197417027-8-8-2019-12-CC-CBEL-BHB2DE-20191025171811

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197417027
Report Date: 08/08/2019
Date Signed: 08/08/2019 05:01:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/01/2019 and conducted by Evaluator Isabel Ortega

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20190801163650

FACILITY NAME:	ALGOSO FAMILY CHILD CARE		FACILITY NUMBER:	197417027
ADMINISTRATOR:	ALGOSO, CARMEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 263-7430
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	14	CENSUS: 8	DATE:	08/08/2019
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Carmen Algoso		TIME COMPLETED:	05:20 PM

ALLEGATION(S):

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Criminal Record Clearance: Uncleared adult in the home.

INVESTIGATION FINDINGS:

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On 8/08/2019 at 12:40 p.m., Licensing Program Analysts (LPAs) Isabel Ortega and Brianna Reynoso arrived at the above facility to conduct a complaint investigation related to the allegation above. LPAs disclosed the purpose of the investigation and were granted entry into the facility by licensee, Carmen Algoso. Upon arrival, LPA verified a census of 8 children in care.

After entering the facility, LPAs observed Adult 1 walk across the backyard. At 12:58 p.m., it was dsiclosed that Adult 1 cooked lunch for the children in care. LPAs were also informed Adult 2 had been working at the facility since Monday, 8/5/2019.

Both Adult 1 and Adult 2 were not fingerprint cleared or associated to the above facility.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

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-20190801163650

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: ALGOSO FAMILY CHILD CARE	FACILITY NUMBER: 197417027
	VISIT DATE: 08/08/2019

NARRATIVE

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During today's investigation, LPAs also conducted file reviews and interviews with children and staff.

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation was found to be substantiated.

California Code of Regulations were cited on the attached LIC 9099D and civil penalties were assessed.

An exit interview was conducted, a copy of this report, a notice of site visit, and appeal rights were provided to licensee, Carmen Algoso.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 12-CC-20190801163650

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: ALGOSO FAMILY CHILD CARE	FACILITY NUMBER: 197417027
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/08/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/09/2019 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	102370 Criminal Record Clearance (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department	1 2 3 4 5 6 7	Licensee has provided LPA a declaration stating Adult 1 and Adult 2 will not be on the premises or assist in providing care until they have received a fingerprint clearance and have been associated to the above facility.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: Based on LPA observation and interviews. LPAs observed Adult 1 and Adult 2 on the premises of the home. It was disclosed during interviews that Adult 1 cooked the food for the children in care and that both Adult 1 and Adult 2 had been at the home since Monday, 8/5/2019. This poses an immediate 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) 789-6953
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2019

LIC9099 (FAS) - (06/04)

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