summary: Facility Evaluation

raw_content:
Narrative:
On January 21, 2021 at 10: AM, Licensing Program Analyst (LPA), Linda Haynes, began a pre-licensing inspection for a capacity increase for a Small Family Home license. LPA met with Licensee Wilyon Miller who led a tour of the home. The facility was toured both inside and out with the applicant. The home is a two-story home and consists of: Downstairs: Bedroom #1, the room consist of one full size bed- it will sleep one child- currently vacant. There was a living room, dining area, the kitchen, the garage, laundry room, and bathroom. Upstairs: Bedroom #2, the room was furnished with a twin-size bunk bed- It sleeps two children. Bedroom #3, the room was furnished with a king-size bed and a crib- it sleeps the applicant and the crib sleeps a 1-year old child. Bedroom #4, the room was furnished with a full-size bed - it was vacant. Bedroom #5, the room was furnished with a queen-size bed - it sleeps the applicants 22- year old daughter Bedroom #6, the room was furnished with a queen-size bed - it sleeps the applicants 20- year old son There is a loft that serves as a multipurpose area. Bedrooms were arranged so that no more than two children share a room, and there was one child per bed. No bedroom serves as a passageway to another room. There were adequate drawer and closet space for children's belongings. Upstairs outside the bedrooms, there was a loft designated game and play area which contained toys. It was observed to be safe, clean, and age appropriate for the age group of children to be cared for. The smoke detectors were checked and were working. The fireplace was in the living room area and it was properly screened. There is a landline telephone. The appliances were in a working order. Inside of the home, hazardous items have been properly made inaccessible to areas where children will have access. The medications are stored in the kitchen and are in lock boxes one in the cabinet and one the refrigerator. The first aid kit was stored in the downstairs bathroom and contains needed supplies. Cleansers/chemicals were locked and stored in utility cabinet located in the garage. Sharp knives were inaccessible and store in the utility cabinet in the garage. There were no guns or weapons as stated by Licensee Wilyon Miller. The hot water temperature was tested and noted to be 120 degrees. All food is properly stored. Trash cans for storage of solid waste have tight fitting lids. The fire extinguisher was in the kitchen, an additional fire extinguisher was in the garage, in the loft and laundry room. There was an additional refrigerator and freezer in the garage. The Facility Sketch, Emergency Disaster Plan were posted. There was no pool or other body of water. There were no deficiencies noted at this time. This report was reviewed and a copy was provided to licensee Wilyon MIller. This home is being recommended for a capacity increase.


state: CA

facility_name: YONNIK SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On Wednesday September 6, 2023, at 10: AM Licensing Program Analyst (LPA) Linda Haynes conducted an annual inspection of the facility. At time of inspection LPA met with Licensee Wiylon Miller. The facility was toured inside and out with License Wiylon Miler. The home is a two-story residence with seven bedrooms and four bathrooms. Bedroom # 1 is the Master and sleeps the client Bedroom # 2 is upstairs and 2 twin bunk beds and sleeps licensee's son. Bedroom # 3 is upstairs has a full bed and is a spare room. Bedroom # 4 is upstairs has a full bed and sleeps the adult daughter Bedroom # 5 is upstairs has a full bed and sleeps the adult daughter Bedroom # 6 is down stairs has a full bed and sleeps one client Bedroom # 7 is down stairs has a full bed and a crib and sleeps two clients Bedrooms are arranged so that no more than two clients are in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. Hot water in bathroom number one measured to be 109.0, bathroom number two 107.5 and Master bathroom 109.9. Bathroom number four is the only accessed through the adult children's room and the clients do not have access to it. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications are stored in a locked cabinet in the kitchen. Cleansers/chemicals are stored in a locked cabinet in the garage. Sharp knives are inaccessible and stored in a locked cabinet in the garage. The First Aid Kit is located in the kitchen and contained all required supplies. The facility's smoke detectors / Carbon Monoxide detectors in each bedroom were checked and were operable. There are no guns or weapons in the facility as stated by Licensee Wiylon Miller. The following required posted items was accessible to clients: Grievance Procedures, Personal Rights, and Visitation policies. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is no pool or other body of water. Exit interview conducted and a copy of this report was discussed and provided to Licensee Wiylon Miller on this date.

report_type: Facility Evaluation

met_with: Wilyon Miller


summary: Facility Evaluation

raw_content:
Narrative:
On October 2, 2024, at 8: AM, Licensing Program Analyst (LPA), Adaleyci Caballero conducted pre-licensing inspection for a capacity increase for Yonnik Small Family Home (SFH). LPA met with Licensee Wilyon Miller who led a tour of the home. The facility was toured both inside and out with the licensee. The home is a two-story home and consists of: Downstairs: Bedroom #1- The room consist of one medical bed and one single bed- It sleeps one non-ambulatory and will sleep one additional non-ambulatory/bedridden client. The beds had linen, comforters, and pillows. Bedroom #2- The room was furnished with a single bed. The bed had linen, comforters, and pillows. It sleeps one client. Upstairs: Bedroom #3- It consisted of a single bed. licensee's bedroom. Bedroom #4- It consisted of one single bed. It sleeps licensee's adult children when visiting. Bedroom #5- It consisted of a single bed. It sleeps licensee's adult children when visiting. Bedroom #6- It consisted of a single bed. The bed had linen, comforters, and pillows. It will sleep one ambulatory client. Bedroom #7- It consisted of two single beds. The bed had linen, comforters, and pillows. It sleeps licensee's bio son and one client. There was a living room, family room, dining area, kitchen, garage, loft, laundry room, four full bathrooms, backyard, and two car garage. The clients' bedrooms were arranged so that no more than two clients will be in a room. No room commonly used for other purposes is used as a bedroom, and no client bedroom serves as a passageway to another room. There was adequate closet space for the clients' belongings. There was a smoke detector in every bedroom. The eight smoke detectors and carbon monoxide detector were checked and working properly. The home's central air conditioning module was in the backyard. The water heater was in the garage. The appliances were in working order. The clients files are locked inside a filing cabinet in the licensee's bedroom. There was adequate food storage space and a supply of three days of perishable foods and a week of non-perishable foods. The home had a trash can for storage of solid waste with a tight-fitting lid. The sharp knives were locked in a cabinet in the garage. Medications were locked in a lock box inside a kitchen cabinet. The hot water was at a temperature of 120.1 degrees Fahrenheit. The First Aid kit was accessible and was placed in a drawer in the bathroom downstairs. There was one fire extinguisher present in the home located in the family room area. It was observed to be properly charged and inspected by the fire department. There are no firearms in the home. There was no pool or other bodies of water at the home. The backyard is fully fenced and free of debris. The home has three cameras on the outside premise and three cameras in the common areas of the home. The Facility Sketch, Emergency Disaster Plan, CCIB Hotline, Personal Rights, and Food Menu were posted. There were no deficiencies noted at this time. This report was reviewed and a copy was provided to licensee Wilyon MIller via email. This home is being recommended for a capacity increase. Designated person Kameron Taylor signed the document due to licensee unable to stay to sign the document.

visit_type: Case Management

met_with: Licensee-Wilyon Miller


summary: Facility Evaluation

raw_content:
Narrative:
On July 15, 2025, at 09: AM Licensing Program Analyst (LPA) Raina Perez-Diaz conducted an annual inspection of the facility. At time of inspection LPA met with Licensee Wiylon Miller. The facility was toured inside and out with Licensee Wiylon Miler. The home is a two-story residence with seven bedrooms and four bathrooms. Bedroom # 1 is the Master and sleeps the Licensee and spouse. Bedroom # 2 is upstairs and 2 twin bunk beds and sleeps licensee's son and client. Bedroom # 3 is upstairs has a full bed and is a spare room. Bedroom # 4 is upstairs has a full bed and is a spare room. Bedroom # 5 is upstairs has a full bed and sleeps one client. Bedroom # 6 is down stairs has a full bed and sleeps one client. Bedroom # 7 is down stairs has a full bed, one medical bed, and sleeps one client. Bedrooms are arranged so that no more than two clients are in a room, and there is one client per bed. There is adequate shelf and closet space for client's belongings. The bathrooms were clean and in good repair. Hot water in bathroom number one measured to be 117.3 degrees which is within regulation. Bathroom number four is accessible through the vacant spare rooms and the clients do not have access to it. All hazardous items have been properly made inaccessible to areas where clients will have access. The medications are stored in a locked cabinet in the kitchen. LPA observed a minimum 7-day non-perishable and a 2-day perishable supply of food. There was a variety of snacks available for clients as well. Cleansers/chemicals are stored in a locked cabinet in the garage. Sharp knives are inaccessible and stored in a locked cabinet in the garage. ***Continued on LIC-809-C*** There are two fire extinguishers present in the home. One is located in the family room and the other one is mounted to the wall in the upstairs loft area. The First Aid Kit is located in the downstairs bathroom and contained all required supplies. The facility's smoke detectors / Carbon Monoxide detectors in each bedroom were operable. There are no guns or weapons in the facility as stated by Licensee Wiylon Miller. The following items are posted and are accessible to clients: Grievance Procedures, Personal Rights, Ombudsman Poster, Visitation policies, and current menu. The facility outside grounds was also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. There is no pool or other body of water. The facility did not maintain a record or conduct the required disaster drills; therefore, the Licensee is being cited for violation of California Code of Regulations (CCR) 80023(d) DISASTER AND MASS CASUALTY PLAN Disaster drills shall be conducted at least every six months. LPA Perez-Diaz reviewed files for four clients in care [Client #1 (C1) - Client #4 (C4)]. All clients' files were found to have Cash/Property/Valuables records, Medical Consent forms and signed needs and services plans. All four clients in care are missing their tuberculosis (TB) test result. Therefore, the facility is being cited for violation California Code of Regulations (CCR) CLIENT MEDICAL ASSESSMENT 80069 (c) The medical assessment shall include the following: (1) The results of an examination for communicable tuberculosis and other contagious/infectious diseases. A review of administrative records indicate that the facility has an outstanding balance of $25.00. 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, both LIC 809-D, and appeal rights were provided to Licensee Wiylon Miller.

visit_type: Annual

met_with: Licensee- Wiylon Miler


summary: Facility Evaluation

raw_content:
Narrative:
On July 24, 2025, at 09: AM Licensing Program Analysts (LPA) Raina Perez-Diaz and Matthew Dorantes arrived to the facility to conduct an unannounced continuation annual inspection. During time of inspection LPA reviewed five staff records and conducted two staff and two client interviews. LPA reviewed five staff files for [Staff #1 - Staff #5 (S1-S5)]. All staff files reviewed have Department of Justice (DOJ), Federal bureau of Investigation (FBI) and Child Abuse Clearance Index (CACI) clearance, proof on file of acknowledging the child abuse reporting requirements and meet the minimum qualifications and training requirements per Community care Licensing Regulations. Based on record review, the licensee did not comply with California Code of Regulations (CCR) PERSONAL RECORDS 80066(a)(10) A health screening as specified in Section 80065(g) and California Code of Regulations (CCR) PERSONAL RECORDS 80066(a)(11) Tuberculosis test documents as specified in Section 80065(g) in 1 out of 5 staff records S2; however, S2 currently has an active health screening and tuberculosis test results with a different facility and is actively obtaining those records to be placed in facility file. Therefore, a Technical Violation (TV) was given with the expectation of receiving a copy of the health sheet and test results via email by July 30, 2025. Based on the facility inspection and file reviews on this date, there are no deficiencies found at this time. A technical violation was also issued to the facility for CCR regulation 80066(a)(10) and 80065(g). A copy of this report was reviewed and given to Designee Nakia Wilson, along with the confidential names list (LIC 811), both LIC 9102, and appeal rights.


summary: Facility Evaluation

raw_content:
Narrative:
On March 16, 2026, at 3: PM , Licensing Program Analyst (LPA) Stefanie Mutualu arrived unannounced at Yonnik Small Family Home (SFH) for the purpose of opening a Case Management inspection. LPA met with Licensee, Wilyon Miller. LPA conducted a walk through and no deficiencies were observed. There are two clients in care. On March 16, 2026, Community Care Licensing received information that a staff member (S1) is working or was working at the SFH that did not obtain a Criminal Background Clearance. LPA reviewed Guardian to ensure that all individuals have a criminal record clearance and record review indicated that S1 was not listed on the personnel report and was not listed in Guardian. Based on Guardian report there are two other Staff (S2, S3) listed on the Guardian roster that are still in process and have not obtained a Criminal Background Clearance. LPA conducted two confidential interviews. The Case Management is being continued due to the need to gather additional information. An exit interview was conducted with Licensee, Wilyon Miller. A copy of this report and Confidential Names (LIC811) were provided and discussed with Licensee, Wilyon Miller. Due to technical difficulties the report was emailed at the time of inspection.

met_with: Licensee, Wilyon Miller


facility_name: YVONNE AND JONATHAN SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On September 12, 2025, at 3: PM, Licensing Program Analyst (LPA) Lucero Jauregui accompanied by Licensing Program Manager (LPM) Dawn Segura met with Applicants Yvonne Ashton and Jonathan Ashton for a Component II orientation at the Community Care Licensing San Diego Office. LPA and applicant discussed needed revisions to the application and program statement prior to today's meeting. At this time, updates and revisions have been received by Community Care Licensing. LPA advised applicant the department will proceed with the application process. A signed copy of this report was provided to Yvonne and Jonathan Ashton.

met_with: Yvonne and Jonathan Ashton


summary: Facility Evaluation

raw_content:
Narrative:
On December 8, 2025 at 10: AM, Licensing Program Analysts (LPA) Lucero Jauregui conducted a pre licensing inspection and Component III orientation. LPA met with Yvonne and Jonathan Ashton whom are applying for a Small Family Home with the capacity of 2 ambulatory and 2 non-ambulatory clients, ages 1- 17 years old. The facility is a one story home with living room, dinning room, kitchen, five bedrooms, five bathrooms, backyard with pool, and a two car garage. Bedroom 1 and Bedroom 2 will be for client use only. Bedrooms are set up to where there are no more than two clients per bedroom, no room commonly used for other purposes will be used as a bedroom, and no bedroom serves as a passageway to another room. LPA observed twin beds and adequate closet/ dresser space for client belongings. The hot water was measured in client bathroom to be 113 degrees Farenheit. The master bedroom is occupied by the applicants and bedroom will remain locked at all time. Two additional bedrooms are occupied by the applicants family and will remain locked at all times. The living room is observed with furniture, television and ample space for relaxation. The kitchen is observed to be clean and free from observable hazards. The sharps are maintained locked in a lock box in the pantry. Chemicals and cleaning supplies are maintained locked under the sink. Medication, client and staff files will be maintained locked in file cabinet next to the kitchen. Fire extinguisher and first aid kit was observed and contained required items. Continued.... The laundry room contains washer and dryer and will be maintained locked at all times. LPA observed sufficient clean towels, linen and bedding. There is a two car garage that will remain locked at all times. There is closet space in the hallways for extra storage of supplies. There is an office in the hallway with a phone available for client use. A physical plant inspection was conducted: There is adequate indoor and outdoor activity space for client use. The home has carbon monoxide, smoke detectors and a fire sprinkling system. LPA observed pool in the backyard to be appropriately fenced with a self-closing/ self-latching door. There is a tool shed that will be maintained locked at all times. Component III orientation was completed. LPA provided applicant with duty officer phone line and email for reporting incidents. Based on this inspection, no deficiencies were noted at this time. The application will be forwarded to management for final review and approval. An exit interview was conducted and a copy of this report was given to Yvonne Ashton.

visit_type: Prelicensing

met_with: YvonNe and Jonathan Ashton


facility_name: ZAINAB SMALL FAMILY HOME

summary: Facility Evaluation

raw_content:
Narrative:
On December 14, 2023 at 10: AM Licensing Program Analyst (LPA) Babatunde Aborchie began a Pre-Licensing inspection for a Small Family Home license. LPA met with applicant Zainab Jalloh led a tour of the home. The facility was toured both inside and out with the applicant. The applicant is applying for a capacity of 3 ambulatory clients. The home consists of: Downstairs: Bedroom #1, It was furnished with a full bed. It was vacant. There were also a family room, a living room, dining area and one bathroom. Upstairs: Bedroom #2, Master bedroom. The room consisted of one Cal king sized bed and a crib. It sleeps the applicant/Licensee. Bedroom #3, The room was furnished with a queen bed. It sleeps biological daughter aged 14 years. Bedroom #4, The room was furnished with a queen bed. It sleeps a biological son aged 10 years. Bedroom #5, The room was furnished with two twin beds. It would sleep two clients. It was vacant. Bedrooms are arranged so that no more than two children share a room, and there was one child per bed. No room commonly used for other purposes 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 were checked and were working properly. Inside the facility the fireplace was properly screened. Telephone service and appliances were in a working order. All hazardous items have been properly made inaccessible to areas where children will have access. The medication will be locked in the kitchen cabinet area. Cleansers/chemicals were locked and stored in the laundry room cabinet. Sharp knives were inaccessible and stored in a locked kitchen cabinet. There were no guns or weapons as stated by the applicant at this time. The hot water temperature was tested and noted to be 112 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit was accessible with all required items, and it was in the kitchen cabinet. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The backyard where children will have access to play was completely fenced and free of hazards. There are no deficiencies to be cited at this time. The request to be licensed for a small family home will be forwarded to the Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to Applicant/Licensee.

met_with: Zainab Jalloh


summary: Facility Evaluation

raw_content:
Narrative:
On 04/09/ Licensing Program Analysts (LPAs) Maryjane Perez and Claudia Aguilera and Licensing Program Manager Abdoulaye Traore conducted an annual inspection at Zainab Small Family Home (SFH) and met with licensee Zainab Jalloh who gave a tour of the entire home. Currently, there was one ambulatory client placed in the home and it is licensed for a capacity of three. The Facility was toured both inside and out with the licensee. The home is a two-story building with five bedrooms and three bathrooms. LPAs and LPM observed that the downstairs consisted of the kitchen, a living room, a formal living room, the garage, two dining areas with large tables and a bedroom #1. The bedroom was utilized for the male client currently residing at the SFH and the room consisted of a full-size bed, a closet space including the adequate bedding. Sharp objects/knives, first aid kit and medications were stored in a locked cabinet in the kitchen. Fire extinguisher was also centrally placed in the kitchen and operable. The water temperature was tested and measured at 120 degrees F. The pantry and refrigerator were fully stocked and had perishable and nonperishable foods. In addition to the downstairs space, there were also one full bathroom fully functioning and hallway closets storing extra household items and client's hygiene products. A trash can was observed to have tight fitting cover. All required postings were posted at this time. The upstairs consisted of a laundry room that always remains locked. There was a master bedroom #2 for licensee, and it consisted of a king size bed, a crib currently vacant and a bathroom; bedroom #3 sleeps licensee's biological 15-year-old daughter furnished with a queen size bed, bedroom #4 sleeps licensee's biological son and furnished with a queen size bed, bedroom #5 was vacant and consisted of two twin size beds fully furnished and will be utilized for two clients. There was also bathroom #3 that was fully functioning in the hallway. All bedrooms were arranged for one child per bed. There were adequate drawer and closet space for children's belongings. The outdoor grounds were also inspected, and no hazards or obstructions were observed. During inspection LPAs inspected the client file and licensee file. There was no pool or other body of water. There was no firearm in the home as stated by licensee. The smoke and carbon monoxide detectors were checked and were working properly. There was a telephone land line service available in the home. LPAs interviewed licensee and the client. During the visit. there were no deficiencies observed, however, LPAs issued one technical violation (TV) and one technical advisory (TA) explained and given to licensee. An exit interview was conducted, and a copy of this report along with TV and TA were reviewed and provided to Licensee Zainab Jalloh.

met_with: Licensee- Zainab Jalloh


facility_name: ZARAH SMALL FAMILY HOME

summary: Complaint Investigation - Unsubstantiated - 1 allegation

raw_content:
Narrative:
***Continued from LIC 9099*** In regard to the allegations that foster parent touched the child inappropriately; foster parent did not prevent physical altercations between children in care; and foster parent did not prevent minor from inappropriately touching another minor, it was specifically reported that there were concerns of physical and sexual abuse towards. It was further reported that other children in the home have tried to beat FC1 (details unknown). Additionally, it was disclosed that there was an incident in which foster father reached over and touched FC1's thigh (details unknown). During the investigation, a confidential interview denied all the allegations were false. Other confidential interviews denied that the allegations were true. A confidential interview stated that FC1 was at the dinner table the entire time at the home and when FC1 got up from the table, FC1 collapsed at the bottom of the staircase. Foster parents contacted the paramedics and FC1 was transported to the hospital. FC1 did not return to SFH after discharge. It was indicated that FC1 was placed at the SFH for a very short period. In regard to the allegation that foster parent did not ensure that the home was free of marijuana, it was specifically reported that FC1 found marijuana in the garage, and FC1 did not like the vibes in the home and does not feel safe to go back to SFH. A confidential interview stated that FC1 never went into the garage and never interacted with the other children in care. Confidential interviews denied that marijuana is being used at the SFH. LPA didn't receive additional information. Based on consistent confidential interviews, the allegations that foster parent touched the FC1 inappropriately; foster parent did not ensure that the home was free of marijuana; foster parent did not prevent physical altercations between children in care; and foster parent did not prevent minor from inappropriately touching another minor may have happened or valid, however, there is not a preponderance of evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811, and the appeal rights were explained and given to Billy Ngamau, Licensee.

Investigation Findings:
13On January 17, 2025, at 9: AM, Licensing Program Analyst (LPA) Karen Beal met with Licensee, Billy Ngamau to deliver the investigative findings for the above-stated allegations involving foster children (FC1, FC2 and FC3) and foster parents as listed on the Confidential Names (LIC 811). On November 04, 2024, Community Care Licensing (CCL) received a complaint alleging foster parent touched the child inappropriately, foster parent did not ensure that the home was free of marijuana, foster parent did not prevent physical altercations between children in care, and foster parent did not prevent minor from inappropriately touching another minor. On November 18, 2024, at 12: PM, LPA initiated the investigation at the Small Family Home (SFH) and obtained pertinent documents from the facility files. LPA interviewed the foster parent (FP), FC1, FC2 and FC3. In addition, LPA Beal interviewed one of the County Social Workers. ***Continued to LIC 9099-C*** UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Abdoulaye Traore LICENSING EVALUATOR NAME: Karen Beal LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 19-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION PACIFIC INLAND CR, MAIN ST., SUITE FACILITY NAME: ZARAH SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 01/17/2025

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

report_type: Complaint Investigation

met_with: Billy Ngamau, Licensee

complaint_status: unsubstantiated


summary: Complaint Investigation - Unsubstantiated

raw_content:
Narrative:
In regard to the allegation that licensee ran over minor's foot, confidential interview stated FC1 was standing by the car and LS pulled out of the parking lot very slowly and was not sure LS ran over FC1's foot. Another confidential interview stated FC1 screamed very loudly as FC1 was in pain. The confidential interview added that the car ran over FC1's right foot, but it didn't specify the affected spot. Additional confidential interview stated FC1's foot was run over, and FC1's foot was sore. Confidential witness did not observe a car running over FC1's foot, and did not see signs of injury on the right foot and believed licensee was a careful parent. LPA received a conflicting information. Based on the confidential interviews and observation, the allegation that LS ran over FC1's foot may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. A copy of this report and LIC 811 was provided to the licensee at the SFH.

Investigation Findings:
13On April 18, 2025, Licensing Program Analyst (LPA) Babatunde Aborchie arrived at Zarah Small Family Home. LPA met with Licensee Billy Ngamau to deliver the investigative finding for the above stated allegation involving the Small Family Home and foster children. On January 24, 2025, a complaint report was referred to Community Care Licensing (CCL) alleging Licensee ran over FC1's foot. On January 29, 2025, LPA Babatunde Aborchie arrived at the small family home to initiate investigation and conducted a safety inspection. LPA interviewed LS and staff (S1). Additionally, LPA Aborchie interviewed foster child 1 (FC1) and FC1's relative. LPA also interviewed County Social Worker (CSW). 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: ZARAH SMALL FAMILY HOMEFACILITY NUMBER: VISIT DATE: 04/18/2025

met_with: Licensee


summary: Facility Evaluation

raw_content:
Narrative:
On April 19, 2024, 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted a Microsoft Teams meeting with the applicant and reviewed the application for Zarah Small Family Home. A LIC 184, Letter of Application Revisions and Facility Evaluation Report (LIC 809) was emailed to applicant for corrections. The applicant signature for this form will be placed in the file. On April 19, 2024, 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted a Microsoft Teams meeting with the applicant and reviewed the application for Zarah Small Family Home. A LIC 184, Letter of Application Revisions and Facility Evaluation Report (LIC 809) was emailed to applicant for corrections. The applicant signature for this form will be placed in the file. On April 19, 2024, 10: AM, Licensing Program Analyst (LPA) Karen Beal conducted a Microsoft Teams meeting with the applicant and reviewed the application for Zarah Small Family Home. A LIC 184, Letter of Application Revisions and Facility Evaluation Report (LIC 809) was emailed to applicant for corrections. The applicant signature for this form will be placed in the file.

met_with: Billy Ngamau, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On July 8, 2024, at 9: AM, Licensing Program Analyst (LPA) Karen Beal a Pre-Licensing inspection at Zarah Small Family Home. LPA met with applicant Billy Ngamau who led a tour of the home. The facility was toured both inside and out with the applicant. Applicant is applying for a license with a capacity of 6 ambulatory clients. The home consists of: Downstairs: Bedroom #5, It was furnished with a queen bed. It will be for the staff. There were a living room, dining area, a kitchen, pantry, storage, and one bathroom. Upstairs: Bedroom #1, furnished with two twin beds. It will sleep two clients - Vacant. Bedroom #2, furnished with two twin beds. It will sleep two clients - Vacant. Bedroom #3, furnished with two twin beds. It will sleep two clients - Vacant. Bedroom #4, Master bedroom. The room consisted of one Cal-king bed and a private bathroom. It sleeps the applicant. Loft area- future area play/entertainment area for the children. Locked laundry room, and a shared bathroom. Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. ****Continued to LIC 809-C **** ****Continued from LIC 809**** Inside the facility there were no fire places. Telephone service and appliances were in a working order. Medications were locked in the kitchen cabinet area. Cleansers/chemicals were locked and stored in the laundry room cabinet. Sharp knives were inaccessible and stored in locked kitchen cabinet. The hot water temperature was tested and noted to be 105 degrees. Proper storage of all food was discussed. Trash cans for storage of solid waste have tight fitting lids. First Aid kit were accessible with all required items, and it was in the kitchen cabinet. A Fire extinguisher was observed and properly charged. The Facility Sketch, Emergency Disaster Plan, visitation policy and Personal Rights were posted. The 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. LPA went over Component III Power Point with the applicant. The request to be licensed for small family home will be forwarded to Licensing Program Manager for final approval. An exit interview was conducted. A copy of this report was provided to Applicant.

met_with: BILLY NGAMAU, Applicant


summary: Facility Evaluation

raw_content:
Narrative:
On May 21st, 2025, at 09: AM Licensing Program Analyst (LPA) Claudia Aguilera arrived at Zarah Small Family Home (SFH) to conduct an unannounced post licensing inspection. Currently, there was two ambulatory clients, the home is licensed for a capacity of six clients ages 0-18. The Facility was toured both inside and out with the Administrator Judith Mugo. The home is a two-story building with five bedrooms and three bathrooms. Upon entry, the downstairs consisted of the kitchen, a living room, the garage, a dining area with a large table, one bedroom, one bathroom, an a small office. Bedroom #1 consisted of a queen-size bed that sleeps licensee. Bathroom #1 was inspected and fully functioning. The medications were stored and locked in cabinet located in the kitchen. Sharp knives were inaccessible and stored in a locked cabinet under the kitchen sink. The First Aid Kit was located downstairs in a cabinet and contained all required items. The garage was inspected and used for storage and one vehicle. The water temperature was tested and measured at 114.6 degrees F. LPA observed a minimum of seven-days non-perishable and a three-days perishable supply of food. There was a variety of snacks available for clients as well. A trash can was observed to be in a pull-out cabinet. The following required posted items were observed accessible to clients: personal rights, visitation policy, and current menu. One fire extinguisher was observed and operable in the kitchen area. The upstairs consisted of a laundry room that always remains locked. There was a master bedroom #2 for administrator it consisted of a Calking size bed and a bathroom; the administrator's bedroom is not accessible to the clients; bedroom #3 sleeps only 18 year old male non-minor dependent client and the room was fully furnished with two twin beds, a closet and plenty of storage space. Bedroom#4 sleeps 15 year old client and was fully furnished with two twin beds, a closet, and plenty of storage space. Bedroom #5 consisted of two vacant twin beds that are currently open placements. All bedrooms were arranged for one child per bed. No room was commonly used for other purposes other than a bedroom, and no bedroom serves as a passageway to another room. There were adequate drawer and closet space for each child's belongings. The smoke and carbon monoxide detectors were checked and working. Cleansers/chemicals were locked and stored in the laundry room. The upstairs space includes a loft with a large sectional couch, a television and PlayStation, there was an additional bathroom used for the clients. All hazardous items have been properly inaccessible to areas where clients have access. All windows and screens were in good repair. There were no guns or weapons in the home as stated by caregiver. The administrator was interviewed, and no issues were found. The facility outside grounds were also inspected and it was observed to be clean and well maintained. Emergency exits were free from obstruction. Clients' files and staff files were reviewed and found to be in compliance. During the visit. there were no deficiencies observed, however, LPAs issued two technical advisory (TAs) that was explained and given to administrator. An exit interview was conducted, and a copy of this report was discussed and provided to Administrator.

met_with: Judith Mugo, Administrator


summary: Facility Evaluation - 1 deficiency

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Narrative:
On March 25, 2026, at 11: AM, Licensing Program Analyst (LPA) Karen Beal arrived to conduct an Annual/Random inspection at Zarah Small Family Home. LPA met with Billy Ngamau who led a tour of the home. The facility was toured both inside and out with the Licensee. The Licensee is licensed for a capacity of 6 ambulatory clients. Currently there are three clients in care. The home is set up as followed: Downstairs: Bedroom #1, It was furnished with a queen bed. It currently sleep the licensee There is a living room, dining area, a kitchen, pantry, storage, small office area, and one bathroom. Upstairs: Bedroom #2, has two twin sized beds, dresser, and closet space. It sleeps FC1 and FC Bedroom #3, furnished with two twin beds, a dresser, and closet space. It sleeps FC3. Bedroom #4, furnished with two twin beds, a dresser, and closet space - The room is currently vacant. Bedroom #5, Master bedroom. The room consisted of one Cal-king bed and a private bathroom. It sleeps the Licensee sister. Loft area- is the play/entertainment area for the children. It is furnished with a couch, television, and a gaming system. There is also a play rug for younger children to play on. Upstairs has a locked laundry room, and a shared bathroom. ****Continued to LIC 809-C **** Continued from LIC Bedrooms are arranged so that no more than two children share a room, and there is one child per bed. No room commonly used for other purposes is used as a bedroom, and no bedroom serves as a passageway to another room. There is adequate drawer and closet space for children's belongings. The smoke detectors were checked and were working properly. There is a fire extinguisher located in the kitchen and it was fully charged. The knives are stored a locked kitchen cabinet, All chemicals are stored upstairs in the laundry room. Medication is stored in a locked closet in the office area. The hot water temperature was tested and noted to be 113 degrees. All food was stored properly. Trash cans for storage of solid waste have tight fitting lids. First Aid kit is stored in the kitchen cabinet. House temperature is 76 degrees. The Facility Sketch, Emergency Disaster Plan, Visitation Policy, License and Personal Rights were posted in the office area. The backyard where children will have access to play was completely fenced and has multiple hazards . There are deficiencies to be cited at this time. An exit interview was conducted. A copy of this report was provided to Applicant.

Deficiencies:
83068.2(b): Needs and Services Plan

(b) The needs and services plan shall contain at a minimum the following information

met_with: Billy Ngamau. Licensee


facility_name: ZENOBIA GROVES SFH

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Narrative:
In regard to the allegations that staff physically restrained and handled a minor in a rough manner, it was specifically reported that there was an incident where S1 and S2 were holding down foster child 1 (FC1) by their arms and legs for 17 minutes. It was further reported that on 08/21/2023, a former HM grabbed minors' wrists and yelled loudly to FC1, "You don't fucking touch me! Do you understand?". During investigation, confidential interviews reported that they would use Crisis Prevention Intervention (CPI) holds to redirect and calm clients down, but they were no more than 5 minutes at a time. Other confidential interviews stated that they had not seen staff wrongly redirecting FC1 but in fact they believe that staff were doing a great job of redirecting. Regarding staff making inappropriate comments towards minor allegation, confidential interviews stated that staff would not use inappropriate language in the process of calming FC1. Other confidential interviews stated that FC1 would be the one to use vulgar language at staff. LPA couldn't gather additional information. Based on confidential interviews and a review of pertinent documents, the allegations that staff physically restrained FC1; staff handled FC1 in a rough manner; and staff made inappropriate comments towards FC1 may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to housse manager Danielle Mitchell.

Investigation Findings:
13On 07/19/2024, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez and Licensing Program Analayst Abdoulaye Traore conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with house manager Danielle Mitchell to deliver the investigative finding for the allegations listed above. On August 30th, 2023, Licensing Program Analyst (LPA) Babatunde Aborchie conducted a health and safety inspection with licensee. LPA observed no immediate safety hazards. In addition, LPA B. Aborchie conducted interviews with LS, Behavior Analyst (BA), and House Manager (HM). Lpa B. Aborchie also obtained documents pertinent to the investigation. Furthermore, LPA M. Perez and Licensing Program Manager (LPM) Abdoulaye Traore conducted interviews with former staff 1 and staff 2 (S1 & S2), current House Manager (HM2), and staff 3 (S3) to obtain more information. On 08/25/2023, Community Care Licensing received allegations that staff physically restrained minor; staff handled minor in a rough manner; and staff made inappropriate comments towards minor. 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: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 07/19/2024

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

met_with: House Manager- Danielle Mitchell


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Narrative:
During investigation, confidential interviews stated that C1 was involved in a commercially sexually exploited children (CSEC) prior to placement and the information was noted in C1's needs and services plan. Other confidential interviews denied witnessing any staff acting inappropriately with any client. Additionally, confidential interviews stated S4 is no longer at the facility. Additional confidential witnesses didn't provide any relevant information pertaining to the allegation. LPA Enriquez was unable to gather additional information. Based on confidential interviews and a review of pertinent documents, the allegations that staff did not prevent inappropriate interactions between S4 and C1 in care may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to Licensee Zenobia Groves.

Investigation Findings:
13On 07/19/24, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with Licensee Zenobia Groves to deliver the investigative finding for the allegation listed above. On May 26, 2024, LPA Rafael Enriquez conducted a health and safety inspection and LPA didn't observe any health and safety hazards. In addition, LPA R. Enriquez interviewed client 1, client 2, staff 1, staff 2 and staff 3 (C1, C2, S1, S2, S3). Lpa R. Enriquez obtained documents pertinent to the investigation. On 05/10/2024, Community Care Licensing received allegations that staff did not prevent inappropriate interactions between staff and minor in care. It was specifically reported that C1 asked staff 4 (S4) if C1 could perform oral copulation on S4. It was disclosed that S4 reported the concerns to other staff and that C1 stated S4 was lying. It was reported that C1 had been harassing S4 and that C1 stated that S4 said they could get involved once C1 leave placement. 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: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 07/19/2024

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

met_with: Licensee- Zenobia Groves


raw_content:
Narrative:
A confidential interview didn't provide any relevant information. LPA was unable to receive additional information. Regarding the allegation that staff handled minor in a rough manner, confidential interviews denied that staff were rough with clients but instead were stricter by having clients follow their schedules. Other confidential interviews went on to say staff may use restraints, but they are not rough while performing the approved restraint. Another confidential interview stated that FC1 has behaviors such as making false allegations and is fascinated by law enforcement (LE) therefore FC1 will try to get LE involved in order to staff in trouble. Based on confidential interviews and a review of pertinent documents, the allegations that staff hit FC1 in care and staff handled FC1 in a rough manner may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted. A copy of this report, LIC 811 and appeal rights were explained and given to House Manager Danielle Mitchell

Investigation Findings:
13On 9/4/2024, at 12: PM, Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with House Manager Danielle Mitchell to deliver the investigative finding for the allegations listed above. On 01/23/24, Community Care Licensing received allegations that staff hit minor in care and staff handled minor in a rough manner. On 01/29/ LPA Karen Beal initiated the complaint, obtained pertinent documents, and interviewed licensee, county social worker and foster child 1 (FC1). In addition, LPA Maryjane Perez and Licensing Program Manager (LPM) Abdoulaye Traore conducted an inspection at the facility and conducted interviews with the house manager (HM) and a staff (S1). In regard to the allegation that staff hit a minor in care, confidential interviews stated that staff verbally redirects clients or uses safe and positive approach (SPA) holds in worst case scenarios. Other confidential interviews stated that staff do not use physical discipline. 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: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 09/04/2024

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

met_with: House Manager Danielle Mitchell


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Narrative:
and clients get injured from the restraints. Another confidential interview stated that four staff members perform the hold, and the hold will last until paramedics arrive. It was specifically reported that a client has been "pinned against the wall and choked" during a restraint. A confidential interview stated that clients have not been choked while in a restraint but have been pinned against the wall. However, another confidential interview stated that C1 has never reported to SW that they have been choked or pinned to a wall while being restrained. While another confidential interview stated several clients have complained about the restraints. LPA received conflicting information. Based on confidential interviews and a review of pertinent documents, the allegation that staff inappropriately restrained minor in care may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation is unsubstantiated at this time. An exit interview was conducted. A copy of this report and appeal rights were explained and given to house manager Danielle Mitchell.

Investigation Findings:
13On April 28, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Zenobia Groves Small Family Home (SFH) met with house manger Danielle Mitchell to deliver the finding for the above stated allegation. On 10/29/2024, Community Care Licensing received complaint allegation that staff inappropriately restrained minor in care. On October 30, 2024, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed staff 1, staff 2, staff 3, staff 4, staff 5, staff 6 (S1, S2, S3, S4, S5, S6), Social Worker (SW), client 1, client 2 and client 3 (C1, C2, & C3). During investigations, confidential interviews reported that clients are restrained properly by using crisis intervention prevention (CPI) and are held no longer than 10 minutes. It was also stated that all staff are CPI certified and two staff perform the hold while another staff times it. Another confidential interview stated when a client is being restrained, it is due to the clients self-harming behaviors or client's aggressive behavior to staff. Another confidential interview stated that staff restrain for any little incident 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: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 04/28/2025

met_with: House Manger- Danielle Mitchell


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Narrative:
Another confidential interview stated that one time when they were restrained, they felt like they couldn't breathe. Other confidential interviews stated that C1 is known to make allegations about staff when they are unhappy. Based on confidential interviews and a review of pertinent documents, the allegations that due to a manual restraint, C1 was injured in care and staff handled C1 in a rough manner may have happened or is valid but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted a copy of this report, LIC 811 and appeal rights were explained and given to assistant house manager Judithtrixia Agapito.

Investigation Findings:
13On May 23rd, 2025, Licensing Program Analyst (LPA) Maryjane Perez made an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with assistant house manager Judithtrixia Agapito to deliver the finding for the above stated allegations involving staff and clients listed on the Confidential Names (LIC 811). On 12/23/24, Community Care Licensing received complaint allegation that due to a manual restraint, a minor was injured in care and staff handled minor in a rough manner. LPA conducted a health and safety inspection at the facility where no immediate health and safety hazards were observed. Additionally, LPA interviewed staff 1 (S1), staff 2 (S2), staff 3 (S3), staff4 (S4), client 1 (C1), client 2 (C2) and client 3 (C3). During investigation confidential interviews stated that staff restrain clients using Crisis Prevention Intervention (CPI) but only when a client is being a danger to others or themselves. Other confidential interviews stated they get injured when being restrained by staff. While another confidential interview stated that clients will cause harm to themselves while being in a restraint. Other confidential interviews stated that staff have never been rough with the 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: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 05/23/2025

met_with: Assistant House Manager Judithtrixia Agapito


raw_content:
Narrative:
working in the facility but if they did, they would report it. LPA did not receive additional information. Regarding the allegation that staff do not maintain a safe environment for children in care, confidential interviews stated that the clients like living in the home and that they feel safe. Another confidential interview stated that there had been a random car driving around the neighborhood sparking some concern, but police had taken care of it. Other confidential interviews stated that they don't really like living in the SFH and they want to move on. However, other confidential interviews ensured that clients and staff are safe while in care. Based on confidential interviews and a review of pertinent documents, the allegations that staff does not prevent C1 from using drugs in the facility and staff do not maintain a safe environment for children in care may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report were reviewed and provided to licensee Zenobia Groves.

Investigation Findings:
13On July 16, 2025 , Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with licensee Zenobia Groves to deliver the finding for the above stated allegations. On May 29, 2025, Community Care Licensing received a complaint alleging staff does not prevent minor from using drugs in the facility and staff do not maintain a safe environment for children in care. On May 30, 2025, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed licensee (LS), staff 2 (S2), staff 3 (S3), staff 4 (S4) staff 5 (S5), client 2 (C2) and attempted to interview client 1 (C1). In regard to the allegation that staff does not prevent minor from using drugs in the facility, confidential interviews disclosed that if a client in the home is in possession of drugs the staff do their best to confiscate them. Other confidential interviews stated that C1 has barricaded themselves in a bathroom to use drugs. Other confidential interviews stated they have not encountered any drug use from clients while 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: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 07/16/2025


met_with: Licenseee- Zenobia Groves

narrative: working in the facility but if they did, they would report it. LPA did not receive additional information. Regarding the allegation that staff do not maintain a safe environment for children in care, confidential interviews stated that the clients like living in the home and that they feel safe. Another confidential interview stated that there had been a random car driving around the neighborhood sparking some concern, but police had taken care of it. Other confidential interviews stated that they don't really like living in the SFH and they want to move on. However, other confidential interviews ensured that clients and staff are safe while in care. Based on confidential interviews and a review of pertinent documents, the allegations that staff does not prevent C1 from using drugs in the facility and staff do not maintain a safe environment for children in care may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are unsubstantiated at this time. An exit interview was conducted and a copy of this report were reviewed and provided to licensee Zenobia Groves.

investigation_findings: 13On July 16, 2025 , Licensing Program Analyst (LPA) Maryjane Perez conducted an unannounced visit to Zenobia Groves Small Family Home (SFH) and met with licensee Zenobia Groves to deliver the finding for the above stated allegations. On May 29, 2025, Community Care Licensing received a complaint alleging staff does not prevent minor from using drugs in the facility and staff do not maintain a safe environment for children in care. On May 30, 2025, LPA M. Perez conducted a health and safety inspection of the facility, and no hazards were observed. Lpa M. Perez also obtained pertinent documents and interviewed licensee (LS), staff 2 (S2), staff 3 (S3), staff 4 (S4) staff 5 (S5), client 2 (C2) and attempted to interview client 1 (C1). In regard to the allegation that staff does not prevent minor from using drugs in the facility, confidential interviews disclosed that if a client in the home is in possession of drugs the staff do their best to confiscate them. Other confidential interviews stated that C1 has barricaded themselves in a bathroom to use drugs. Other confidential interviews stated they have not encountered any drug use from clients while 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: ZENOBIA GROVES SFHFACILITY NUMBER: VISIT DATE: 07/16/2025


summary: Facility Evaluation

raw_content:
Narrative:
On October 17, 2022, at 9:00am, Licensing Program Analyst (LPA) Linda Haynes and Licensing Program Manager (LPM) Cheraki Davis met with applicant Zenobia Groves on this date for a Component II. LPA went over revisions needed for the application prior to licensure. LPA and LPM requested a copy of licensee's transcripts or copies of certificates to meet criteria for open small family home. Exit interviewed conducted. A copy of this report was given and explained to applicant Zenobia Groves.

met_with: Zenobia Groves


summary: Facility Evaluation

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Narrative:
On November 1, at 1: PM, Licensing Program Analyst (LPA) Linda Haynes and Licensing Program Manager (LPM) Cheraki Davis began a pre-licensing inspection for Zenobia Groves Small Family Home license. LPA and LPM met with applicant Zenobia Groves who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients placed in the home. The applicant is applying to serve three clients ages 3 to 17. The home is a one story building with four bedrooms and three bathrooms which are set up as follows: · Bedroom #1 (Master) has one bed, will sleep the licensee, and has a master bathroom. · Bedroom #2 (Biological Child and one client) has one full size bed and one toddler; it will sleep the licensee's child and one client. · Bedroom #3 (Client's) was vacant, had one twin-sized beds. It will sleep one client. · Bedroom #4 (Client's) had one twin size bed, was vacant and it will sleep one client. · A great room/living room, kitchen, dining area, three bathrooms, an attached two car garage, a laundry room, storage closet, and the backyard. The Client's bedroom was arranged so that no more than two clients will share 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 and one carbon monoxide detector located in the hallway. The smoke detectors and the carbon monoxide detectors were checked, and they were working properly. The home's central air conditioning module was located outside of the home in the side yard. The home's hot water heater was located inside the garage. Inside the facility there was a Gated fireplace. The appliances were in working order. All sharp knives were located in the garage in a locked cabinet. The client's files will be locked inside a locked file cabinet in the home office. There was adequate food storage space. A proper storage of all food was discussed. A trash can for storage of solid waste had a tight fitting lid and was located in the kitchen. The client bathroom also had a trash can with a working lid. Cleaning supplies were located in the garage in a locked cabinet. The water temperature of the master bathroom was observed to be 101.9 degrees Fahrenheit. The water temperature of the client bathroom 1 was observed to be 110.9 degrees Fahrenheit and the water temperature of the client bathroom 2 was observed to be 105.1 degrees Fahrenheit. Medications were located in the garage in a locked cabinet. The home's First Aid kit was accessible with all required items included and located in the kitchen cabinet. A fire extinguisher was present in the home and located on the wall in the kitchen. It was observed to be properly charged. Applicant stated there were no weapons/firearms in the home. LPA and LPM observed there were no swimming pool. The backyard where clients will have access to play was completely fenced. The facility sketch, emergency plan, and client rights were hung on the wall by the front door. The following deficiencies were observed: The hot water temp in the master bedroom was only 101.9 degrees and needs to be between 105 and 120 degrees Need new LIC 200 and new facility sketch Need to show one weeks' worth of nonperishable food and two days' worth of perishable food. The request for a license will be forwarded to Licensing Program Manager for final approval once the Plan of Corrections are cleared. An exit interview was conducted. A copy of this report was provided to Zenobia Groves.


summary: Facility Evaluation

raw_content:
Narrative:
On January 29, 2024 at 12:41PM, Licensing Program Analyst (LPA) Karen Beal conducted an annual inspection for Zenobia Groves Small Family Home(SFH). LPA met with licensee Penelope Groves who led a tour of the home. The facility was toured both inside and out with the applicant. Currently there are no clients placed in the home. The applicant is applying to serve three clients ages 3 to 17.Currently the is one client in care at the facility. The home is a one story building with four bedrooms and three bathrooms which are set up as follows: · Bedroom #1 (Master) has one bed, will sleep the licensee, and has a master bathroom. · Bedroom # Vacant and has one full size bed · Bedroom #3 (Client's) occupied with FC1, full size bed · Bedroom #4 (Client's) Vacant, Full size bed · A great room/living room, kitchen, dining area, three bathrooms, an attached two car garage, a laundry room, storage closet, and the backyard. The Client's bedroom was arranged so that no more than one client will share 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 and one carbon monoxide detector located in the hallway. The smoke detectors and the carbon monoxide detectors were checked, and they were working properly. The home's hot water heater measured at 118 degrees. Inside the facility there was a Gated fireplace. The appliances were in working order. All sharp knives are locked in a kitchen cabinet. ***Continued on LIC 9099-C*** Continued from LIC 9099*** The client's files are locked inside a locked file cabinet in the home office/garage. There was adequate food storage space. A trash can for storage of solid waste had a tight fitting lid and was located in the kitchen. The client bathroom also had a trash can with a working lid. Cleaning supplies were located in the garage in a locked cabinet. Fire extinguisher is mounted on the wall in the kitchen and was recently checked. The licensee currently have digital files for the staff. Four staff files were review and one client. Based on today's inspection, there are no deficiencies being cited at this time. Exit interview conducted and a copy of this report was given to Licensee. .

met_with: Penelope Groves Licensee


facility_name: ZION'S FAMILY HOME

summary: Facility Evaluation

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Narrative:
On August 27, 2025, at 09:30 a.m., a Component II orientation was conducted at the Monterey Park Children's Residential Program Regional Office with Zion Small Family Home (SFH) applicants Peter Everett and Noeline Cheruto. Present for the Department were Licensing Program Analyst (LPA) Brent Lockhart, and Licensing Program Manager (LPM) Jean Herring. The purpose of the meeting was to review and discuss the facility's Application Instructions for a Facility License (LIC281) submission. LPA and LPM went over Section A Licensing Forms and Section B Supportive Documents of the Licensee's application that were missing forms, needed corrections and /or revisions. LPA Lockhart instructed Licensee to make corrections and/or revisions to the appropriate sections of the application (Sections A and B) and then resubmit to LPA via email on or before September 15, 2025. Exit interview conducted. Meeting adjourned.

met_with: Peter Everett


facility_name: FIELDS COMPREHENSIVE YOUTH

summary: Facility Evaluation

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Narrative:
On March 9, 2026, at 11:10 am, Licensing Program Analyst (LPA) Charmaine Linley conducted an announced pre licensing visit. LPA met with Assistant Director/Chief Financial Officer, Josetti Fields, and Facility Administrator, and Lekeba Riley, who provided LPA a guided indoor and outdoor tour of the facility. Currently, there are no clients in placement. The facility is a one-story building with three bedrooms and two bathrooms which are set up as follows: Bedroom #1 (Clients) has two single beds and sleeps two clients. Bedroom #2 (Clients) has two single beds and will sleep two clients. Bedroom #3 (Office) is the staff office space, does not have any beds and will not have any clients sleeping in this room. The facility also consists of a family room, living room, kitchen, dining room, two bathrooms, a laundry room located in the hallway next to the bathroom and garage, a two car garage, and the backyard. There is no pool at the home at the time of this inspection. There is a water fountain located on the patio that was non-operable during the inspection. There are three enclosed gas fireplaces located in the family room, living room and staff office. The fireplaces are secured by glass doors. The Client's bedrooms were arranged so that no more than two clients will be in a room. No room commonly used for other purposes is used as a bedroom and no bedroom serves as a passageway to another room. There was adequate closet space for the client's belongings. There were six smoke detectors in every bedroom and all three hallways. There was one carbon monoxide detector in the staff office. The detectors *** Licensing Program Manager will review the application and this report and once approved, the Facility License will be printed out and emailed to the applicant. An exit interview was conducted, and a copy of the report was provided to Ms. Riley. A copy of this report will be placed in the facility file. were checked and in properly functioning order, except for the smoke detector that was in the hallway next to the garage, due to the tall ceilings, it was unable to be tested at this inspection. The home's central air conditioning module was located outside of the home by the patio. The home's water heater was located in the garage. The home appliances were in working order at the time of this inspection. The Client and Staff files will be locked in a locked file cabinet located in a locked closet in the laundry room. There was adequate food storage space. LPA observed a seven day supply of non-perishable food. A trash can for storage of solid waste had a tight-fitting lid and was present in the kitchen. The sharp knives are in a locked file cabinet in the locked closet in the laundry room, inaccessible to clients. The medications will be located in a locked file cabinet in the locked closet in the laundry room. The hot water in the bathroom by the clients bedrooms was measured and registered at 123 degrees at 11:35 am, which is within the regulatory requirements. The hot water in the kitchen was measured and registered at 109 degrees at 11:25 am, which is within the regulatory requirements. The home's First Aid kit was accessible and is located in the staff office and contained all required supplies and there is an additional First Aid kit in the drawer next to the stove/oven in the kitchen. There were two fire extinguishers present in the home located in the family room and dining room. They were observed to be properly charged and inspected by the fire department. There are no firearms or weapons in the home as stated by Ms. Fields. The backyard where clients will have access to play is fenced. The home has four security cameras located in the interior of the home (hallway by the staff office, living room, hallway between the bedrooms, and the hallway next the garage). The home has nine security cameras located outside of the home (three cameras along exterior of the home next to the garage and side yard, three cameras along the back of the home by the grass area, and three cameras alongside the opposite exterior of the home, and there is a Ring doorbell). The facility was reminded to notify LPA Sarah Lo once they receive their first client. The following corrections need to be made and photos will be taken and emailed to LPA Linley: Large kitchen plates Telephone in the dining room, video of dial tone needs to be provided Video of smoke detector checked in the hallway next to the garage. ***

met_with: Lekeba Riles and Josetti Fields


facility_name: A. MIRIAM JAMISON CHILDREN'S CENTER

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Narrative:
During the evening shift, staff placed client in a locked bedroom for safety reasons, with one staff on duty outside, in case of emergency. However, staff were unable to remove the latch when another staff arrived to assess the client. The latch had to be cut off for staff to gain entry to the bedroom. Surveillance video show that no staff was placed on duty outside the client's bedroom and no staff conducted a safety check on the client from 11: PM on 12/28/20 until 6: AM the following morning. The second allegation was the facility did not have sufficient staff to meet the needs of clients in care. Confidential interviews confirmed that the facility did not have the number of staff needed to properly supervise and meet clients' needs when the allegation was reported. Clients who were usually placed in separate units due to age and behavior were placed and supervised together. Fast food was purchased to serve to clients during a meal period because there were no kitchen staff available to prepare meals. Surveillance video show that no staff was on duty outside the client's bedroom and no staff conducted a safety check on the client from 11: PM on 12/28/20 until 6: AM the following morning. The third allegation was staff were not properly trained to care for a client. Client's needs were described as beyond staff's ability to care for but was not denied placement because the facility was a licensed temporary shelter and client met the requirement for placement under Welfare and Institutions Code 300. Records show that client's needs as described, and noted in transfer of custody, met the placement criteria under the facility's plan of operation. Furthermore, confidential interviews, supporting documents and surveillance video show that the level of care provided to the client during placement was not consistent with the practice model of what the facility described in its plan of operation. Based on information obtained during investigations conducted by the Department, the preponderance of evidence standard was met, therefore, the above allegations are substantiated. This poses an immediate Health, Safety, and Personal Rights risk to clients in care. Deficiencies are being cited under Title 22, Chapter Group Home Regulations 84072(d)(14); TSCF Interim Licensing Standards (ILS) 84665.5(f) and TSCF ILS 84665.3(b). This report and a Plan of Correction was discussed with the facility representative and copies of the following reports: LIC 9099, LIC 9099C, LIC 9099-D and the LIC 811 (Confidential Names dated 7/27/21) and appeal rights were provided at the conclusion of the inspection. It was also alleged that the heat was not working in the unit/room client was placed in. LPA obtained varying accounts of what confidential interviewees could recall regarding the temperature in the unit where client was. There was no record of any work order request to address any issue with the temperature inside the facility during client's placement. Based on the above information, the allegations are unsubstantiated. Although the allegations may have happened or are valid, there was no preponderance of evidence found to support it. A copy of this signed report, the LIC 811 (Confidential Names dated 7/27/21) and appeal rights were provided to the facility representative at the conclusion of the inspection.

Investigation Findings:
13On July 27, 2021, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegations. LPA met with the facility representative named above and discussed the finding. The allegations were investigated by Community Care Licensing (CCL), Investigations Branch (IB) Investigator Mariana Lomeli and the undersigned LPA. The Department received a complaint alleging multiple allegations on 12/31/2020. IB Investigator Lomeli and LPA Yamamoto investigated the allegations by reviewing records such as the facility license, floor plan, register of clients, personnel report, staff schedule, maintenance records, lead shift log, client transfer of custody, timeline/daily notes for client and incident/law enforcement contact report. Additional records were requested and reviewed such as, but not limited to, medical records, police report, photos, surveillance video and the facility plan of operation. Investigator Lomeli and LPA Yamamoto conducted independent interviews. It was alleged that staff locked client in a room. Confidential interviews reveal that a client was placed in a separate unit from other clients, inside a locked bedroom with a quick release latch. Staff determined during intake that client was a flight risk and exhibited unsafe behaviors while being supervised by two staff. SubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 07/27/2021

met_with: Darla Munoz, Administrator


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Narrative:
During the investigation, it was reported the clients were waiting in the facility's lobby while they were processed to go back in the facility when the fight took place between Client #1 and Client #2. According to the information obtained during the investigation, the clients were not denied of anything they asked; therefore, the children's needs were met. No other agency investigated the allegations. Although the allegation may have happened or may be valid, there is not a preponderance of evidence to support or deny the allegations. Therefore, the complaint allegations are found to be unsubstantiated. Exit interview was conducted and a copy of this report left at the facility along with appeal rights.

Investigation Findings:
13On 8/06/21, Licensing Program Analyst (LPA) Johanna Lofton conducted a follow up inspection at A. Miriam Jamison Center and met with Title, John De La Torre, Facility Youth Counselor Supervisor with the purpose of issuing the investigative findings report for the above stated allegations. LPA Lofton interviewed the reporting party on 2/10/21, Staff #1 was interviewed on 4/1421, Staff #2 was interviewed on 12/11/20. Staff #3 was interviewed on 3/05/21, Staff #4 and Staff #5 were interviewed on 4/14/21. LPA Lofton attempted to interview Client's # County Social Worker but was unsuccessful. Client#1 was interviewed on 3/05/21. LPA Lofton was unable to interview Clients #2 and #3. LPA Lofton interviewed County Social Worker for Client #2. See the Confidential Names List (LIC-811) dated 08/06/21. During the confidential interviews the allegations were denied. Interviews revealed that the facility did not deny entrance to the clients. It was reported Clients #1, #2 and #3 were returning from AWOL when the incident happened UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Deborah A Santos LICENSING EVALUATOR NAME: Johanna Lofton LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/06/2021

met_with: John De La Torre- Facility Youth Counselor Supervisor


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Narrative:
It was alleged that a child was raped by another minor at the facility. The child was interviewed by law enforcement and the placement agency, so Investigator Lomeli did not interview the child again, to avoid re-victimization. Confidential interviews reveal that the child was inappropriately touched in the top inner thigh area while the child and minor sat next to each other. Child pushed the minor's hand and walked away. The incident was reported to staff who asked the child to stay away from minor. During another incident, minor attempted to touch the child's buttocks, but child was able to push minor's hand away. The child was unable to provide the dates of the incidents, but they occurred during child's placement between 11/19/21 to 12/10/21. The child did not report the incidents to the placement agency worker. Child did not disclose feeling uncomfortable at placement and did not complain about anyone at the facility. One staff reported that the facility became aware of minor touching other children in care so minor was transferred to another unit with fewer children so minor can be closely supervised. A counselor closely supervised minor when minor is in proximity with other children in placement. Another staff attempted to talk to the child about the incidents, but the child was unwilling to provide any details. There was no statement obtained from the minor by the placement agency and the Department due to a pending case by another agency. Based on the above information, the allegation is closed as unsubstantiated due to the lack of preponderance of evidence. An exit interview was conducted. A copy of this signed report and the Confidential Names Form (LIC 811 dated 5/10/22) were provided to the facility representative. Appeal rights explained and forms provided.

Investigation Findings:
13On May 10, 2022 at 10:50AM, Licensing Program Analyst (LPA) Irene Yamamoto conducted a complaint inspection at the facility to deliver the finding of the allegation. LPA met with the facility representative named above. The allegation was investigated by Investigations Branch (IB) State Investigator Mariana Lomeli and the undersigned LPA. Investigator Lomeli conducted confidential interviews with the resource mother, adoptive parent, placement agency worker and the Detective assigned to the case. Investigator Lomeli reviewed the placement agency and law enforcement reports. LPA interviewed one staff and reviewed pertinent documents such as, but not limited to, incident reports, complaint history of the facility, intake reports, assessment of needs, daily notes and discharge reports. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Irene Yamamoto LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 05/10/2022

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

met_with: Tim Stevens, Assistant Program Director


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Narrative:
Confidential statements obtained during the investigation were unable to corroborate the allegations as details obtained indicated inconsistencies which did not support the allegations such as statements denying the allegations and another statement supporting the allegations. One confidential statement obtained from a former facility client indicated that they felt they were picked on by staff when a staff called them fat, but the former client could not recall the name of the staff and stated that there were no witnesses to the incident. Facility staff denied witnessing or subjecting clients to any form of abuse or neglect. Based on the information gathered, the allegations are unsubstantiated as the preponderance of evidence to prove the allegations was not met although the allegations may have happened or are valid. A copy of this report, Confidential Names Form and Appeal Rights were provided to the facility representative. There were no deficiencies cited during this inspection.

Investigation Findings:
13On August 24, 2022 10: AM, Licensing Program Analyst (LPA) Joshua Rarela conducted a follow-up complaint inspection to deliver the findings of a complaint investigation concerning the allegations above. LPA Rarela met and discussed the findings with the facility representative named above. During the course of the investigation, LPA interviewed facility clients on 4/14/22, 5/12/22, 6/15/22, 6/24/22, and facility staff on 4/14/22, 6/15/22, 6/24/22 (see Confidential Names Form dated August 23, 2022). LPA also reviewed documents including the placing agency service logs and reports, incident reports, and facility personnel records. It was alleged that facility clients are being mistreated while in care, and that staff do not provide adequate supervision to the facility clients. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Gustavo Garcia LICENSING EVALUATOR NAME: Joshua Rarela LICENSING EVALUATOR SIGNATURE: I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC9099 (FAS) - (06/04)Page: 1 of Control Number 32-CR- STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY COMPLAINT INVESTIGATION REPORT (Cont)CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION CCLD Regional Office, CORPORATE CNTR DR. #200a Monterey Park, CA Facility Name: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 08/24/2022

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

met_with: Everett Sutton, Group Counselor Supervisor


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Narrative:
The investigation revealed that on December 14, 2022, Ref. #1 engaged in at least two incidents, one with another client at the facility around 2:10 p.m. and one with a Staff Ref. #2 at about 4:40 p.m. The investigation revealed that the second incident involving Ref. #1 and Staff Ref. #2 occurred outside the facility near the basketball court and there were no other persons present. It revealed that Staff Ref. #3 came to assist Ref. #2 with Ref. #1 after Ref. #2 initially restrained Ref. #1. The investigation revealed that Staff Ref. #2 did not call for assistance with Ref. #1, nor write a report after the incident. It revealed that Staff Ref. #2 left the facility without notifying their supervisor and went on leave of absence. Ref. #2 resigned from the facility. The investigation revealed that the facility generated Special Incident Reports, photographs of scratches and marks after both incidents and maintained surveillance video. Ref. #1 was taken to the hospital. The LPA's interview with Ref. #1 revealed that the allegation that Ref. #1 was choked was maintained and there was no mention of Ref. #1 being thrown to the ground. The LPA ended the interview with Ref. #1, because Ref. #1 did not want to cooperate with the interview. The Kern County Sheriff's Office Crime Report indicates that Ref. #1 and Staff Ref. #2 were outside the facility on the basketball court by themselves. It indicated that Ref. #1 has a history of fighting staff, other clients and required daily restraint. The report indicated that the Deputy Sheriff observed the surveillance video that was blurry. The report indicated Staff Ref. #2 appeared to restrain Ref. #1. It revealed that Staff Ref. #2 allowed Ref. #1 to get up after about four minutes and Ref. #1 walked in one direction, while Staff Ref. #2 walked in another direction. The report indicates that the Deputy Sheriff mentioned to Ref. #1 that Staff Ref. #2 did not appear to choke Ref. #2. The report indicates that the Deputy Sheriff interviewed Staff Ref. #2 and Ref. #2 denied choking Ref. #1. The report indicates that the Deputy Sheriff determined there was no violation of the Penal Code. It is determined that there is not sufficient evidence to Substantiate the allegations. There are no witnesses to incident, it is possible that the scratches and marks photographed on Ref. #1 after the second incident could be a result of the first incident with the other client, the surveillance video is blurry, Ref. #1 has a history of engaging in physical altercations with other clients and staff. The LPA was unable to corroborate the allegations. So, although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred, therefore the allegations are unsubstantiated. There are no deficiencies to be cited regarding this complaint. This report was emailed to the facility representative.

Investigation Findings:
13On March 23, 2023 at 4:15 p.m., Licensing Program Analyst (LPA), Karen McGee, arrived at the facility for the purpose of delivering Investigative Findings for the complaint involving Client (see Confidential Names, LIC Ref. #1 dated December 15, 2022. The LPA met with Director, Tim Stevens. On December 15, 2022, the Monterey Park Children's Residential Program (MPCRP), received a complaint with the above mentioned allegation. Confidential interviews were conducted that included, but were not limited to: the Director via telephone on March 15, 2023; client Ref. #1 at school March 9, 2023; and the County Social Worker (CSW) via telephone on March 22, 2022. The LPA was unable to interview Staff Ref. #2, because they no longer work at the facility, nor Staff Ref. #3, who was off work when the LPA attempted to contact them. The LPA reviewed Special Incident Reports, Needs and Services Plans and observed photographs. The LPA reviewed Kern County Sheriff's Crime Report. The investigation revealed that the facility deems Ref. #1 special needs and a danger to himself, so Ref. #1 is not allowed to run away from the facility. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Jean Herring LICENSING EVALUATOR NAME: Karen McGee 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: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 03/23/2023

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

met_with: Tim Stevens


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Narrative:
(Continued...) Program Director stated he was unaware of any major issues reported to him by any staff concerning C1 and C2 and was unaware of any serious issues between C1 and C2. Program Director said that the children at the facility do play with each other and a staff is always present. LPA spoke with C1 on May 31, 2023 but C1 said they were tired and declined to speak. Multiple phone attempts on June 1, 2023 and June 6, 2023 were unsuccessful, as LPA could not get in contact with C1 again. LPA was unable to ascertain which staff were present during the alleged incident, or other pertinent information to investigate. It is determined that there is not sufficient evidence to prove or disprove the allegation. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated. There are no deficiencies to be cited regarding this complaint. The report was given to Timothy Stevens-Human Services Program Director . Exit interview conducted.

Investigation Findings:
13On June 16, 2023 at (&&&&&) Licensing Program Analyst (LPA) Demetris Teal conducted an unannounced visit to deliver investigative findings for a complaint involving C1 (see confidential names list, LIC 811). LPA met with Timothy Stevens-Human Services Program Director. On March 6, 2023, the Monterey Park Children's Residential Program received a complaint with the above mentioned allegation. Confidential interviews were attempted with Program DIrector (HSPD) on March 9, 2023, attempted interview with C1 on May 31, 2023, June 1, 2023 and June 7 2023, and interview with reporting party on March 9, 2023. Interview with Program Director on March 9, 2023 yielded information that C1 was no longer at the facility and was unsure where C1 was currently living. UnsubstantiatedEstimated Days of Completion: SUPERVISORS NAME: Tira Logan LICENSING EVALUATOR NAME: Demetris Teal 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: a. MIRIAM JAMISON CHILDREN'S CENTERFACILITY NUMBER: VISIT DATE: 06/16/2023