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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418839
Report Date: 10/08/2019
Date Signed: 10/08/2019 06:15:48 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
07/12/2019 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20190712111119
FACILITY NAME:DIEGUEZ FAMILY CHILD CAREFACILITY NUMBER:
197418839
ADMINISTRATOR:DIEGUEZ, EDITH & ELSIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 481-6858
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY:14CENSUS: 10DATE:
10/08/2019
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Elsie and Edith DieguezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Personal Rights- Staff hits day care children
INVESTIGATION FINDINGS:
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On 10/08/2019 at 1:20PM., Licensing Program Analyst (LPA) Isabel Ortega arrived at the above facility to conduct a complaint investigation related to the allegations above. LPA disclosed the purpose of the investigation and was granted entry into the facility by Elsie Dieguez. Upon arrival, LPA verified a census of 10 children in care.

During today's investigation, LPA conducted additional interviews with children and staff.
Based on LPAs observations, interviews which were conducted, documents gathered and/or record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) are found SUBSTANTIATED. Interviews conducted with children and parents indicate licensee hits day care children. No marks and no emergency medical attention was reported. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019
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 5
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
07/12/2019 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20190712111119

FACILITY NAME:DIEGUEZ FAMILY CHILD CAREFACILITY NUMBER:
197418839
ADMINISTRATOR:DIEGUEZ, EDITH & ELSIEFACILITY TYPE:
810
ADDRESS:12550 OSBORNE STREETTELEPHONE:
(818) 481-6858
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY:14CENSUS: 7DATE:
10/08/2019
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Elsie and Edith DieguezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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9
Personal Rights- Staff yells at day care children
INVESTIGATION FINDINGS:
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On 10/08/2019 at 1:10PM., Licensing Program Analyst (LPA) Isabel Ortega arrived at the above facility to conduct a complaint investigation related to the allegations above. LPA disclosed the purpose of the investigation and was granted entry into the facility by Elsie Dieguez. Upon arrival, LPA verified a census of 7 children in care.

During today's investigation, LPA conducted additional interviews with children.
Based on LPAs observations, interviews which were conducted, documents gathered and/or record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) are found SUBSTANTIATED. Interviews conducted with children and partents indicate licensees yells at children in care. California Code of Regulations, Title 22, Division 12 or Health and Safety Code, are being cited on the attached LIC 9099D.
An exit interview was conducted, a signed copy of this report and a notice of site visit report were provided to Licensee, Elsie Dieguez.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 12-CC-20190712111119
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: DIEGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197418839
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
10/11/2019
Section Cited
CCR
102423(a)
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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:

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Licensee will immediate change her discipline and redirection process and take child development courses and contact the Resource and referral agency and ask for coaching or training. licensee will submit certificate of attendance and come to the Regional office for a POC.
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This requirement is not met as evidenced by: To be treated with dignity in his/her personal relationship with staff and other persons. Based on LPA observation, interviews conducted, and record review, Licensee failed to ensure appropriate discipline…. which poses an immediate/a potential risk to the health and safety 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: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 12-CC-20190712111119
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: DIEGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197418839
VISIT DATE: 10/08/2019
NARRATIVE
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Upon receipt, provide copies of this licensing report to each parent/guardian of enrolled children and to parents/guardians of newly enrolled children during the next 12 months. Acknowledgement of Receipt LIC 9224 form shall be used for this purpose. LIC 9224 after completed shall be maintained in each child's file. (LIC 9224 was provided to Licensee).
An exit interview was conducted, a signed copy of this report and a notice of site visit and appeal rights were provided to Licensee, Edith Dieguez.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 12-CC-20190712111119
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: DIEGUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197418839
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/09/2019
Section Cited
CCR
102423(a)(4)
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Personal Rights …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 was not met as evidenced by: based on interviews and other corroborating evidence it was
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Licensee will immediate change her discipline process and take child development courses and contact the Resource and referral agency and ask for coaching or training. licensee will submit certificate of attendance and Come to the Regional office for a POC.
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determined the Licensee inappropriately disciplined children by hitting, yelling, and withholding water causing the children to experience humiliation and intimidation. This is an immediate risk to the health & safety of children.

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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: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 5