191232028-6-1-2021-30-CC-MRUZ-C3KPD9-20210601111311

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191232028
Report Date: 06/01/2021
Date Signed: 06/01/2021 10:54:13 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/29/2021 and conducted by Evaluator Ericka Hill

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20210429113754

FACILITY NAME:	EXNER FAMILY DAY CARE		FACILITY NUMBER:	191232028
ADMINISTRATOR:	EXNER, LENITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 360-6597
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	12	CENSUS: 4	DATE:	06/01/2021
		UNANNOUNCED	TIME BEGAN:	10:34 AM
MET WITH:	Licensee - Lenita Ksieski		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

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Facility operating out of capacity.

INVESTIGATION FINDINGS:

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On 06/01/2021 at 10:34am Licensing Program Analyst (LPA) Ericka Hill contacted the Licensee to deliver the findings related to the allegation above. This visit was conducted via tele-visit due to COVID-19 restrictions.

During the investigation LPA conducted interviews, reviewed records, and made observations. Parent #1 stated their children have attended the facility since they were infants and enjoy the facility. The parent also stated when they could enter the facility, they observed 4-5 children being cared for by the Licensee and her assistant. An Interview with the Licensee revealed that prior to COVID-19 they would care for 12 children. However due to COVID-19, the Licensee stated her enrollment has decreased to approximately 3-7 children daily.

{report continues on page 2}

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2021

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 30-CC-20210429113754

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: EXNER FAMILY DAY CARE	FACILITY NUMBER: 191232028
	VISIT DATE: 06/01/2021

NARRATIVE

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Upon reviewing facility records for the past 3 years, the facility has been observed, by multiple LPA’s, operating within capacity. On 09/09/2020 and 10/11/2019 the staff was observed caring for 5 children. On 10/14/2019 the staff was observed caring for 8 children. On 07/19/2018 the staff was observed caring for 7 children. More recently, LPA Hill conducted an unannounced visit and observed the Licensee and her assistant caring for 3 children.

Although it was alleged that the facility is operating out of capacity, based on the evidence obtained from interviews, observations, and a review of records conducted by LPA Hill, the allegation above was found to be Unsubstantiated. An Unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of the LIC9099 and Notice of Site Visit was provided to the Licensee. LPA Hill informed the Licensee to read, sign, and email the LIC9099 back to LPA Hill.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2021

LIC9099 (FAS) - (06/04)

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