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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417591
Report Date: 02/23/2022
Date Signed: 02/23/2022 11:48:50 AM



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
09/29/2021 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20210929101539
FACILITY NAME:DOCKERY FAMILY CHILD CAREFACILITY NUMBER:
197417591
ADMINISTRATOR:DOCKERY JUANITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 296-0489
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY:12CENSUS: 4DATE:
02/23/2022
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Juanita Dockery, LicenseeTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff inappropriately discipline children in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection on 02/23/22 for the purpose of delivering the findings for the above allegation. LPA arrived at the facility at 9:50am and met with Verna Patnett, Assistant, LPA toured the facility. Licensee Juanita Dockery was not present and arrived at 10:05am. LPA observed, 4 children, including an infant.

During the course of this investigation LPA conducted interviews with Licensee, staff, children and witnesses. Interviews with witnesses revealed 3 out of 5 children reported that Staff 1, Staff 2 yells at them when they do not listen adding that is staff 1 yells “again and again” and describes it as “so loud and does not sound good”.
Based on information obtained during this investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Page 1 - Report continues
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
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 7
Control Number 54-CC-20210929101539
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: 02/23/2022
NARRATIVE
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The following deficiency listed on the attached LIC 809D is being cited in accordance with California Code of Regulations Title 22. Deficiency that are being cited need to be cleared to protect the children’s health & safety.

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 with Juanita Dockery, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

Page 2 - End of Report
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 54-CC-20210929101539
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: 02/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2022
Section Cited
CCR
102423(a)(4)
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Each child receiving services...shall have certain rights include, but are not limited to
(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature...
This requirement is not met as evidenced by:
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Per licensee, they will view CCL video on Personal Rights. A staff meeting will follow to address concerns and review personal rights of children with staff.
A copy of meeting agenda and record of those who attended will be submitted to LPA by POC due date.
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Licenee failed to ensure the children's rights were protected. Interviews with witnesses revealed 3 out of 5 children reported staff yells at them when they do not listen.

This poses a potential risk to the health, safety and/or personal rights of children in care
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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: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
09/29/2021 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20210929101539

FACILITY NAME:DOCKERY FAMILY CHILD CAREFACILITY NUMBER:
197417591
ADMINISTRATOR:DOCKERY JUANITAFACILITY TYPE:
810
ADDRESS:1843 W. MARTIN LUTHER KING BLVTELEPHONE:
(323) 296-0489
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY:12CENSUS: 4DATE:
02/23/2022
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Juanita Dockery, LicenseeTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff hit children while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection on 02/23/22 for the purpose of delivering the findings for the above allegation. LPA arrived at the facility at 9:50am and met with Verna Patnett, Assistant, LPA toured the facility. Licensee Juanita Dockery was not present and arrived at 10:05am. LPA observed, 4 children, including an infant.

Interviews conducted with licensee, staff, children and witnesses did not corroborate the allegation that staff hits children in care. Although the hitting was alleged to be witnessed, LPA was unable to interview witness and interviews conducted denied allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

Page1 - Report Continues
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 54-CC-20210929101539
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: 02/23/2022
NARRATIVE
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The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

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

Page 2 - End of Report
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 7