197492828-6-22-2020-30-CC-VBAA-BQXRBL-20200626125251

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197492828
Report Date: 06/19/2020
Date Signed: 06/22/2020 02:39:16 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2020 and conducted by Evaluator Laticia S Thompson

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20200304145101

FACILITY NAME:	BONAM FAMILY CHILD CARE		FACILITY NUMBER:	197492828
ADMINISTRATOR:	BONAM, TORRI		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 397-8157
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90043
CAPACITY:	14	CENSUS:	DATE:	06/19/2020
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Torri Bonam		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Licensee operated out of Ratio

INVESTIGATION FINDINGS:

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On 3/13/20 at 2:25PMLicensing Program Analysis (LPA) L Thompson and Dalicia Adkins made contact with Licensee to investigate a complaint regarding the above mention allegation.

On 06/17/2020 LPA L. Thompson made an unannounced tele-visit (due to the current Covid-19 Pandemic) with Torri Bonam (Licensee), this visit was to conclude the complaint investigation. Licensee confirmed she participates in the R & R Services Crystal Stairs. She submits her originals sign in/out sheet to the program. Licensee stated she does not have copies of the documents. Licensee confirmed there were periods of time during December 2019 that childre periods of care may have overlapped due to changes in parents schedules. Licensee confirmed sign in and out sheet from Crystal Stairs were accurate. Licensee confirmed children names on Sign in/out sheet were enrolled in her facility during December 2019. Licensee has a license for 14 children, review of monthly sign in/out sheet for December 2019, licensee cared for more than 14 children at more than 5 times, dates including 12/2, 12/8, 12/10, 12/13 and 12/18 of 2019, which is in excess of the ratio.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Laticia S Thompson	TELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2020

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 30-CC-20200304145101

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: BONAM FAMILY CHILD CARE	FACILITY NUMBER: 197492828
	VISIT DATE: 06/19/2020

NARRATIVE

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On 6/19/2020 LPA Thompson received a call from licensee stating admission that she was over capacity in December of 2019 and has a plan of correction.

Based on the sign in and out sheets received from The Resource and Referral Service Crystal Stairs and licensee's statement of children in care time periods overlapping during the month of December 2019. The complaint was concluded as substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
An exit interview was completed via telephone. A copy of this report with appeal rights was provided to licensee via email, licensee's confirmation of my email will serve as an receipt of the report

The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If facility was cited type A violations or complaint is found to be substantiated or unsubstantiated, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Licensee must inform the parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC-9224 Acknowledgement of Receipt of Licensing Reports.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Laticia S Thompson	TELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2020

LIC9099 (FAS) - (06/04)

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Control Number 30-CC-20200304145101

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: BONAM FAMILY CHILD CARE	FACILITY NUMBER: 197492828
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/19/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/19/2020 Section Cited CCR 102416.5(a)	1 2 3 4 5 6 7	Staffing Ratio and Capacity: The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement was not met, based on the interview conducted in which the Licensee disclosed that she operated over capacity and out of ratio.	1 2 3 4 5 6 7	Licensee shall immediately reduce capacity to meet the capacity of the license. Licensee shall also devise a schedule disclosing how she plans to prevent over capacity at all times. Schedule shall disclose childrens names, scheduled days and times of care.
	8 9 10 11 12 13 14	Documenation received from the Resource program that discloses the licensee Bonam cared for 24 children on 12/13/19 and more than 4 additional times. This posses an immediate and safety risk to children.	8 9 10 11 12 13 14	The schedule shall be provided to LPA no later than the due date 7/02/2020 via regular mail, email,or fax. Licensee shall provide a signed .
	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: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Laticia S Thompson	TELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2020

LIC9099 (FAS) - (06/04)

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