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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700191
Report Date: 02/25/2020
Date Signed: 02/29/2020 04:29:26 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/02/2019 and conducted by Evaluator Victoria Hunt
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20191202162308
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: 8DATE:
02/25/2020
UNANNOUNCEDTIME BEGAN:
04:51 PM
MET WITH:Rodeen DunnTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Allegation #1 - Unclear Adults are Providing Care
Allegation #2 - Facility is over the capacity
Allegation #3 - Licensee does not live in the home
INVESTIGATION FINDINGS:
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*********This report is being amended to amended and correct the language in the body of the report ******* LPA Hunt conducted a subsequent visit to the facility for the purpose of concluding and deliver findings into the allegations. LPA met with licensee, Rodeen Dunn. Upon arrival LPA observed 8 children and 3 staff. This investigation consisted of interviews with the licensee, witnesses, staff, children, and other pertinent parties relevant to the investigation. The investigation revealed the following evidence:
The investigation revealed that sometime during the month of December of 2019, adult #1 and adult #2 were observed to be on premises at the facility providing care and supervision to children. Licensee admitted adult #1 and adult #2 were not fingerprinted or background cleared. Also, in December of 2019, (26)children were observed at the facility; the facility was over the capacity allotted and specified on the license. Furthermore, it was disclosed by multiple witnesses that the licensee does not live or reside at the residence; the witnesses’ statements were consistent. Therefore, the investigation provided sufficient evidence and corroboration to substantiate the allegations. The above allegations based on evidence obtained during course of the investigation.
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Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
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 4
Control Number 12-CC-20191202162308
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: DUNN, RODEEN FAMILY CHILD CARE
FACILITY NUMBER: 197700191
VISIT DATE: 02/25/2020
NARRATIVE
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A finding of substantiated means that allegation is valid because the preponderance of the evidence standard has been met. This facility was cited today in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes.

The facility was cited type A and B deficiencies according to the California Code Title 22 Regulations including an immediate civil penalty assessment due to the child sustaining an injury. See Facility Evaluation Report LIC 9099D for deficiencies.

Upon receipt of a Type A deficiency licensee shall post the report for 30 days in addition to the Notice of Site Visit & provide copies of the licensing report to parents/guardians of children in care at the facility. This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. If these requirements are not met, civil penalties will be assessed.

An exit interview conducted, appeal rights discussed, and a copy of this report was provided to licensee.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 12-CC-20191202162308
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: DUNN, RODEEN FAMILY CHILD CARE
FACILITY NUMBER: 197700191
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/25/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2020
Section Cited
CCR
102352(h)(1)
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"Home" means the licensee's residence as defined by Government Code Section 244.
This requirement is not met as evidenced by: Multiple witnesses disclosed that the licensee does not reside at the residence.


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The licensee shall submit proof of evidence that she resides in the facility. This shall be submitted by the plan of correction date of 03/06/20.
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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: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 12-CC-20191202162308
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: DUNN, RODEEN FAMILY CHILD CARE
FACILITY NUMBER: 197700191
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/25/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/26/2020
Section Cited
CCR
102416.5(a)
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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 is not met as evidenced by:
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Licensee states will providing meeting notes of agenda by the Plan of correction date 02/26/20.
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Sometime in December 2019 it was observed that the facility had a total of 26 children present at the facility, this is above the amount specified on the license. This is a type A deficiency that poses an immediate health and safe risk to children.

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Type A
02/26/2020
Section Cited
CCR
102370(d)(1)
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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: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not
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Licensee states that adult #1 no longer works at the facility and adult #2 has been fingerprinted/backgrounded clear.
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 met as evidenceby: adult #1 and adult #2 was observed on premises sometime in December 2019, providing care and supervision for children. It was determined that adult #1 and 2 were not associated to the facility. This is a type A deficiency which poses an immediate health and safety risk to children in care.>>>>>>>>>>>>>>>>>>>>>>>>>>
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Civil Penalty is being assessed.
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: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 4