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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494704
Report Date: 10/02/2024
Date Signed: 10/02/2024 10:10:48 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
10/01/2024 and conducted by Evaluator Ranita Richmond
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20241001092434
FACILITY NAME:HAYES FAMILY CHILD CAREFACILITY NUMBER:
197494704
ADMINISTRATOR:HAYES, ERNESTINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 780-0885
CITY:INGLEWOODSTATE: CAZIP CODE:
90305
CAPACITY:14CENSUS: 4DATE:
10/02/2024
UNANNOUNCEDTIME BEGAN:
01:03 PM
MET WITH:Ernestine HayesTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Criminal Records Clearance- Licensee allows unassociated adult to provide care in the home.
INVESTIGATION FINDINGS:
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On 10/02/2024 at 1:00pm, LPA Ranita Richmond and Brittany Lovest conducted an unannounced complaint visit. LPAs were greeted by Roselyn Ramey. LPAs toured the home for Health & Safety inspection. LPA Richmond observed 4 children being supervised and cared for. Licensee Ernestine Hayes arrived at approximately 1:35pm from a doctor's visit. Per licensee Roselyn Ramey has been helping her in the FCC for 6 weeks.

Based on the LPA's observations, record review, and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

Per Title 22 Regulations and Health and Safety Codes. See LIC 9099D. See LIC 421BG.
An exit interview was conducted, a copy of this report was read and provided to Licensee Ernestine Hayes.
Notice of Site Visit was provided and required to be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
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-20241001092434
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: HAYES FAMILY CHILD CARE
FACILITY NUMBER: 197494704
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/02/2024
Section Cited
CCR
102370(d)
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102370 Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:
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Licensee will have Roselyn Ramey associated with Hayes FCC prior to return to home.
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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.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2