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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493885
Report Date: 10/26/2022
Date Signed: 10/26/2022 11:14:34 AM

Unsubstantiated


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
08/01/2022 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220801144701
FACILITY NAME:HAYES FAMILY CHILD CAREFACILITY NUMBER:
197493885
ADMINISTRATOR:HAYES, TONIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 335-9622
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:14CENSUS: 4DATE:
10/26/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Toni Hayes, LicenseeTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Lack of Supervision: Day care child received an injury while in care
Personal Rights:Assistant pulled child's teeth out
Medication:Licensee gave child medication without permission of child's authorized representative
Personal Rights:Licensee restrained child in care
INVESTIGATION FINDINGS:
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On 10/26/2022, Licensing Program Analyst (LPA) Adrian Risher conducted a complaint subsequent visit regarding the above mentioned allegations to deliver the findings. LPA Risher provided the purpose of the visit and observed 4 of children in care with 2 staff. LPA Risher met with Toni Hayes, Licensee.

On 08/01/2022, ESCCRO received a complaint regarding day care child received an injury while in care, assistant pulled child’s teeth out, Licensee gave child medication without permission of child’s authorized representative and Licensee restrained child in care. Information was reported that child #1 tripped and fell at the facility. Child #1’s 2 front teeth were knocked out because of the fall. Reporting party stated staff give children medication to help them sleep. Information was reported that children are restrained in a “high chair”.

On 08/04/2022, LPA Risher conducted the initial complaint visit. During the visit, LPA Risher conducted interviews with staff and children. LPA requested a copy of the facility roster from Licensee. LPA was provided a copy of Injury Report from 07/27/2022.
Unsubstantiated
Estimated Days of Completion: 88
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
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 2
Control Number 30-CC-20220801144701
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: HAYES FAMILY CHILD CARE
FACILITY NUMBER: 197493885
VISIT DATE: 10/26/2022
NARRATIVE
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On 08/18/2022, LPA Risher conducted a subsequent visit to attempt to interview additional children. LPA Risher conducted a follow-up interview with Staff 1.

Staff observed child #1 trip and fall forward while playing in the outside play area. Staff rendered aid after they observed child #1 fall and hit her face on a chair. More than one staff were outside while the children were playing in the play area.

Child #1’s 2 front teeth came out after the fall. Staff rinsed child #1’s mouth out and put gauze to help stop the bleeding. Staff had the child sit down after the incident.

Children take naps at the facility after lunch. Staff stated a child can sit up and color if they do not want to take a nap. Staff will have the children lay quietly as well. Children stated they can sit and be quiet if they do not want to take a nap. Facility utilizes cots for naptime. Infants use cribs during naptime.

LPA observed infant chairs in the facility. Staff stated the infant chairs are used for eating only. Staff speak to the children about their behavior. Staff redirect the children as well. Children stated staff tell their parents about their behavior.

A full investigation was conducted which included observations and interviews. The information received did not reveal evidence that neglect/lack of supervision, medication and personal rights violations occurred. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the above alleged violations did or did not occur, therefore the allegations are found to be unsubstantiated. Staff observed child #1 get injured and rendered aid. Children can sit quietly or participate in an alternative activity if they do not want to take a nap. Facility utilizes redirecting and speaks to the children about their behavior.

Exit interview was conducted and report was provided to Toni Hayes, Licensee. Appeal rights will be provided.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2