198013600-11-20-2019-54-CC-TCON-BJKQUK-20191205112853

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198013600
Report Date: 11/20/2019
Date Signed: 11/20/2019 03:22:49 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
10/29/2019 and conducted by Evaluator Denise Gibbs

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20191029113258

FACILITY NAME:	CARCAMO FAMILY CHILD CARE		FACILITY NUMBER:	198013600
ADMINISTRATOR:	CARCAMO, CLAUDIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 766-9310
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90006
CAPACITY:	14	CENSUS: 5	DATE:	11/20/2019
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Claudia Carcamo, Licensee		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff yelled at children.
Staff did not meet the child's diapering needs.
Staff failed to safeguard children's personal items.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced complaint inspection on 11/20/19 at 1:30 pm to investigate the above allegations. LPA toured facility with licensee, Claudia Carcamo, Licensee. There were 5 children present during this visit.

During the course of investigation LPA made observations, conducted interviews with licensee, staff, parents, and documentation was collected. Interviews indicated that staff used an assertive voice in order to prevent a safety hazard. Both adults demonstrated voice used for LPA. LPA found inconsistent statements made by adults regarding diapering and children's personal belongings.

Although the allegation(s) may have happened or is valid there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated. ------PAGE 1

Unsubstantiated

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: 11/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019

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-20191029113258

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: CARCAMO FAMILY CHILD CARE	FACILITY NUMBER: 198013600
	VISIT DATE: 11/20/2019

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	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 Claudia Carcamo, Licensee, including, but not limited to Appeal Procedures and Agencies. ------------------PAGE 2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019

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 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
10/29/2019 and conducted by Evaluator Denise Gibbs

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20191029113258

FACILITY NAME:	CARCAMO FAMILY CHILD CARE		FACILITY NUMBER:	198013600
ADMINISTRATOR:	CARCAMO, CLAUDIA		FACILITY TYPE:	810
ADDRESS:	1656 S. ARDMORE AVE.		TELEPHONE:	(323) 766-9310
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90006
CAPACITY:	14	CENSUS: 5	DATE:	11/20/2019
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Claudia Carcamo, Licensee		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff restrain children in high chair

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced complaint inspection on 11/20/19 at 1:30 PM to investigate the above allegation. LPA toured facility with licensee, Claudia Carcamo. There were 5 children present during this visit.

During the course of investigation LPA made observations, conducted interviews with licensee, staff, parents, and documentation was collected. Interviews conducted confirmed that younger children are restrained in a high chair when they are misbehaving. Interviews conducted confirmed that all facility staff do this as a form of punishment.

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, 102423(a)(4) Personal Rights, are being cited on the attached LIC. 9099D. This poses an immediate Health and Safety risk to clients in care. ------------------PAGE 1

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: 11/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019

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 54-CC-20191029113258

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: CARCAMO FAMILY CHILD CARE	FACILITY NUMBER: 198013600
	VISIT DATE: 11/20/2019

NARRATIVE

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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 Claudia Carcamo, Licensee, including, but not limited to Appeal Procedures and Agencies Consultative Role. --------------PAGE 2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 54-CC-20191029113258

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: CARCAMO FAMILY CHILD CARE	FACILITY NUMBER: 198013600
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/20/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/22/2019 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	102423(a)(4) (a)Each child receiving services...shall have certain rights that shall not be waived...These rights include, but are not limited to, the following:.(4)To be free from...unusual punishment... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee signed a declaration stating that she will not use the high chair as a form of restraint or punishment. Licensee listed positive alternates to discipline children or keep their attention when needed. Licensee agrees to watch Children's Personal Rights in Child Care on www.CCLD.childcarevideos.org and write
	8 9 10 11 12 13 14	Based on observation and interview used a form of unusual punishment by restraining children in a high chair for bad behavior. This poses an immediate Health, Safety or Personal Rights risk to children in care.	8 9 10 11 12 13 14	a summary of what she has learned. Licensee agrees to create discipline policy and train her staff. Staff will sign policy after training. Any new staff will also sign policy. Licensee will send a copy of the policy and summary to LPA by POC date 11/22/19.
	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: 11/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019

LIC9099 (FAS) - (06/04)

Page: 5 of 5