197700191-5-4-2021-12-CC-VHUT-C2PR2D-20210504123811

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700191
Report Date: 05/04/2021
Date Signed: 05/04/2021 12:38:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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
ADMINISTRATOR:	DUNN, RODEEN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 878-6794
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93551
CAPACITY:	14	CENSUS: 12	DATE:	05/04/2021
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Beridiana Perez		TIME COMPLETED:	12:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Victoria Hunt and Licensing Program Manager Carissa Bell conducted a Case Management inspection for the purpose to discuss the Department’s concern with the operation of the facility. LPA and LPM met with licensee's assistant Beridiana Perez. Upon arrival, LPA and LPM observed 10 preschool age children and 2 infant children being supervised by the licensee's assistants. The licensee was not present during the time of this inspection. Staff records were viewed during the time of the inspection and both staff present had expired Pediatric CPR and First Aid Certificates. The department learned the Licensee operated over-capacity during the months of September, October, November, December of 2020 and January of 2021. The licensee operated over capacity and exceed ratios on the following dates: September 2020: 1, 2, 3, 4, 8,9,10,11,14,15,16,17,18, 21,22,23,24,25, 28, 29, 30. October 2020: 1,2,5,6,7,8, 9, 12,13,14,15,16, 19, 20,21,22,23 26,27,28,29,30. November 2020: 2,3,4,5,6,7, 9,10,11,12,13,14,16,17,18,19,20,21, 23,24,25, 28,30. December 2020: 1,2,3,4,7,8,9,10,11,14,15,16,17,18,21,22,23,24,28,29,30,31. January 2021: 4,5,6,7,8,11,12,13,14,15, 18,19,20,21,22, 25,26,27,28,29.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 05/04/2021

NARRATIVE

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During the aforementioned days, Licensee provided care to 24 to 33 children at a time. The Licensee must ensure that she does not exceeds her license capacity. The following is applicable to a large family day-care home:

A large family day care home may provide care for more than 12 children and up to and including 14 children. The following conditions must be met, at least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age.　No more than three infants are cared for during any time when more than 12 children are being cared for. The licensee must notify a parent if the facility is caring for two additional school age children and that there may be up to 13 or 14 children in the home at one time. If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home

Based on the information obtained, the facility is being cited for over-capacity, ratios, and fire clearance and Pediatric CPR and First Aid violations. These are Type A and B deficiencies. Type A deficiencies pose an immediate health and safe risk to children. Type B deficiency poses a potential risk to children. See LIC809 D for deficiencies cited.

Upon receipt of a Type A deficiency the 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 was conducted, and a copy of this report was read and provided. Appeals rights were provided to the licensee. Notice of Site Visit

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 05/04/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 05/05/2021 Section Cited	1 2 3 4 5 6 7	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 was not met as evidenced by: During the aforementioned days, as specified on the Case Management Report dated 05/04/21.
	8 9 10 11 12 13 14	The licensee was operating over-capacity and exceed ratios during the specified months and provided care to at least, 24 to 33 children at a time. This is a type A deficiency that poses an immediate health and safe risk to children.	8 9 10 11 12 13 14
Type A 05/05/2021 Section Cited	1 2 3 4 5 6 7	FIRE SAFETY CLEARANCE: The home has fire clearance for 14 children. The Licensee was in operation and provided care to at least, 24 to 33 children at a time. The facility therefore is in violation of this section by failing to adhere to fire clearance.
	8 9 10 11 12 13 14	This is a Type A violation and poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14

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 Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 05/04/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 05/14/2021 Section Cited	1 2 3 4 5 6 7	102416 Personnel Requirements The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	LPA Hunt and LPM Bell observed licensee's assistants supervising day-care children. During the time of the inspection the licensee was not present and staff records were reviewed. Staff Pediatric CPR and First Aid Certifications were expired. Also, staff were missing the Preventative Health Certification. This is a Type B deficiency that poses an potential risk to children.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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 Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2021

LIC809 (FAS) - (06/04)

Page: 4 of 4