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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493952
Report Date: 12/27/2023
Date Signed: 12/27/2023 04:26:33 PM


Document Has Been Signed on 12/27/2023 04:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:WREH FAMILY CHILD CAREFACILITY NUMBER:
197493952
ADMINISTRATOR:WREH, CATHERINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 986-1680
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:14CENSUS: 4DATE:
12/27/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Charletha Amina Lee, Assistant TIME COMPLETED:
04:45 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Lilia Hernandez and Brittanee Cleveland conducted and unannounced inspection to the above facility on 12/27/2023. LPAs arrived at the facility at 08:55AM and met with Staff #1, who guided LPAs on tour of the facility. There were 2 children, and 2 infants in care upon arrival. LPAs were later met by Adult #1 who lives in the home.

The purpose of the visit is to address deficiencies that were discovered during a subsequent visit during the course of a complaint investigation conducted by the Department.

Upon arriving to the facility at 8:55AM, LPAs observed Staff #1 working at the facility prior to Licensee requesting a criminal record clearance. Staff #1 was not listed on the facility roster. LPAs also observed Adult #1 present in the home during hours of operation prior to Licensee requesting transfer record clearance. Adult #1 was not listed in the facility roster. LPAs requested to see identification to verify Staff #1 and Adult #1 identity. (Photo of IDs taken)

Per Staff#1, Licensee was not present during inspection due to illness.

Adult #1, contacted Licensee via telephone. LPA Hernandez spoke to Licensee and disclosed the reason for the unannounced inspection. LPA Hernandez asked the Licensee to provide an approximate time of arrival to the facility. Licensee disclosed to LPA Hernandez via telephone that Staff #1 will be supervising and providing care to children and Licensee will not be at the facility the entire day to due to personal illness.

LPA Hernandez reminded licensee that Section 102417(a) Operation of a Family Child Care Home states that the licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. ---page 1 of 2
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 12/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WREH FAMILY CHILD CARE
FACILITY NUMBER: 197493952
VISIT DATE: 12/27/2023
NARRATIVE
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Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.

LPA Hernandez disclosed to Licensee that Staff #1 and Adult #1 who were present during the inspection, were not on listed on the facility roster.

Licensee disclosed that documents were submitted to the Department to have Staff #1 criminal record clearance processed and Adult #1 associated to the facility in the past but was unable to produce records/proof.

Per licensee, they did not follow up to verify if Staff #1 was associated prior to Staff #1 first day of employment.

At 9:33am, LPAs called the Department and Licensing Program Manager, Betty Bell, confirmed that Staff #1 did not have a criminal record clearance and Adult #1 was not associated to WREH FAMILY CHILD CARE.

Staff #1 disclosed that they have been employed for over 5 years(start date unknown). Staff #1 disclosed that they indeed have fingerprints and is currently employed with a local school district.

Adult #1 disclosed that they have been living in the home for 5 months (move in date unknown). LPAs observed Adult#1 California Drivers License to have an issued date of 11/14/2022 with the facility address indicated.

LPAs advised Licensee that all individuals prior to working, residing, or volunteering in a licensed facility, shall have a criminal record clearance or a criminal record transfer.

The following deficiencies listed on the attached deficiency pages are being cited in accordance with California Code of Regulations Title 22.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. ---Page 2 of 3
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2023
LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 12/27/2023 04:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: WREH FAMILY CHILD CARE

FACILITY NUMBER: 197493952

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/27/2023
Section Cited
CCR
102370(d)(1)

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(d) All individuals subject to a criminal record review...prior to working, residing, or volunteering in a licensed facility: (1)Obtain a California clearance...as required by the Department...
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Per Assistant, fingerprints will be processed, copy of receipt along with a print out of Guardian roster showing Charletha Amina Lee associated to the facility will be submitted to LPA Hernandez via email by POC due date.
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This requirement was not met as evidenced by Upon arriving to the facility at 8:55AM, LPAs also observed Adult #1 present in the home during hours of operation prior to Licensee requesting transfer record clearance. Adult #1 was not listed in the facility roster which poses a potential health, safety or personal rights risk to persons 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: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 12/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/27/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5


Document Has Been Signed on 12/27/2023 04:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: WREH FAMILY CHILD CARE

FACILITY NUMBER: 197493952

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/17/2024
Section Cited
CCR
102370(d)(2)

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(d) All individuals subject to a criminal record review...prior to working, residing, or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance...
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Per Licensee via a conversation by telephone, Janet Wreh will be associated to the facility and a printout of the Guardian roster will be submitted to LPA Hernandez via email by the POC due date.
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This requirement was not met as evidenced by: Upon arriving to the facility at 8:55AM, LPAs observed Adult #1 present in the home during hours of operation prior to Licensee requesting transfer record clearance. Adult #1 was not listed in the facility roster which poses a potential health, safety or personal rights risk to persons in care.
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Type B
01/17/2024
Section Cited
CCR102417(a)

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(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times...Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
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Per Licensee via a conversation by telephone, a written plan on how long absences beyond the 20 percent of the hours that the facility is providing care per day will be addressed. POC will be submitted via email to LPA Hernandez by POC due date.
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This requirement was not met as evidenced by: Based on observation and interview, the licensee did not comply with the section cited above in Licensee disclosed to LPA Hernandez via telephone that Staff #1 will be supervising and providing care to children and licensee will not be at the facility the entire day to due to personal illness which poses a potential health, safety or personal rights risk to persons 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: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 12/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/27/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WREH FAMILY CHILD CARE
FACILITY NUMBER: 197493952
VISIT DATE: 12/27/2023
NARRATIVE
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The Notice of Site Visit 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 Charletha Amina Lee, Assistant.

---Page 3 of 3
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5