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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198012910
Report Date: 05/25/2022
Date Signed: 05/25/2022 02:05:19 PM

Unsubstantiated


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
03/04/2022 and conducted by Evaluator Betty Bell
COMPLAINT CONTROL NUMBER: 33-CC-20220304154951
FACILITY NAME:JIMENEZ FAMILY CHILD CAREFACILITY NUMBER:
198012910
ADMINISTRATOR:JIMENEZ, VERONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 633-2083
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY:14CENSUS: 13DATE:
05/25/2022
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Licensee Veronica JimenezTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Licensee does not change diapers timely

Staff did not ensure the home was free from pests
INVESTIGATION FINDINGS:
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An unannounced, in-person, follow-up Complaint inspection was conducted on 05/25/22 by Licensing Program Analysts (LPAs) Emiko Bell and Steven Tung. Upon arrival, LPAs were greeted by Licensee Veronica Jimenez, to whom the purpose of the inspection was announced. The purpose of this inspection was to provide the findings of the Complaint investigation

The COVID screening questions were posed to Licensee Veronica Jimenez. Throughout the duration of the inspection, LPAs wore face coverings as a precautionary measure against COVID-19.

Census: There were two staff and 12 children present. Staff-child ratio was met. All staff are cleared and associated.

Throughout the course of the investigation, interviews were conducted with three staff, the Reporting Party (RP), and nine parents; and documentation in the form of the Child Care Facility Roster and photos were obtained.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
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 8
Control Number 33-CC-20220304154951
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 198012910
VISIT DATE: 05/25/2022
NARRATIVE
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-Pertaining to the allegation that “Licensee does not change diapers timely”:

According to the RP, licensee has the parents text her about five minutes prior to their arrival so she can clean the kids.

All staff interviewed stated that there are six children in diapers. All staff stated that the children are changed, after having urinated, approximately every two hours or four times a day or at transitions, such as in the morning, before nap, after nap, and when they are going to be picked up; as well as immediately, if they have a bowel movement. As family child care homes (FCCHs) are not required to keep logs of when diapers are changed, no documentation was provided to corroborate statements made.

Of the nine parents interviewed, the children of two had never been in diapers while attending the daycare. Of the seven remaining parents interviewed, they either have children who are currently in diapers or had children who were previously in diapers; no disclosures were made by six of the parents and only one of the parents stated that there had been a few times that their child had a rash and it may have been because they had not been changed in a timely manner, but that it had not occurred often enough for there to be cause for concern.

As one disclosure was made and as no documentation could be provided to corroborate statements made, the allegation that “Licensee does not change diapers timely” has been determined to be Unsubstantiated.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 6 of 8
Control Number 33-CC-20220304154951
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 198012910
VISIT DATE: 05/25/2022
NARRATIVE
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This agency has investigated the complaint alleging that “Licensee does not change diapers timely” and that there was a violation of Title 22, Division 12, Chapter 1, Article 6, Section 102423 Personal Rights. Based upon the evidence as presented above, the allegation has been determined to be Unsubstantiated. A finding of Unsubstantiated means that 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.

No deficiencies are being cited for the allegation listed above.

-Pertaining to the allegation that “Staff did not ensure the home was free from pests”:

According to the RP, there have been numerous dead rats found inside and outside of the premises of the FCCH.

Two of the three staff interviewed stated they are unaware of there being rats on the premises. One staff admitted there are rats, as well as other critters, around at night and that a patch in the kitchen had recently been blocked off and a cat had been brought to the residence because scratching had been heard inside of the wall.

During the initial inspection, LPAs observed and took photos of rat droppings along the border of one part of the fence which surrounds the backyard. Though it is not abnormal for there to be rats and other rodents/animals/pests around the premises of a residence, the fact is there are rodents around the premises; but as licensee stated that she had blocked off a patch and brought a cat to the residence to prevent rats from entering the residence, it cannot be stated that she did not ensure that the home was free from pests.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 7 of 8
Control Number 33-CC-20220304154951
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 198012910
VISIT DATE: 05/25/2022
NARRATIVE
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As one disclosure was made and LPAs observed evidence of rats on the premises, but as licensee is aware and has taken preventative measures to prevent the rodents from entering the residence, the allegation that “Staff did not ensure the home was free from pests” has been determined to be Unsubstantiated.

This agency has investigated the complaint alleging that “Staff did not ensure the home was free from pests” and that there was a violation of Title 22, Division 12, Chapter 1, Article 6, Section 102417 Operation of a Family Child Care. Based upon the evidence as presented above, the allegation has been determined to be Unsubstantiated. A finding of Unsubstantiated means that 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.

No deficiencies are being cited for the allegation listed above.

A Notice of Site Visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee Veronica Jimenez

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 8 of 8
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
03/04/2022 and conducted by Evaluator Betty Bell
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220304154951

FACILITY NAME:JIMENEZ FAMILY CHILD CAREFACILITY NUMBER:
198012910
ADMINISTRATOR:JIMENEZ, VERONICAFACILITY TYPE:
810
ADDRESS:1302 POPS ROADTELEPHONE:
(626) 633-2083
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY:22CENSUS: 12DATE:
05/25/2022
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Licensee Veronica JimenezTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Licensee does not live in the home
INVESTIGATION FINDINGS:
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An unannounced, in-person, follow-up Complaint inspection was conducted on 05/25/22 by Licensing Program Analysts (LPAs) Emiko Bell and Steven Tung. Upon arrival, LPAs were greeted by Licensee Veronica Jimenez, to whom the purpose of the inspection was announced. The purpose of this inspection was to provide the findings of the Complaint investigation

The COVID screening questions were posed to Licensee Veronica Jimenez. Throughout the duration of the inspection, LPAs wore face coverings as a precautionary measure against COVID-19.

Census: There were two staff and 12 children present. Staff-child ratio was met. All staff are cleared and associated.

Throughout the course of the investigation, interviews were conducted with three staff, the Reporting Party (RP), and nine parents; and documentation in the form of the Child Care Facility Roster and photos were obtained.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 33-CC-20220304154951
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 198012910
VISIT DATE: 05/25/2022
NARRATIVE
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According to the RP, licensee lives at a different residence; though she owns the Pops Road residence, she rents it out.

This allegation was previously filed, investigated and Substantiated on 03/21/22. As a Plan of Correction, Licensee Jimenez was supposed to write a Declaration attesting to how many properties she owns and who lives in each. To this date, a Declaration has not been received by the Department. As part of this investigation, the same question was posed to all three staff and all three staff gave varying responses and names as to whom lives in the residence, just as on 12/29/21 and 03/14/22; the range of how many people live in the home varied from two people to six and the names given were all different (though they were the same names which were previously given on 12/29/21 and on 03/14/22). It must be noted that there are only two usable bedrooms in the residence. Thus, as it could again not be established as to whom actually lives in the residence, based upon the previously Substantiated complaint and the failure of licensee to provide an agreed upon Plan of Correction, the allegation that “Licensee does not live in the home” has been determined to be Substantiated. A finding of Substantiated means that the preponderance of evidence standard has been met. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 01, Section 102352 Definitions is being cited on the attached LIC 9099D.

Notice of Site Visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 33-CC-20220304154951
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 198012910
VISIT DATE: 05/25/2022
NARRATIVE
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LPA Bell informed Licensee Veronica Jimenez that this report dated 05/25/22 documents one Type A citation(s) which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Bell informed Licensee Veronica Jimenez to provide a copy of this licensing report dated 03/16/22 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly-enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Licensee Veronica Jimenez

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 8
Control Number 33-CC-20220304154951
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 198012910
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/27/2022
Section Cited
CCR
102352(f)(1)
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DEFINITIONS
"Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away. The term "Family Child Care" supersedes the term "Family Day Care" as used in previous regulations
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On 05/25/22, Licensee Jimenez showed LPAs the Declaration she had signed on 03/23/22; therefore, a civil penalty for a repeat citation will not be issued.
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-This requirement is not met as evidenced by: interviews conducted and documentation obtained show that though licensee may own the residence, she lives in a residence in La Verne. *This poses an immediate risk to the health and safety of the children in care.*
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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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 8