198003208-6-19-2019-33-CC-BVON-BDWKSL-20190709080939

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198003208
Report Date: 06/19/2019
Date Signed: 06/19/2019 12:10:16 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/26/2019 and conducted by Evaluator Warren Birks

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20190326115608

FACILITY NAME:	GREEN FAMILY CHILD CARE		FACILITY NUMBER:	198003208
ADMINISTRATOR:	GREEN, LA DORIS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 608-2833
CITY:	CARSON	STATE: CA	ZIP CODE:	90746
CAPACITY:	14	CENSUS: 9	DATE:	06/19/2019
		UNANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	La Doris Green		TIME COMPLETED:	12:20 PM

ALLEGATION(S):

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Licensee left child in soiled diaper for an extended amount of time.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced complaint inspection to deliver findings for the above allegation. Licensee La Doris Green and cleared assistant were caring for nine children.

LPA interviewed the Licensee, staff and adult #1. Adult #1 indicated child #1 was soiled when Adult #1 picked up child #1 from daycare. Adult #1 also submitted a photo of child #1 with a soiled pull-up. Note: The photo was not taken at pick up time or at the daycare facility).

LPA corraborated information from both parties that child #1 had an illness that may cause soiled pull-ups. The Licensee stated she changed child #1 multiple times and the child could have solied the pull up while Adult #1 was driving the child home. Licensee and staff provided written declarations indicating they check children 30 minutes or sooner, change children as needed and change closthing if clothing is soiled. The allegation indicates soiling took place for an extended period of time however, CONTINUED NEXT PAGE

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20190326115608

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GREEN FAMILY CHILD CARE	FACILITY NUMBER: 198003208
	VISIT DATE: 06/19/2019

NARRATIVE

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there is no evidence available to measure the amount of time that would constitute as an "Extended period of time". The Licensee denies that child #1 was soiled when the child was picked up and stated the soiling probably happened after the child left. LPA informed Licensee that the investigation could not determine the "extended time" of alleged soiling especially since the photo was not taken at the daycare.

Based on interviews, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur, therefore these allegation are unsubstantiated. The Notice of Site Visit (LIC 9213) – 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 conducted with Licensee Green.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 06/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2019

LIC9099 (FAS) - (06/04)

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