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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192006838
Report Date: 10/10/2019
Date Signed: 10/10/2019 01:32:42 PM



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
07/19/2019 and conducted by Evaluator Keyona Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190719110800
FACILITY NAME:VASCO FAMILY CHILD CAREFACILITY NUMBER:
192006838
ADMINISTRATOR:VASCO, MURIELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 971-3587
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:14CENSUS: 5DATE:
10/10/2019
UNANNOUNCEDTIME BEGAN:
09:13 AM
MET WITH:Muriel VascoTIME COMPLETED:
01:38 PM
ALLEGATION(S):
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PHYSICAL PLANT: home is not clean or sanitary and is unorganized
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Keyona Scottl, conducted an unannounced inspection on 10/10/2019, for the purpose of concluding a complaint investigation for the above allegation. LPA met with Licensee, Muriel Vasco at 9:22 AM and toured the facility. Licensee's Assistant, Gloria Suarez and five children (incldes two infants) were present during the inspection. All adults present, working and residing in the home are fingerprint cleared and assosciated to the facility.

During the inspection, LPA observed the facility and conducted follow-up interviews.

LPA conducted observation and interview and obtained information regarding the allegation made against the Family Child Care Home that alleged the home is unclean, unsanitary and unorganized.


Page 1 (continued on LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
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 4
Control Number 30-CC-20190719110800
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: VASCO FAMILY CHILD CARE
FACILITY NUMBER: 192006838
VISIT DATE: 10/10/2019
NARRATIVE
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Based on observation, information obtained and interviews conducted, home was observed to be unclean. LPA observed dark and light colored stains on the walls in the primary child care room, particles on the floor, stains on the furniture in primary child care room and leftover food parts on the children table and bench sets. Disclosure was made that home is deep cleaned twice a week and tables and floor are swept every time the children eat.

During the inspection on 10/10/2019, LPA observed the facility to be unclean. Based upon observation, information obtained and interviews conducted, the preponderance of evidence standard has been met, therefore, the allegation, of PHYSICAL PLANT, home is not clean or sanitary and is unorganized, is SUBSTANTIATED. California Code of Regulations, Title 22, 102417(b) are being cited on the attached LIC9099-D.

The following was thoroughly discussed with the Licensee

The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot line at 1-800-540-4000. Also call the CCL office within 24 hours of the Unusual Incident and follow up with a written Unusual Incident/Injury Report (LIC 624B) within 7 business days.



Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome

The licensee was also recommended the following Safe Sleep Practices: always place infants on their backs for sleeping; use only a tight-fitting sheet on the crib or play yard mattress; do not hang any items from the crib or above the crib; keep all items, including blankets, out of the crib or play yard; pacifiers may be used as long as they do not have items attached to them; infants should not be swaddled or have any items covering them while sleeping; the temperature of the room should be comfortable enough for an adult to wear a T-shirt and not be too hot or too cold. Please note, these guidelines are recommendations for best practices only, until regulations are approved and adopted.

Reporting Requirements: Any unusual incident or injuries must be reported to the Department within 24 hours via telephone and within seven (7) days in writing. (Title 22, Division 12, Chapter 1, Section 101212 Reporting Requirements (d)(B)) Page 2 (continued on LIC 9099-C)

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 30-CC-20190719110800
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: VASCO FAMILY CHILD CARE
FACILITY NUMBER: 192006838
VISIT DATE: 10/10/2019
NARRATIVE
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The Licensee was advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

Licensee was provided the following forms/brochures:


PIN 19-02-CCP: Safe Sleep Awareness Campaign
NIH Pub. No. 18-HD-5759: What Does A Safe Sleep Environment Look Like?
A Child Care Provider's Guide to Safe Sleep
Safe Sleep in Child Care
PUB 271: Preventing Shaken Baby Syndrome/Abusive Head Trauma
PIN 19-10-CCP U.S. Consumer Product Safety... Fisher-Price Infant Equipment Accessory Recall
PIN 19-12-CCP U.S. Cosumer Product Safety... Infant Sleeper Recall
Effects of Lead Exposure
PIN 19-09-CCLD Division Mailchimp Account Information... Subscribe For Updates

During this inspection, the facility was cited for Title 22 Deficiencies (see LIC 9099- D attached).

New Appeal Process: A licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment

An exit interview was conducted. A copy of this report (LIC 9099) (LIC 9099-C)(LIC 9099-D), Notice of Site Visit along with Appeal Rights were provided to Licensee, Muriel Vasco, whose signature confirms today's inspection and report.


Page 3
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 30-CC-20190719110800
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: VASCO FAMILY CHILD CARE
FACILITY NUMBER: 192006838
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2019
Section Cited
CCR
102417(b)
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102417 Operation of a Family Child Care

(b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort.

This requirement is not met as evidenced by:
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Licensee states will be incharge of the cleaning after eating and clean immediately after the children finish. Licensee states will have furniture professionally cleaned, will clean and re-paint walls with correct paint, and thoroughly clean the floor. Licensee will send LPA pictures of corrections by 10/24/2019 close of business.
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Based on interview and observation, LPA observed dark and light colored stains on the walls in the primary child care room, particles on the floor, stains on the furniture in primary child care room and leftover food parts on the children table and bench sets, which poses a potential Health, Safety and/or Personal Rights risk to the children in care.
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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 4