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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700628
Report Date: 03/02/2022
Date Signed: 03/08/2022 09:59:49 AM

Document Has Been Signed on 03/08/2022 09:59 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:G.L.O.M. A.R.F. 5FACILITY NUMBER:
392700628
ADMINISTRATOR:JESSICA OWENSFACILITY TYPE:
772
ADDRESS:458 ALMOND DRIVETELEPHONE:
(925) 570-3282
CITY:LODISTATE: CAZIP CODE:
95240
CAPACITY: 16CENSUS: DATE:
03/02/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lisa EvansTIME COMPLETED:
11:00 AM
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An office meeting was conducted today in the Sacramento Regional Office via Microsoft Teams. The purpose of this meeting was to discuss findings from the solvency audit conducted by the Department. Present at the meeting were Regional Managers (RM) Krystall Moore and Brenda White, Licensing Program Manager(s) Stephenie Doub, Liza King, Sergiy Pidgimy and Yvonne Flores-Larios, Licensing Program Analyst Lady Cabrera, Jacqueline Juarez Supervising Auditor and Jorge Mojica Auditor, Hao Nguyen Branch Chief, Jude de la Concepcion Staff Services Manager, Linda Evans, Licensee Representative for God’s Love Outreach Ministries Lisa Evans and John Bishop CPA/Consultant for God’s Love Outreach Ministries.

On December 1, 2021, the Sacramento South Regional Office received complaints of financial concerns at the facility and requested a solvency audit be conducted by the Department’s audit section. The findings of the audit were as follows:

· As a whole, the organization did not generate sufficient income to meet its current financial obligations.
· As a whole, the organization does not maintain sufficient cash reserves to ensure provision of care and supervision to clients and is increasingly relying on loans.
· Licensee does not have adequate startup funds for its unlicensed facilities.
· Licensee did not pay all facility leases timely.
· Licensee has persons employed which are not cleared by the department.
· The Licensee has incurred Federal tax lien totaling $260,000.


SUPERVISORS NAME: Krystall Moore
LICENSING EVALUATOR NAME: Liza King
LICENSING EVALUATOR SIGNATURE: DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: G.L.O.M. A.R.F. 5
FACILITY NUMBER: 392700628
VISIT DATE: 03/02/2022
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The licensee representatives agreed to the following to remain in compliance:
· Provide proof of payment of the $260,000 federal tax liens
· Provide an annual budget showing all anticipated income and expenditures for the organization as a whole, projected for 12 months beginning April 1, 2022 through March 31, 2023
· By the 3rd week following each quarter of the period, beginning April 1, 2022 through March 31, 2023, provide to Audits Section an income statement for the 3rd month of the quarter. Example income statement for June 2022 would be provided to Audits by 3rd week of July 2022.
· Source documents used to prepare the income statement must be provided. Auditor must be able to trace and confirm reported revenues and expenditures to source documents provided.
· Quarterly financial reporting is to continue for a period of 1 year, or until it is evident that the licensee has a financial plan that satisfies CCR Section 80062. During the monitoring phase, Audits to confirm noted liens ($260,000) are paid.

Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited during this visit. An exit interview was conducted with representative Linda Evans via telephone and a copy of this report was provided via email and an electronic email read receipt confirms receiving these documents.
SUPERVISORS NAME: Krystall Moore
LICENSING EVALUATOR NAME: Liza King
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2022
LIC809 (FAS) - (06/04)
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