197415331-4-27-2023-58-CC-BBEL-CTR793-20230714212715

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197415331
Report Date: 04/27/2023
Date Signed: 04/27/2023 01:29:07 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
04/17/2023 and conducted by Evaluator Antonio Almanza

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20230417153607

FACILITY NAME:	STEWART FAMILY CHILD CARE		FACILITY NUMBER:	197415331
ADMINISTRATOR:	STEWART, MONIQUE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 815-0852
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90008
CAPACITY:	14	CENSUS: 12	DATE:	04/27/2023
		UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Aviance Kelly, Assistant		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Facility is operating out of ratio

INVESTIGATION FINDINGS:

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On 04/27/23 at 9:25 AM, Antonio Almanza, Licensing Program Analysts (LPA), conducted an unannounced complaint investigation. LPA met with Aviance Kelly, Assistant. LPA explained the purpose of the site visit and was guided on a tour of the home inside and out. During today’s visit there are 12 children and 4 staff providing care and supervision. During todays visit Licensee was at doctor’s appointment.

During today’s visit, LPA made observations, reviewed records and received a copy of facility roster. LPA observed 5 infant children in care. Infants 1 – 3 where observed in the infant room and Infants 4-5, who are able to walk, where observed in the child care room. Staff 3 is reporting that they do not consider the two children that are walking, infants. LPA and Staff 3 verified the age of Infants 1-5 and all 5 infants are under the age of 2 years old.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Antonio Almanza	TELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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 58-CC-20230417153607

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: STEWART FAMILY CHILD CARE	FACILITY NUMBER: 197415331
	VISIT DATE: 04/27/2023

NARRATIVE

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During today visit the facility is out of ratio with 5 infants in care. Based on LPAs observation and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC9099D.

The following Type A deficiencies is being cited during today's inspection (see LIC 9099D). Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit. In addition, A copy of this report must be provided to the authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months. The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.

1. 102416.5 Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or

Based on LPAs observation and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC9099D.

A copy of this Report, Notice of Site Visit, and Appeal Rights were explained and provided to Aviance Kelly, Assistant.

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Antonio Almanza	TELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 58-CC-20230417153607

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: STEWART FAMILY CHILD CARE	FACILITY NUMBER: 197415331
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/27/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 04/28/2023 Section Cited CCR 102416.5(d)(1)	1 2 3 4 5 6 7	102416.5 Staffing Ratio and Capacity (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided... shall be either: (1) Twelve children, no more than four of whom may be infants; or This Requirement is not met as evidenced by:	1 2 3 4 5 6 7	Facility agrees to stay within ratio at all times. Facility will provide LPA a plan of operation on how they will stay within ratio at all time. Facility will notify parents of infants in care which infant will not be allowed to attend
	8 9 10 11 12 13 14	Based on observation, interview and record review, LPA observed 5 infants in care, which poses an immediate or Health and Safety, and personal rights risk to persons in care.	8 9 10 11 12 13 14	depending on the number of children in care, 12 or 14 children in order to stay within ratio. Facility will provide names and contact information of infants that will no longer attend the facility.
	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: Betty Bell	TELEPHONE: (424) -301-3063
LICENSING EVALUATOR NAME: Antonio Almanza	TELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC9099 (FAS) - (06/04)

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