197403589-11-3-2021-12-CC-CBEL-C92UU8-20211123145304

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197403589
Report Date: 11/03/2021
Date Signed: 11/03/2021 06:17:17 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/31/2021 and conducted by Evaluator Isabel Ortega

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210831123058

FACILITY NAME:	REINA FAMILY DAY CARE		FACILITY NUMBER:	197403589
ADMINISTRATOR:	CECILIA REINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 831-0585
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91326
CAPACITY:	14	CENSUS: 6	DATE:	11/03/2021
		UNANNOUNCED	TIME BEGAN:	03:49 PM
MET WITH:	Cecilia Reina		TIME COMPLETED:	06:18 PM

ALLEGATION(S):

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Allegation: Personal Rights: Day care provider serves day care children spoiled/expired foods.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Isabel Ortega conducted a subsequent complaint inspection at the facility for the purpose of delivering the findings of the above allegation. Upon arrival 4 school age children, one infant and Licensee were present. LPA announced the purpose of the inspection and was granted entry to the Family Child Care Home.

The investigation consisted of interviews with licensee, staff, children in care, Parents, LPA’s observation and other pertinent parties. On 09/01/2021 licensee disclosed children will be having an afternoon snack upon arrival. Licensee demonstrated snacks to LPA and LPA observed snacks to be expired (Wheat bread with expiration date 6/12/2021) and (Strawberry Jelly with expiration date 8/15/2021). On 11/03/21 according to licensee today children were served hot-dogs and watermelon. LPA observed hot-dog buns with expired date 9/29/2021 and Farmer John Wieners made with pork and chicken expired date 10/09/2021.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021

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 12-CC-20210831123058

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: REINA FAMILY DAY CARE	FACILITY NUMBER: 197403589
	VISIT DATE: 11/03/2021

NARRATIVE

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Based on documentation obtained and disclosures made during interviews, the allegation: Day care Provider serves day care children spoiled/expired foods, this allegation is deemed SUBSTANTIATED and a citation will be issued (See LIC 9099-D for cited deficiency). A finding of substantiated means that the allegation was valid because the preponderance of the evidence standard has been met. This facility was cited a Type B in accordance to Title 22 of the California Code of Regulations and Health & Safety codes.

An exit interview was conducted with licensee Cecilia Reina, a copy of this report was provided along with the appeal rights and Notice of Site Visit.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20210831123058

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: REINA FAMILY DAY CARE	FACILITY NUMBER: 197403589
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/03/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/03/2021 Section Cited CCR 102423(a)(1)(2)	1 2 3 4 5 6 7	Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following To be treated with dignity in his/her personal relationship with staff and other personal...	1 2 3 4 5 6 7	Licensee has agreed to remove expired food effective Saturday 11/6/21 and maintain regular week checks of food being utilized for children in care. Licensee also agree to post the menu visible to parents. Licensee will provide a copy of the monthly menu to the Palmdale RO by email by 11/30/2021
	8 9 10 11 12 13 14	relationship with staff and other persons. To receive safe, healthful, and comfortable accommodations.. This requirement was not met by evidence by LPA's observation and interview disclosures. Food being served to children are expired. Licensee did not ensure children are having a healthy, safe meals which poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021

LIC9099 (FAS) - (06/04)

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