198011242-8-28-2019-54-CC-BVON-BFYAAP-20190913000328

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011242
Report Date: 08/28/2019
Date Signed: 08/28/2019 04:21:37 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
06/24/2019 and conducted by Evaluator Rita Ramos

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190624140610

FACILITY NAME:	ELEY FAMILY CHILD CARE		FACILITY NUMBER:	198011242
ADMINISTRATOR:	ELEY, TAMMY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 563-3767
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY:	14	CENSUS: 14	DATE:	08/28/2019
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Tammy Rae Eley, Licensee		TIME COMPLETED:	04:40 PM

ALLEGATION(S):

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Licensee threatened to hit daycare child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced complaint inspection to the above facility. LPA met with Tammy Eley, Licensee, who guided analysts on a tour of the facility. Also present during the inspection was Tytiana Shelton, Assistant. There were 14 children present upon arrival.

During the investigation LPA obtained a copy of the facility roster, interviewed children, and interviewed staff.

Information provided by the reporting party indicates that the Licensee threated to hit a child in care.

Licensee states that she does not threaten to hit children but did make a reference implying that Child #1 may require physical discipline for their behavior. Licensee states that the reference is more of an implication of what a parent should do as a form of discipline. -----------Page 1 of 2

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

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 5

Control Number 54-CC-20190624140610

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: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198011242
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/28/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/11/2019 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	Personal Rights To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or	1 2 3 4 5 6 7	Per Licensee, Licensee will not use intimidating words and will write a letter to the Department in regards to not using intimidating words or terms in front of child care children and will submit it by POC due date of 09/11/19.
	8 9 10 11 12 13 14	toileting; or withholding shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by Licensee's own disclosure that they used terms to imply that a child should be hit which is can be intimidating to a child. This poses a potential health and safety 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: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 5

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
06/24/2019 and conducted by Evaluator Rita Ramos

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190624140610

FACILITY NAME:	ELEY FAMILY CHILD CARE		FACILITY NUMBER:	198011242
ADMINISTRATOR:	ELEY, TAMMY		FACILITY TYPE:	810
ADDRESS:	11134 BELHAVEN STREET		TELEPHONE:	(323) 563-3767
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY:	14	CENSUS: 14	DATE:	08/28/2019
		UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Tammy Rae Eley, Licensee		TIME COMPLETED:	04:40 PM

ALLEGATION(S):

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Daycare child was denied access to water while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced complaint inspection to the above facility. LPA met with Tammy Eley, Licensee, who guided analysts on a tour of the facility. Also present during the inspection was Tytiana Shelton, Assistant. There were 14 children present upon arrival.

During the investigation LPA obtained a copy of the facility roster, interviewed children, conducted other interviews, and took pictures.

Information provided by the reporting party indicates that the Licensee denied a child in care drinking water.

Licensee states that she does not withold any water for a child. Children can have water. Licensee also stated that they will tell a child to hold on for a second or a minute if the Licensee is busy with an infant or passing out snack, or if their hands are full. -------------Page 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

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

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 54-CC-20190624140610

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: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198011242
	VISIT DATE: 08/28/2019

NARRATIVE

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Staff interviewed made no disclosures in regards to children being denied drinking water.

Children interviewed made no disclosures in regards to not having drinking water, however, Child #2, #3, and #4 disclosed that they need to say, "Please," and "Thank you."

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.

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. Exit interview was conducted with Tammy Rae Eley, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

-------------Page 2 of 2

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

LIC9099 (FAS) - (06/04)

Page: 5 of 5

Control Number 54-CC-20190624140610

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: ELEY FAMILY CHILD CARE	FACILITY NUMBER: 198011242
	VISIT DATE: 08/28/2019

NARRATIVE

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Children interviewed made no disclosures in regards to Licensee hitting or threatening to hit a child.

Based on Licensee's disclosure that they did use terms in reference to a child being hit (even though not by the Licensee themselves), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 Chapter 1 number 102423(a)(4), is being cited on the attached deficiencies page.

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 was conducted with , including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

------Page 2 of 2

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 5