191592599-8-15-2025-28-AS-KRAZ-DKKRL7-20250815130641

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191592599
Report Date: 08/15/2025
Date Signed: 08/15/2025 01:07:07 PM

Document Has Been Signed on 08/15/2025 01:07 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME:	FOUNDERS HOUSE OF HOPE		FACILITY NUMBER:	191592599
ADMINISTRATOR/ DIRECTOR:	JOSHUA LAJARA		FACILITY TYPE:	735
ADDRESS:	18025 PIONEER AVE.		TELEPHONE:	(562) 860-3351
CITY:	ARTESIA	STATE: CA	ZIP CODE:	90701
CAPACITY: 98		CENSUS: 83	DATE:	08/15/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:57 AM
MET WITH:	Administrator Joshua Lajara		TIME VISIT/ INSPECTION COMPLETED:	01:35 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Case Management Visit- Incident on 08/15/2025, stemming from incident report dated 08/12/2025. LPA Ramirez identified herself and was greeted by Administrator Joshua Lajara and explained the purpose of the visit. Case Management findings: On 8/14/2025, LPA Ramirez received an incident report alleging client#1 (C1) was sexually assaulted by client#2 (C2) at the facility. This report revealed on 8/12/2025, at 12:40 am, C1 was overheard crying for help in their shared bedroom. Staff#2 (S2) responded and C1 revealed to S2 that C2 was attempting to sexually assault C1. S2 immediately verbally diffused the situation and assessed C1 for any wounds or injuries. After confirming no visual injuries to C1 were sustained, C1 and C2 were separated and questioned about the incident. Facility staff advised C1 and C2 to stay away from each other and staff called the police about the incident. Lakewood sheriffs responded and interviewed C1, who later informed the police that allegation was false and that C1 and C2 were having a verbal argument. SEE 809-C for continued narrative

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: FOUNDERS HOUSE OF HOPE	FACILITY NUMBER: 191592599
	VISIT DATE: 08/15/2025

NARRATIVE

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On 8/15/2025, LPA Ramirez conducted a Health & Safety check, conducted interviews and reviewed
records. Interview with C1 did not corroborate the allegation. C1 revealed they were upset and that C2 did
not attempt to sexually assault C1. C2 was unavailable for an interview during LPA's visit, therefore C2 was not interviewed. C3 is C1's roomate. LPA Ramirez attempted to interview C3 but C3 was unavailable during LPA's visit. Staff interviews did not corroborate the allegation. LPA Ramirez attempted to contact S2 via telephone for an interview but S2 was not available for interview, therefore S2 was not interviewed. Interviews with staff revealed that staff had knowledge of a history of intermittent involvement between C1 and C2. S4 revealed they would see C1 going into C2’s room and vice versa. S4 would advise C1 and C2 that it was against the facility rules to be in other clients’ rooms and that they should go out to the patio area if they wanted to spend time together. Review of C1’s physician report dated 7/21/2025, revealed C1 does not
require constant supervision and may leave the facility unassisted. Review of C2’s physician report dated
8/02/2024, revealed C2 does not require constant supervision and may leave the facility unassisted.
Interview with Administrator Lajara revealed that on 8/12/2025, police advised him they would not be
investigating further, and an incident report was taken for documentation purposes only.

Based on interviews conducted LPA Ramirez was unable to corroborate the allegation of sexual abuse
due to inconsistent statements by C1. Based on records reviewed, LPA Ramirez was able to corroborate
staff was providing care and supervision based on C1 and C2’s recent physician’s report. No deficiencies
were cited during this visit. Exit interview was conducted. A copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/15/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2025

LIC809 (FAS) - (06/04)

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