/Required inspection. LPA and licensee toured the internal and external areas of the home. LPA observed the following at the time of inspection. This facility is a one-story house located in a quiet residential community. The facility consists of five (5) bedrooms, three (3) bathrooms, kitchen, family room, dining area, laundry room and backyard with pool and basketball hoop. Passageways are free from obstruction. Knives and sharps, disinfectants and cleaning solutions are kept locked and secured in the kitchen. There is perishable food on the countertop like fruits. Per licensee, there are no firearms/ammunition on the premises. The facility has a centralized heat and air-conditioning unit. Temperatures throughout the home during the inspection were comfortable. Carbon monoxide and smoke alarms were tested and observed to be operational. The home has two (2) fire extinguishers. The pool has a fence that is at least 5 feet high and has a self-latching device. Medications are stored in the licensee's bedroom in a locked cabinet. The staff and client file are stored in a locked cabinet. The first aid kit is on the table in the entry way and contains all required supplies except for the American Red Cross Manual. The home has toilets, wash basins, and one shower/bath for clients' use. The water temperature was tested at 105 degrees, which is within regulatory guidelines. There are six (6) cameras that are situated away from client's room, bathroom or window. The cameras are located on the garage, foyer, at the front door outside, inside the entryway and in the living room and outside/backyard perimeter. The audios are disabled. The following sleeping arrangements were noted: Bedroom #1 sleeps one (1) client with wheelchair access, hospital bed, closet and dresser space and table. Bedroom #2 is vacant with a twin bed, closet space and table. Bedroom #3 vacant with twin bed, closet Bedroom #4 vacant with full bed, closet Bedroom #5 - Master's Bedroom sleeps Licensee with own bathroom LPA reviewed one (1) client record and one (1) staff record (See LIC Confidential Name List, dated 02/04/26). LPA checked required criminal records and child abuse index check clearance or exemption for all adults in the home. LPA interviewed the licensee at the facility. During today's inspection, the facility issued three (3) Technical Violation, one (1) Technical Advisory and one (1) Type B deficiency. See LIC 809D for citation details. An exit interview was conducted and the following reports: LIC 809, LIC 809C, LIC 809D, LIC 811, LIC 9102 and appeals rights were provided and discussed with Ms. Isigi.

met_with: Roselyn Agiza Isigi


summary: Facility Evaluation

raw_content:
Narrative:
On May 06, 2026, at 10: AM, Licensing Program Analyst (LPA) Juliet Robles made an unannounced visit to the Small Family Home (SFH) and met Licensee/Administrator, Roselyn Isigi. The purpose of the visit is to confirm the usage of the camera and its location to re-submit a program statement addendum. Currently the facility has 1 client and is in school during the time of visit. The LPA and administrator/licensee did a walk-through of the facility inside and outside. LPA observed that there are nine (9) cameras at the facility. 1) A ring doorbell video camera at the front door entrance, 2) motion camera at the inside front door facing the living room, 3) motion camera top portion of the wall facing the kitchen area and family room, 4) camera facing the living room and entrance door, 5) outside on the right-side near the living room facing the gate, 6) outside on the left roof of family room facing the pool area, 7) outside left rear of the roof facing the left side gate and outside, 8) outside left rear of the roof facing the left side backyard and left side of pool area and 9) outside left side roof the home facing the street. Per administrator, all video cameras both interior and exterior have their audio disabled. LPA advised the administrator to disable the camera until the approval letter is received. LPA requested the revise program statement to be submitted on or before May 18, 2026. LPA provided the facility with a copy of PIN 24-09-CRP Video Cameras in Children's Residential Congregate Care Facilities. Based on the observation and information gathered, there is no deficiency cited at this time, no further follow up is needed. A copy of this report was given to the administrator, Roselyn Isigi.


summary: Facility Evaluation

raw_content:
Narrative:
On May 06, 2026 at 10:50 am, Licensing Program Analyst (LPA) Juliet Robles conducted an unannounced case management inspection of the Small Family Home facility and met with Administrator/Licensee, Roselyn Igiza. The purpose of the inspection is to provide a Technical Assistance (TA) with resources for training websites. The following topics, training and websites were discussed with the Administrator. · Reporting Requirements · Foster Care Healthy Sexual Development · Reasonable & Prudent Parent Standard · Medication Guide · Personal Rights · Psychotropic Training An exit interview was conducted, and a copy of this report was provided to the facility representative.


facility_name: ROSEMARY COLE SFH

summary: Facility Evaluation

raw_content:
Narrative:
On May 27, Licensing Program Analyst (LPA) Maryjane Perez met with applicant Rosemary Cole this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicant Rosemary Cole.

met_with: Applicant- Rosemary Cole


summary: Facility Evaluation

raw_content:
Narrative:
On June 11, Licensing Program Analyst (LPA) Maryjane Perez arrived at Rosemary Cole Small Family Home for a pre-licensing inspection for an initial license. LPA met with applicant Rosemary Cole who led a tour of the entire home inside and out. Currently there are no children placed in the home. The applicant is applying to serve a capacity of six ambulatory children ages 0 to 17 years old. The home is a one- story building with four bedrooms and three bathrooms. The entry way of the home had a facility sketch posted and a visitation log available. The hallway leading to the garage had fire extinguisher #1, a laundry room that was accessible to clients but had a locked cabinet storing laundry detergents and cleaning supplies. Bathroom #1 was fully functioning with a locked cabinet under the sink storing cleaning supplies/extra hygiene products. The water temperature was measuring 118 degrees Fahrenheit. Bedroom #1 was fully furnished with two size beds, dressers, lamps and closet space and will be utilized for two clients and was currently vacant. Bathroom #2 was fully functioning and had dual sinks and extra hygiene products stored in cabinets.There was Bedroom #2 that was fully furnished with two twin size beds, dresser/ closet space, lamps and toys that will be utilized for two clients and was also currently vacant. There was a hallway closet that stored extra towels, blankets, linens, and mattress protectors for clients use. Bedroom #3 will also be utilized for two clients and is fully furnished with two twin size beds, dresser/closet space, and lamps. The bedroom was currently vacant. There was a formal dining area with adequate seating arrangement, a living room with couches/ television, an office with all required postings such as personal rights, emergency disaster plan, visitation policy, menu, and house rules. The office also stored a first aid kit with all required elements and fire extinguisher #2. The kitchen was clean and sanitary with a locked cabinet for storing client and personnel files, medication, and cash resources. The refrigerator and pantry were fully stocked with three days of perishable and seven days of non- perishable foods. The knives/ sharp objects were locked in a drawer and cleaning supplies were locked under the sink. There was a dining table and counter space with adequate seating. Bedroom #4 was the master bedroom and had bathroom #3 for applicant and will be locked at all times. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. No room that is commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The smoke detectors and carbon monoxide detectors were checked and are working properly. There was a land- line telephone service, appliances were in working order, and all trash cans had tight fitting lids. All hazardous items have been properly made inaccessible to areas where children will have access. 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 corrections needed at this time. Based on this inspection, the home is appropriate for a capacity of six ambulatory clients. The request for licensure will be forwarded to Licensing Program Manager for final approval. Component III orientation was also completed this day of June 11, 2025. An exit interview was conducted. A copy of this report was provided to applicant Rosemary Cole.


summary: Facility Evaluation

raw_content:
Narrative:
On December 18, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Rosemary Cole Small Family Home (SFH) for a post licensing inspection and met with licensee Rosemary Cole who led a tour of the entire facility inside and outside. Currently there is one client placed in the home. The home was approved for a capacity of six ambulatory children ages 0 to 17 years old. The home is a one- story building with four bedrooms and three bathrooms. The entry way of the home had a facility sketch posted and a visitation log available. The hallway leading to the garage had fire extinguisher #1, a laundry room that was accessible to clients but had a locked cabinet storing laundry detergents and cleaning supplies. Bathroom #1 was fully functioning with a locked cabinet under the sink storing cleaning supplies/extra hygiene products. The water temperature was measuring 118 degrees Fahrenheit. Bedroom #1 was fully furnished with two size beds, dressers, lamps and closet space and will be utilized for two clients and was currently vacant. Bathroom #2 was fully functioning and had dual sinks and extra hygiene products stored in cabinets. There was Bedroom #2 that was fully furnished with two twin size beds, dresser/ closet space, lamps and toys that will be utilized for two clients and was also currently vacant. There was a hallway closet that stored extra towels, blankets, linens, and mattress protectors for clients use. Bedroom #3 was currently occupied by one client and had a twin size mattress that was missing a bed frame but had clean blankets, sheets, and pillows as well as dresser/ closet and lighting. There was a formal dining area with adequate seating arrangement, a living room with couches/ television, an office with all required postings such as personal rights, emergency disaster plan, visitation policy, menu, and house rules. The office also stored a first aid kit with all required elements and fire extinguisher #2. The kitchen was clean and sanitary with a locked cabinet for storing client and personnel files, medication, and cash resources. The refrigerator and pantry were fully stocked with three days of perishable and seven days of non- perishable foods. The knives/ sharp objects were locked in a drawer and cleaning supplies were locked under the sink. There was a dining table and counter space with adequate seating. Bedroom #4 was the master bedroom and had bathroom #3 and was locked at all times. Bedrooms were arranged so that no more than two children share a room, and there is one child per bed. No room that is commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. The smoke detectors and carbon monoxide detectors were checked and are working properly. There was a land- line telephone service, appliances were in working order, and all trash cans had tight fitting lids. All hazardous items have been properly made inaccessible to areas where children will have access. First Aid kit was accessible with all required items. As stated by licensee, 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. LPA interviewed licensee, one staff volunteer and attempted to interview one client. LPA reviewed licensees file, 1 staff volunteer file and one client file. 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. An exit interview conducted and a copy of this report, 10 technical violations and 1 deficiency were discussed and provided to licensee Rosemary Cole.

met_with: Licensee- Rosemary Cole


raw_content:
Narrative:
when a client is exhibiting behaviors, and that no bruising had been observed on the client. LPA was unable to obtain additional interviews. Based on confidential interviews and a review of pertinent documents, the allegation that client 1 sustained multiple bruises due to staff neglect may have occurred or may be valid; however, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted and a copy of this report was reviewed with and provided to with licensee Rosemary Cole.

Investigation Findings:
13On April 3rd, 2026, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Rosemary Cole Small Family Home (SFH) and met with licensee Rosemary Cole to deliver the findings for the above-stated allegation. On December 10, 2025, Community Care Licensing received a complaint alleging that a minor sustained multiple bruises due to staff neglect. On December 19, 2025, LPA M. Perez conducted a health and safety inspection of the facility, during which no hazards were observed. Lpa M. Perez also obtained pertinent documents, interviewed the licensee (LS) and staff 1 (S1), and attempted to interview client 1 (C1). Regarding the allegation that the minor sustained multiple bruises due to staff neglect, confidential interviews revealed that the client engages in self-harming behaviors that occasionally result in bruising and may become aggressive on a daily basis. Interviews further indicated that staff use verbal redirection or allow the client time to calm down before approaching Another confidential interview stated that staff do not physically grab or touch clients 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: ROSEMARY COLE SFHFACILITY NUMBER: VISIT DATE: 04/03/2026


facility_name: ROXIE'S WAY SFH

summary: Facility Evaluation

raw_content:
Narrative:
On July 22, Licensing Program Analyst (LPA) Maryjane Perez met with applicant Christopher Daily this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA gave a copy of the LIC 184, Letter of Application Revision, and additional correspondence to assist with the revisions needed to the application. A copy of this report was provided to applicant Christopher Daily.

met_with: Applicant- Christopher Daily