198011345-10-15-2020-54-CC-TCON-BWU4D2-20201231175958

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011345
Report Date: 10/15/2020
Date Signed: 10/15/2020 04:33:00 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
10/06/2020 and conducted by Evaluator Denise Gibbs

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20201006083527

FACILITY NAME:	CHAVERO-RAMIREZ FAMILY CHILD CARE		FACILITY NUMBER:	198011345
ADMINISTRATOR:	CHAVERO, MARGARITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 233-0252
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90037
CAPACITY:	14	CENSUS: 8	DATE:	10/15/2020
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Margarita Chavero-Ramirez, Licensee		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Adults in home are not associated to the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced complaint inspection on 10/15/2020 at 12:45 pm to investigate the above allegation(s). LPA toured facility with licensee, Margarita Chavero. There were eight children and one adult present during this visit.

During the investigation LPA received a copy of the Children's Roster. LPA conducted interviews with licensee Staff Two (S2) and children. LPA reviewed the Licensing Information System (LIS) and confirmed that adult one (A1) is clearance is inactive and A1 is not associated to the facility. Per licensee, she had an emergency in another country. Her assistant who is cleared and associated needed help with the day care so she asked A1 to help. Licensee stated A1 is cleared but not associated. Licensee was unaware that A1's fingerprints were inactive. LPA toured all areas in the home, day care and off limit areas, interviewed children and staff and observed that only licensee lives in the home.

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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2020

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-20201006083527

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: CHAVERO-RAMIREZ FAMILY CHILD CARE	FACILITY NUMBER: 198011345
	VISIT DATE: 10/15/2020

NARRATIVE

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Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be Substantiated. California Code of Regulations,102370(d)(1) Criminal Record Clearance, are being cited on the attached LIC. 9099. This poses an immediate Health and Safety risk to clients in care. Deficiencies that are being cited need to be cleared to protect the children’s health & safety. A violation regarding Uncleared Adult warrants a civil penalty of $200.00 and is hereby assessed, see LIC 421BG.

Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the Parent Notification Requirements was provided to the licensee, along with a copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports.

Exit interview was conducted with Margarita Chavez-Ramirez, Licensee, including, but not limited to Appeal Procedures and Agencies Consultative Role.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2020

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20201006083527

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: CHAVERO-RAMIREZ FAMILY CHILD CARE	FACILITY NUMBER: 198011345
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/15/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/16/2020 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	102370(d)(1)Criminal Record Clearance (d) All individuals subject to a criminal record review...shall prior to working, residing, or volunteering in a licensed facility:(1)Obtain a California clearance...required by the Department or This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee agrees to send her sister to do her fingerprint again so they can be active and she will associate her to her facility before she returns to help at the daycare.
	8 9 10 11 12 13 14	Based on observation/interview/record review licensee did not ensure A1 had a criminal record clearance before working in the home. This poses an immediate Health, 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: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2020

LIC9099 (FAS) - (06/04)

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