197413786-11-8-2022-30-CC-CESO-CKZ5VB-20221108191714

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197413786
Report Date: 11/08/2022
Date Signed: 11/08/2022 01:52:45 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, 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 CARE		FACILITY NUMBER:	197413786
ADMINISTRATOR:	FIDENCIA & CHRIS JIMENEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(424) 675-4285
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY:	14	CENSUS: 5	DATE:	11/08/2022
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Fidencia Jimenez- Licensee		TIME COMPLETED:	02:06 PM

ALLEGATION(S):

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OTHER: Licensee does not allow day care child's parent into the facility

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 and Co-Licensee, Christopher Leon Jimenez, and observed five children in care. No infants were present in care during today's inspection. 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 Licensees 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 allow parents and/or authorized representatives in the home upon request. Based on the investigation, interview and facility observation, disclosures were made that no one is

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (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)

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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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allowed in the childcare home except the staff and children in care. During interview, disclosures were made that no parent or authorized representative has requested to enter the childcare home; however, if requested, parent or authorized representative would need to provide symptoms and a negative test. Per LIC 995A FAMILY CHILD CARE HOME NOTIFICATION OF PARENTS’ RIGHTS, As a Parent/Authorized Representative, you have the right to: 1. Enter and inspect the family child care home without advance notice whenever children are in care. Per Disclosures made, Licensees are not adhering to facility entrance procedures. Based on the information obtained and interviews conducted, the preponderance of evidence standard has been met; therefore, the allegation of OTHER, Licensee does not allow day care child's parent into the facility, is SUBSTANTIATED. Health and Safety Code (HSC) is being cited on the attached 9099D

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 licensees Christopher Leon Jimenez and Fidencia Jimenez.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (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)

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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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/08/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/15/2022 Section Cited HSC 1596.857(a)	1 2 3 4 5 6 7	(a) Upon presentation of identification, the responsible parent or guardian of a child receiving services in a child day care facility has the right to enter and inspect the facility without advance notice during the normal operating hours of the facility or at any time that the child is receiving services in the facility...	1 2 3 4 5 6 7	LPA provided Licensees with LIC995A, both English and Spanish versions. Licensees will review LIC995A and HSC 1596.857 and conduct a training with all staff. All Licensees and staff will complete and provide LPA with Declarations (LIC555), stating what each reviewed in the training and plan to adhere to parent and/or authorized representative right to
	8 9 10 11 12 13 14	This requirement is not met as evidenced by: Disclosures were made that only staff and the children are allowed in and that parents and authorized representatives are not allowed in the childcare home; which poses a potential risk to the health, safety and/or personal rights to the children in care.	8 9 10 11 12 13 14	enter and inspect without advance notice. Training and LIC555 is due to LPA no later than 11/15/2022 close of business.
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	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: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Keyona Scott	TELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:	DATE: 11/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022

LIC9099 (FAS) - (06/04)

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