198011139-11-10-2020-54-CC-TCON-BVFVPJ-20201117153649

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011139
Report Date: 11/10/2020
Date Signed: 11/10/2020 03:41:20 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
07/20/2020 and conducted by Evaluator Katrina Chicote

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20200720123154

FACILITY NAME:	MATEOS FAMILY CHILD CARE		FACILITY NUMBER:	198011139
ADMINISTRATOR:	MATEOS, LUCILA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 752-3914
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90003
CAPACITY:	14	CENSUS: 5	DATE:	11/10/2020
		UNANNOUNCED	TIME BEGAN:	12:40 PM
MET WITH:	Licensee's Assistant		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Adult in the home hit day care child

INVESTIGATION FINDINGS:

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This complaint investigation was conducted by Katrina Chicote, Licensing Program Analyst (LPA) on 11/10/2020 at 12:40 PM. Due to COVID-19 and precautionary measures, this unannounced inspection was conducted via teleconference using FaceTime. The teleinpsection was conducted with Licensee and Licensee’s Husband who is also Licensee’s Assistant. Licensee speaks Spanish and Licensee’s Husband assisted with Spanish-English translation. All adults in the home have criminal record clearance. LPA observed five children in care at time of tele-inspection with two children napping in the living room. Licensee returned and joined the teleinspection during the second half of the call at 3:00 PM.

During the course of the investigation, LPA conducted interviews with Licensee, Licensee’s Assistant, parents, and children. Per Licensee, they use redirecting and keep children busy with activities in order to avoid conflicts, but multiple interviews from children and adults corroborate that children are being hit on the head or ears being pulled when they are misbehaving or not listening.
Report Continues Next Page - page 1 of 2

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2020

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-20200720123154

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: MATEOS FAMILY CHILD CARE	FACILITY NUMBER: 198011139
	VISIT DATE: 11/10/2020

NARRATIVE

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Based on the available information, the preponderance of evidence standard has been met, therefor the above allegation is found to be SUBSTANTIATED. California Code of Regulations, 102423(a)(4) Personal Rights, is being cited on the attached LIC 9099D.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

Exit interview was conducted with Licensee and Licensee’s Assistant, on 11/10/2020 at 3:15 PM. A copy of report was given. Appeal rights were issued and discussed.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2020

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20200720123154

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: MATEOS FAMILY CHILD CARE	FACILITY NUMBER: 198011139
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/10/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/13/2020 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	102423(a)(4) Personal Rights Each child receiving services from a family child care home... have certain rights...include, but are not limited to, the following … (4) To be free from corporal or unusual punishment, infliction of pain.. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee states they will watch video on CCLD's website "Children's Personal Rights in Child Care" and provide summary to LPA by POC date. There will also be an informal meeting at a date TBD.
	8 9 10 11 12 13 14	Based on interviews conducted,four out of seven adults and six out of seven children stated experiencing getting hit by an adult in the facility. This poses an immediate health, safety, and personal rights risk to 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) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 11/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2020

LIC9099 (FAS) - (06/04)

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