198007112-5-17-2019-54-CC-TCON-BE6VX3-20190717164849

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198007112
Report Date: 05/17/2019
Date Signed: 05/17/2019 02:21:24 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
05/10/2019 and conducted by Evaluator Timothy Fields

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190510093901

FACILITY NAME:	TERRY FAMILY CHILD CARE		FACILITY NUMBER:	198007112
ADMINISTRATOR:	TERRY, JUDY DARLENE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 431-7471
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY:	14	CENSUS: 6	DATE:	05/17/2019
		UNANNOUNCED	TIME BEGAN:	11:24 AM
MET WITH:	Judy Terry		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Licensee left day care children unattended

INVESTIGATION FINDINGS:

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A Complaint Investigation was conducted by Licensing Program Analyst (LPA), Timothy Fields for the purpose of investigating the above allegation. During the course of the investigation LPA learned a child in care was able exit the home and get to the front yard.

There was conflicting information on whether there was a second child was able to get to the front yard as well. The child(ren) was able to bypass licensee's child proof gate leading to the kitchen and exit the kitchen door. LPA observed a small plastic gate just outside the kitchen door that the child(ren) were able to bypass as well.

Licensee's front yard is not gated. The child was found unattended by their parent at approximately 5:30pm. It was undermined how long the child(ren) were left unattended. A $150 immediate civil penalty will be assessed during today's inspection.

Based on LPAs observations and interviews which were conducted and records reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulation, 102417(a) Operations of a Child Care Home, is being cited on the attached LIC 9099D.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019

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 54-CC-20190510093901

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: TERRY FAMILY CHILD CARE	FACILITY NUMBER: 198007112
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/17/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/20/2019 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	Operations of a Family Child Care Home: (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children	1 2 3 4 5 6 7	Licensee states additional chain or hooked latches along with child proof doorknobs will be placed on the main entrance and kitchen door by POC date 5/20/19. Licensee has ordered a new child proof gate. Pictures will be submitted as proof.
	8 9 10 11 12 13 14	during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. The requirement is not met as evidenced by licensee confirming at least one child was found unattended in the front yard by their parent. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3

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
05/10/2019 and conducted by Evaluator Timothy Fields

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190510093901

FACILITY NAME:	TERRY FAMILY CHILD CARE		FACILITY NUMBER:	198007112
ADMINISTRATOR:	TERRY, JUDY DARLENE		FACILITY TYPE:	810
ADDRESS:	1819 SHIPWAY AVENUE		TELEPHONE:	(562) 431-7471
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY:	14	CENSUS: 6	DATE:	05/17/2019
		UNANNOUNCED	TIME BEGAN:	11:24 AM
MET WITH:	Judy Terry		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Facility is out of ratio

INVESTIGATION FINDINGS:

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A Complaint investigation was conducted by Licensing Program Analyst (LPA) Timothy Fields for the purpose of investigating the above allegation. Complainant alleges she observed licensee out of ratio. LPA was not given a specific date as to when the facility was observed out of ratio. According to licensee's roster, 12 children are enrolled. According to interviews conducted, two adults are present when nine or more children are in care. Licensee and licensee's assistant maintains they have not told any perspective parents that they do not have a dog in the home.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy Fields	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2019

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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