197417591-1-26-2021-54-CC-BVON-BXWW28-20210204155354

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197417591
Report Date: 01/26/2021
Date Signed: 01/26/2021 09:20:28 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/15/2020 and conducted by Evaluator Alicia Mooberry

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20201015152007

FACILITY NAME:	DOCKERY FAMILY CHILD CARE		FACILITY NUMBER:	197417591
ADMINISTRATOR:	DOCKERY JUANITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 296-0489
CITY:	LOS ANGELES	STATE:	ZIP CODE:	90062
CAPACITY:	12	CENSUS: 10	DATE:	01/26/2021
		UNANNOUNCED	TIME BEGAN:	04:51 PM
MET WITH:	Juanita Dockery, Licensee		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Facility Staff yells at daycare child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection on 01/26/21 at 4:51pm to deliver the findings of the above allegation. Due to COVID-19 precautions this inspection was conducted by tele-inspection. Licensee provided virtual tour of the facility. There are 10 children present (including 1 infant). Also present during this inspection are assistants, Regina Wright and Verna Patnett.
During the course of this investigation, LPA conducted interviews with reporting parties, children, parents, staff and licensee. LPA obtained and reviewed documentation and audio recording.
Reporting Party states that facility staff (unidentified) yells at daycare child. Licensee states her staff speak firmly to children but denies yelling.

Based on disclosures made by Child #1 and Child #3 and based on audio recording obtained where staff (unidentified) is heard yelling at Child #1, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2021

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 54-CC-20201015152007

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DOCKERY FAMILY CHILD CARE	FACILITY NUMBER: 197417591
	VISIT DATE: 01/26/2021

NARRATIVE

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California Code of Regulations, Title 22 Personal Rights - 102423(a)(1)(4), are being cited on the attached deficiencies page.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.
Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports form (LIC9224) during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted via tele-conference with Licensee, Juanita Dockery, including but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

A copy of this report will be sent via email with a read receipt request from licensee. A signed hard copy of the report will be placed in the file.

End of Report

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2021

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20201015152007

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DOCKERY FAMILY CHILD CARE	FACILITY NUMBER: 197417591
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/26/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/29/2021 Section Cited CCR 102423(a)(1)	1 2 3 4 5 6 7	Personal Rights: Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee...These rights include, but are not limited to, the following: To be treated with dignity in his/her personal relationship with staff and other persons. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Per licensee, she will ensure that she and her staff are familiar with what personal rights of children are. She will train her staff on ways to manage behavior that don't violate a child's personal rights. Licensee will provide written plan by POC due date.
	8 9 10 11 12 13 14	Based on disclosures made and audio recording obtained where staff is heard yelling at Child #1. Licensee failed to ensure that Child #1's personal rights were protected. This poses an immediate risk to health, safety and personal rights 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: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2021

LIC9099 (FAS) - (06/04)

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