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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700191
Report Date: 11/30/2023
Date Signed: 11/30/2023 04:25:58 PM


Document Has Been Signed on 11/30/2023 04:25 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:DUNN, RODEEN FAMILY CHILD CAREFACILITY NUMBER:
197700191
ADMINISTRATOR:DUNN, RODEENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 878-6794
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:14CENSUS: 7DATE:
11/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:26 AM
MET WITH:Rodeen Dunn, LicenseeTIME COMPLETED:
03:00 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Joe Katrdzhyan and Lilia Hernandez conducted an unannounced case management visit citing for a deficiency observed during an inspection. LPAs arrived at the facility at 11:26AM and met with Rodeen Dunn, Licensee, who guided LPAs on tour of the facility. There were 7 children, 1 infant under 12 months, and 1 staff upon arrival.

During an annual visit conducted on 10/25/2023, LPAs were reviewing personnel files and observed Licensee's mandated reporter training certificate for Licensee to be expired. LPAs asked Licensee to provide the most current copy of their mandate reporter training certificate. Licensee provided LPAs with a copy of the mandated certificate with date completion of 9/10/2023 in a font different from the font on the template that was discontinued. LPAs noticed that the certificate did not have the QR code to verify the authenticity of the certificate.

On 10/26/2023, LPA’s submitted a copy of the Licensee’s certificate to the mandated reporter training technical support department for assistance in the authenticity of the certificate.

On 10/26/2023, the mandated reporter training support department representative reviewed the certificate and disclosed in writing that the certificate submitted by licensee was not valid. The certificate number listed was consistent with numbers used around February and April of 2020. The date listed on the certificate was not accurate, as the template for certificates changed on June 27th, 2023. The template for all certificates issued after June 27th 2023 have a QR code. The QR code links to the validation site which pulls the certificate number, the training type, date of completion, and name registered.

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SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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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: DUNN, RODEEN FAMILY CHILD CARE
FACILITY NUMBER: 197700191
VISIT DATE: 11/30/2023
NARRATIVE
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The certificate provided by the Licensee with a date of 9/10/2023 was in a font different from the font on the template that was discontinued. The certificate serial number was confirmed to be consistent with certificates issued around February and April of 2020, per the mandated reporter training representative. Licensee submitted a certificate that was fabricated.

Non compliance with conditions of probation, where the license is on probation pursuant to the Revised Decision and Order #1220101101B, dated 6/28/22, where on page 31 of the Order, Item 1, Respondent shall obey all laws, including the California Community Care Facilities Act, and adhere to all Department regulations promulgated thereunder.

The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22.

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 Rodeen Dunn, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/30/2023 04:25 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: DUNN, RODEEN FAMILY CHILD CARE
FACILITY NUMBER: 197700191

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2023
Section Cited
HSC
1596.8662(c)

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(c) Current proof of completion for each licensed child care provider or applicant for that license, administrator, and employee of a licensed child day care facility shall be submitted to the department upon inspection of the child day care or upon request by the department.
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During todays visit, LPAs observed a copy of the mandated reported training certificate with the a date of 10/26/2023. LPAs scanned the QR code and was able to verify the authenticity of the certificate.
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This requirement is not met as evidenced by:
Based on record review, the licensee did not comply with the section cited above in LPAs asked Licensee to provide the most current copy of their mandate reporter training certificate on 10/25/2023. Licensee provided LPAs with a copy of the mandated certificate with date completion of 9/10/2023 in a font different from the font on the template that was discontinued. On 10/26/2023, the mandated reporter training support department representative reviewed the certificate and disclosed in writing that the certificate submitted by licensee was not valid 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: 11/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2023
LIC809 (FAS) - (06/04)
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