198011812-5-13-2020-33-CC-VCOK-BPSNGE-20200520102657

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011812
Report Date: 05/13/2020
Date Signed: 05/13/2020 02:05:08 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2020 and conducted by Evaluator Mireya Garcia

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20200310103609

FACILITY NAME:	CAJINA FAMILY CHILD CARE		FACILITY NUMBER:	198011812
ADMINISTRATOR:	CAJINA, ZOYLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 913-9360
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY:	14	CENSUS: 0	DATE:	05/13/2020
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Zoyla Cajina, Licensee		TIME COMPLETED:	12:05 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee hit daycare child

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Mireya García contacted the facility on May 13, 2020, via telephone due to COVID-19 and precautionary measures in order to provide the findings of the Complaint investigation. This inspection was conducted with Zoyla Cajina, Licensee via a tele-inspection by use of facetime. During this tele-inspection the Licensee took this LPA on a tour of the facility. There were no children present at the facility during this tele-inspection.

Allegation states that Licensee hit day care child. Reporting Party (RP) reported child #1 disclosed Licensee hurt child #1’s hair and hit child#1’s forehead. The RP did not observe any injuries or bruises on child #1.

Report continues on next page 1 of 2.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020

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 33-CC-20200310103609

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CAJINA FAMILY CHILD CARE	FACILITY NUMBER: 198011812
	VISIT DATE: 05/13/2020

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During this investigation, LPA García obtained; copies of LIC 9040 Children's roster dated 03/16/20, certificate of completion of child abuse mandated reporter training AB1207 for Licensee dated 02/01/20 and conducted interviews with Licensee, two (2) day care staff, four (4) parents of currently enrolled children who attend facility and attempted to interview child#1. Although all interviews conducted with staff determined staff denied observing or having knowledge of any child being hit while in care. All four (4) parents interviewed disclosed in the time attending day care all families have not had any issues or concerns with Licensee or day care services. In addition, all four (4) families denied their child being hit or staff hitting. Based on the interviews conducted, at this time there is not enough evidence to support the above allegation.

This agency has investigated the complaint alleging Licensee hit day care child. Although the allegation may have happened or is valid; Based on interviews conducted; there were no witness to the allegation and the parent of child #1 refused interview of child #1, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegation is deemed Unsubstantiated. Should additional information become available in the future, this investigation may be reopened.

A Notice of Site Visit was not provided to Licensee Zoyla Cajina since a physical inspection was not conducted.

Exit interview was conducted in Spanish with Licensee Zoyla Cajina, via tele-inspection, during which Appeal Rights in Spanish were verbally explained to Licensee. A copy of this report has been signed by LPA García. This report, along with a copy of the Appeal Rights (LIC 9058(SP)) will be scanned via e-mail to Licensee Zoyla, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature.

Report ends here page 2 of 2.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020

LIC9099 (FAS) - (06/04)

Page: 2 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2020 and conducted by Evaluator Mireya Garcia

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20200310103609

FACILITY NAME:	CAJINA FAMILY CHILD CARE		FACILITY NUMBER:	198011812
ADMINISTRATOR:	CAJINA, ZOYLA		FACILITY TYPE:	810
ADDRESS:	539 NORTH BERENDO STREET		TELEPHONE:	(323) 913-9360
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY:	14	CENSUS: 0	DATE:	05/13/2020
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Zoyla Cajina, Licensee		TIME COMPLETED:	12:05 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not meet the child’s diapering needs.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

*This is an amendment of a report written on 05/13/2020. The report has been amended to change the findings from unfounded to unsubstantiated. *

Licensing Program Analyst (LPA) Mireya García contacted the facility on May 13, 2020, via telephone due to COVID-19 and precautionary measures in order to provide the findings of the Complaint investigation. This inspection was conducted with Zoyla Cajina, Licensee via a tele-inspection by use of facetime. During this tele-inspection the Licensee took this LPA on a tour of the facility. There were no children present at the facility during this tele-inspection.

Allegation states that Staff did not meet the child’s diapering needs. Reporting Party (RP) reported Licensee had a strict diapering schedule and if child #1 was soiled the Licensee did not address the diapering needs until diapering time causing child #1 to have severe diaper rashes. Report continues on next page 1 of 3.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020

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

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 33-CC-20200310103609

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CAJINA FAMILY CHILD CARE	FACILITY NUMBER: 198011812
	VISIT DATE: 05/13/2020

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During this investigation, LPA García obtained; copies of LIC 9040 Children's roster dated 03/16/20, blank diaper changing log, Diaper changing logs dated 01/20/20 & 02/11/20, certificate of completion of child abuse mandated reporter training AB1207 for Licensee dated 02/01/20, facility daily activity schedule, diaper changing procedures, diaper change schedule, picture of Licensee's November 2019 Calendar with notes and picture of diaper changing area.

Based on observations made on 03/16/20, LPA García observed diaper changing equipment; diaper changing table, mat, changing table paper roll and diaper pail inside the facility. Number of diapers, wipes, and gloves were observed in quantities to meet the needs of children in care. At this time, LPA did not observe diaper changing station as equipment used given there were no children present during LPAs visit.

In review of records posted on the wall of the diaper changing area, LPA observed diaper changing procedures and Diaper Changing Schedule. Diaper Changing Schedule identifies children’s diaper checks; upon arrival and diaper changing times are specified with a note that indicates a child’s diaper is changed as needed. Licensee provided a copy to LPA of Diaper Changing Logs dated 01/20/20 & 02/11/20 for review, although each entry identifies; date, time, child’s name, type (dry, wet and soiled) of diaper, the log does not indicate if child #1 had a diaper rash.

LPA García conducted interviews with Licensee and two (2) Assistants, all staff interviewed denied not meeting child’s diapering needs. Staff #1 and Staff #3 disclosed diapers are changed on schedules times however, diapers are checked frequently and changed as often as necessary. In addition, LPA interview four (4) parents of children who require diaper changes who are currently enrolled at day care. Although, interviews with staff and parents revealed the facility was meeting the diapering needs of the children in care and had not had experiences with children having diaper rashes, the parent of child #1 refused to allow the interview and observation of child #1, at this time there is not enough evidence to support the above allegation.

Report continues on next page 2 of 3.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 33-CC-20200310103609

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CAJINA FAMILY CHILD CARE	FACILITY NUMBER: 198011812
	VISIT DATE: 05/13/2020

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

This agency has investigated the complaint alleging Staff did not meet the child’s diapering needs. 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 at this time the above allegation is deemed unsubstantiated.

A Notice of Site Visit was not provided to Licensee Zoyla Cajina since a physical inspection was not conducted.

Report ends here page 3 of 3.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2020

LIC9099 (FAS) - (06/04)

Page: 5 of 5