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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700253
Report Date: 08/18/2022
Date Signed: 08/19/2022 12:58:48 PM

Substantiated


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
05/25/2022 and conducted by Evaluator Lady King
COMPLAINT CONTROL NUMBER: 12-CC-20220525101244
FACILITY NAME:SMITH FAMILY CHILD CAREFACILITY NUMBER:
197700253
ADMINISTRATOR:SMITH, CHAUNCY&DENISHAYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 480-4280
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:14CENSUS: DATE:
08/18/2022
UNANNOUNCEDTIME BEGAN:
05:55 PM
MET WITH:Chauncy SmithTIME COMPLETED:
05:56 PM
ALLEGATION(S):
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Licensee is providing care for day care children at a different location
INVESTIGATION FINDINGS:
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This report is being Amended to change the report from unsubstantiated to substantiated. Licensing Program Analyst (LPA) King-Lewis conducted an unannounced inspection on the above allegation. LPA disclosed the purpose of inspection and was granted entry by Licensee. Upon entry, LPA counted 04 children in care. The investigation revealed, Licensee Denishay, provided care to child 1.2. and 3. On separate occasions licensee has taken the children to Academy of Excellent childcare center which is operated by Chauncy Smith, licensee's husband, to receive care when licensee Denishay had to run errands.

Based on the information obtained, child # 1 was enrolled at the home and the center; however, child #2 and #3 were not. Academy of Excellent is operated by licensee's husband, Chauncy Smith.

Based on evidence obtained and interviews conducted, the above allegation is deemed substantiated due to child 2 and 3 were care for at another location. The facility was cited a type A deficiency see complaint investigation report LIC 9099D for deficiency cited.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
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 3
Control Number 12-CC-20220525101244
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: SMITH FAMILY CHILD CARE
FACILITY NUMBER: 197700253
VISIT DATE: 08/18/2022
NARRATIVE
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A finding that the complaint is substantiated means that allegation is valid because the preponderance of the evidence standard has been met.

The facility was cited a type A deficiency see complaint investigation report LIC 9099D for deficiency cited. Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

An exit interview was conducted, a copy of this Report, Appeal Rights and Notice of Site Visit were provided to Chauncy Smith..

LPA King-Lewis informed the licensee Chauncy Smith to provide a copy of this licensing report dated 08-18-22 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

An exit interview was conducted and a copy of this report, Appeal Rights, was provided to Licensee Chauncy Smith, A Notice of Site Visit was posted and must remain posted for 30 days. Removal of posting is subject to a $100 civil penalty.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20220525101244
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: SMITH FAMILY CHILD CARE
FACILITY NUMBER: 197700253
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/18/2022
Section Cited
CCR
102352(f)(1)
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(f) (1) "Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. This requirement was not met by, On separate occasions licensee has taken child #2 and
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Licensee shall provide a written statement to the department by 08-20-22, stating Licensees will not use other day care facility to provide alternative care. Care and supervision will be at the licensees family childcare home.
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 #3 to Academy of Excellent Childcare Center which is operated by Chauncy Smith, licensee's husband, to receive care when licensee Denishay had to run errands.
This is a Type A violation and it poses an immediate risk to the health and safety of children 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: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Lady KingTELEPHONE: (661) 568-8933
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3