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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 073406243
Report Date: 09/20/2022
Date Signed: 09/20/2022 04:38:10 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/16/2022 and conducted by Evaluator Tasha Hackett-Alexander
COMPLAINT CONTROL NUMBER: 02-CC-20220616162501
FACILITY NAME:AARON, LADASHAFACILITY NUMBER:
073406243
ADMINISTRATOR:AARON, LADASHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(925) 753-5765
CITY:ANTIOCHSTATE: CAZIP CODE:
94531
CAPACITY:14CENSUS: DATE:
09/20/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:TIME COMPLETED:
04:00 PM
ALLEGATION(S):
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LICENSE- Licensee not at the day care for the required amount of time
INVESTIGATION FINDINGS:
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This report is to deliver the findings to the above complaint allegation. LPA Alexander is unable to make contact with licensee LaDasha Aaron to deliver in person or via telephone.
On June 23, 2022 LPA Alexander met with licensee's adult assistant/daughter to discuss the above allegation. On this day the assistant was at the family Child Care Home with 3 children in care. further investigation was conducted and it was revealed that the licensee has not been present in the home during day care hours. Since this analyst's initial visit, LPA has attempted to make contact with the licensee via physical visit, telephone, email and Certified mail on multiple occasions but have been unsuccessful. On this analyst's last attempted visit at the family child care home, a family member notified this analyst that he/she had not been in touch with the licensee.
Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter number 1, are being cited on the attached LIC. 9099D.”
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 02-CC-20220616162501
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: AARON, LADASHA
FACILITY NUMBER: 073406243
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2022
Section Cited
CCR
102417(a)
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02417 Operation of a Family Child Care Home
(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the
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SINCE LICENSEE IS NOT IN THE HOME, IN ORDER TO COME INTO COMPLIANCE WITH CCL REGULATIONS, LICENSEE MUST SHOW PROOF THAT SHE IS PRESENT IN THE HOME.
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licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
REQUIREMENT WAS NOT MET AS EVIDENCED BY: INTERVIEWS AND OBSERVATIONS DURING COMPLAINT INVESTIGATION. THIS POSES A POTENTIAL RISK TO THE HEALTH AND SAFETY OF CHILDREN IN CARE. LICENSEE IS NOT AT THE DAYCARE FOR THE REQUIRED AMOUNT OF TIME.
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COMMUNITY CARE LICENSING IS TAKING STEPS TO MAKE A DETERMINATION REGARDING THE STATUS OF THE LICENSE BASED ON THE FINDINGS AND INABILITY TO CONTACT LICENSEE.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Loretta DysonTELEPHONE: (510) 695-0243
LICENSING EVALUATOR NAME: Tasha Hackett-AlexanderTELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC9099 (FAS) - (06/04)
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