197419791-8-11-2022-12-CC-CYAS-CHZVW2-20220906164710

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419791
Report Date: 08/10/2022
Date Signed: 08/11/2022 03:28:59 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/27/2022 and conducted by Evaluator Justin Dorsey

COMPLAINT CONTROL NUMBER: 12-CC-20220727091516

FACILITY NAME:	GIANI FAMILY CHILD CARE		FACILITY NUMBER:	197419791
ADMINISTRATOR:	GIANI, ADRIANA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 364-2228
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	14	CENSUS: 10	DATE:	08/10/2022
		UNANNOUNCED	TIME BEGAN:	01:32 PM
MET WITH:	Adriana Giani		TIME COMPLETED:	04:09 PM

ALLEGATION(S):

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RV parked in front of the facility where drugs are sold.
Front the facility is trashed where are RV is park.
Uncleared adult living in the facility.

INVESTIGATION FINDINGS:

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On 08/10/22 Licensing Program Analyst (LPA) Justin Dorsey conducted a complaint investigation at the facility to deliver complaint investigation findings. LPA met with Licensee Adriana Giani, who allowed LPA to tour of the facility. Upon arrival LPA observed 10 children with Licensee and Assistant #1.

During this investigation, LPA received documents related to this investigation, which included the facility children’s roster. LPA also interviewed the licensee, assistant #1, neighbors and children of the program. According to interviews it was found that Adult #1 lived in an RV in front of the daycare where drugs were sold. LPA also found through interview that the uncleared adult #1 would access the homes shower/bathroom, left side of the home and front yard of the home. At the time LPA delivered the complaint investigation findings the RV in the front of the home was moved. According to assistant #1, Adult #1 had permssion from DCFS to to have monitored visits in the home on Saturdays and Sundays. Based on information obtained, interviews with relevant complaint parties, licensee, and children the allegations are deemed SUBSTANTIATED and Type A and B citations will be issued. A finding of substantiated means that allegations were valid because the preponderance of the evidence standard has been met.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

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 4

Control Number 12-CC-20220727091516

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: GIANI FAMILY CHILD CARE	FACILITY NUMBER: 197419791
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/10/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/10/2022 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	102370 Criminal Record Clearance (d)(1) (d) All individuals...shall prior to working, residing, or volunteering in a licensed facility...Obtain a California clearance or a criminal record exemption as required by the Department...This requirement is not met as evidenced by:	1 2 3 4 5 6 7	LPA Dorsey covered deficeincy with Assistant #1 and POC. Due to Assistant #1 demanding LPA leave the home it was unclear if POC was agreed upon. Adult #1 shall not enter the home untill they have been fingerprint cleared and associated to the home.
	8 9 10 11 12 13 14	Based on interview Adult #1 would access the homes bathroom/shower, side of the house and front yard, which poses an immediate Health, Safety or Personal Rights risk to 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: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 12-CC-20220727091516

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: GIANI FAMILY CHILD CARE	FACILITY NUMBER: 197419791
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/10/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/10/2022 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	102423 Personal Rights (a)(2) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee...To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	POC not created. Licensee refused to sign for this citation.
	8 9 10 11 12 13 14	Based on interview Adult #1 was selling drugs out of the RV in front of the daycare home, which poses a potential Health, Safety or Personal Rights risk to children in care.	8 9 10 11 12 13 14
Type B 08/17/2022 Section Cited CCR 102417(d)(1)	1 2 3 4 5 6 7	102417 Operation of a Family Child Care Home (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	LPA Dorsey covered deficeincy and POC with Assistant #1. Due to Assistant #1 demanding LPA leave the home it was unclear if POC was agreed upon. Licensee shall remove all unecessary items that were near the RV by POC due date 08/17/22
	8 9 10 11 12 13 14	Based on observation there was an abundance of items outside of the RV in front of the daycare home, which poses a potential Health, Safety or Personal Rights risk to children in care.	8 9 10 11 12 13 14

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: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 12-CC-20220727091516

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: GIANI FAMILY CHILD CARE	FACILITY NUMBER: 197419791
	VISIT DATE: 08/10/2022

NARRATIVE

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Applicant advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days whenever a licensing inspection is conducted. If a Type A deficiency is cited, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports LIC 9224. If these requirements are not met civil penalties per violation will be assessed.

LPA Dorsey read report to Assistant #1. LPA was unable to obtain signature due to Assistant #1 demanding LPA Dorsey leave the home. LPA Dorsey emailed LIC 809, Notice of Site Visit, Appeal Rights, LIC 421BG and LIC 9224 to Licensee Giani.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2022

LIC9099 (FAS) - (06/04)

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