198012858-3-16-2021-54-CC-TCON-C2C37Y-20210422180044

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198012858
Report Date: 03/16/2021
Date Signed: 03/16/2021 04:06:58 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
01/14/2021 and conducted by Evaluator Susann Sanchez

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20210114101549

FACILITY NAME:	CLARK FAMILY CHILD CARE		FACILITY NUMBER:	198012858
ADMINISTRATOR:	CLARK, JAUNITTIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 502-0344
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90810
CAPACITY:	14	CENSUS: 3	DATE:	03/16/2021
		ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Juanita Clark, Licensee		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Lack of Supervision: Hot food left on stove while unsupervised children present.
Physical Plant: Facility has hazardous items in children's play area.
Food Service: Licensee did not ensure children had safe drinking water.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Susann Sanchez conducted an announced complaint inspection to the above facility via Zoom due to the COVID19 Pandemic. LPA met with Juanita Clark, Licensee and delivered the findings of the complaint. LPA observed three school aged children member during the inspection. Licensee gave LPA a vitrual tour of the home, which began at 10:36am.

During the investigation LPA interviewed parents and children. LPA obtained a copy of the facility roster and copies of other supporting documentation. In the first allegation the complainant stated that hot food left on stove while unsupervised children present. Based on interviews with staff (2), parents (4), and children (4) there was no disclosures indicting licensee leaves stove on and unattended. Complainant then stated that stove was off but the stove was still warm. Based on interviews, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur, therefore these allegation are unsubstantiated.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2021

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-20210114101549

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: CLARK FAMILY CHILD CARE	FACILITY NUMBER: 198012858
	VISIT DATE: 03/16/2021

NARRATIVE

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In the second allegation the complainant stated that the facility has hazardous items in children's play area. Complainant stated that the hazardous item is a folding bed. Per Licensee, folding bed has wheels and is removed once children start arriving to the facility. Based on interviews with staff (2), parents (4) and children (4) there was no disclosures indicting that there is a hazardous item in the living room. Based on interviews, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur, therefore these allegation are unsubstantiated.

In the third allegation complainant stated that Licensee did not ensure children had safe drinking water. During interview with Licensee, Licensee stated that she gives the children bottled or facet water. There is no regulation against facet water. Based on interviews with staff (2), parents (4) and children (4) there was no disclosures indicting that the water is unsafe. Based on interviews, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur, therefore these allegation are unsubstantiated.

Exit interview was conducted with Licensee Juanita Clark, via tele-inspection, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the licensee via email with a read receipt or confirmation of receipt of email, which will act as the licensee's signature

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 03/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2021

LIC9099 (FAS) - (06/04)

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