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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197413786
Report Date: 11/08/2022
Date Signed: 11/08/2022 01:49:51 PM

Unsubstantiated


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
08/10/2022 and conducted by Evaluator Keyona Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220810085607
FACILITY NAME:JIMENEZ FAMILY CHILD CAREFACILITY NUMBER:
197413786
ADMINISTRATOR:FIDENCIA & CHRIS JIMENEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 675-4285
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:14CENSUS: 5DATE:
11/08/2022
UNANNOUNCEDTIME BEGAN:
12:18 PM
MET WITH:Fidencia Jimenez- LicenseeTIME COMPLETED:
12:44 PM
ALLEGATION(S):
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PERSONAL RIGHTS: Licensee does not provide an adqeuate amount of drinks for day care child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Keyona Scott, conducted an unannounced inspection at the family child care home, on 11/08/2022 for the purpose of delivering findings regarding Complaint Control Number: 30-CC-20220810085607. LPA met with Licensee, Fidencia Jimenez at 12:26 PM and observed five children in care. No infants were present in care during today's inspection. Co-Licensee, Christopher Leon Jimenez arrived at the childcare home at approximately 12:40 PM. All Adults present in the home have a criminal record clearance or exemption and are associated to the facility.

During today's inspection, LPA conducted facility observation and census of children in care. Interviews with Licensee and staff were previously conducted via telephone and email. Interview conducted via email was printed by Licensee and provided to LPA during inspection due to LPA was unable to open email attachment received from Licensee.

It was alleged that Licensee does not provide an adequate amount of drinks for children in care. Based on the
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
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 2
Control Number 30-CC-20220810085607
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 197413786
VISIT DATE: 11/08/2022
NARRATIVE
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investigation, interview and facility observation, there were no observations or disclosures made of children not being offered adequate drinking water. During inspections, LPA observed readily accessible drinking water available to the children in care. During interviews conducted, disclosures were made that children are offered milk or water with meals and/or snacks. Children also bring own water bottle from home to use while in care and once depleted, water at childcare home is available and accessible to children. This childcare home uses a food program in which Licensee must adhere to meal and beverage requirements of the program. No disclosures were made that children in care are not receiving adequate drinks while in care; therefore, the allegation of PERSONAL RIGHTS, Licensee does not provide an adequate amount of drinks for day care child, is UNSUBSTANTIATED, meaning although the allegation may have happened or are valid, the preponderance of the evidence standard has not been met.

The following was thoroughly discussed with Licensee:

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Christopher Leon Jimenez.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2