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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015036
Report Date: 04/26/2021
Date Signed: 04/26/2021 01:00:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WEBER FAMILY CHILD CAREFACILITY NUMBER:
198015036
ADMINISTRATOR:ROSEMARIE WEBERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 634-9269
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY:14CENSUS: 2DATE:
04/26/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Licensee Rosemarie WeberTIME COMPLETED:
09:14 AM
NARRATIVE
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An unannounced phone call was conducted by Licensing Program Analyst (LPA) Emiko Bell on 04/26/21 due to COVID-19 and precautionary measures. The call was conducted with Licensee Rosemarie Weber, to whom the purpose of the inspection was announced. The purpose of the call was to provide the Case management-deficiencies inspection to licensee.

Census: There were two staff and four children present (only two count in capacity) during the inspection. Staff-child ratio was met.

Citations are being issued for the following deficiencies discovered during the course of an investigation:

Conduct inimical:

When asked whether she lives in the residence, Licensee Weber said to Community Care Licensing (CCL) representatives that she does, but told Pomona police that she does not, during an incident which was being investigated by Pomona police.

When asked who Christina Gutierrez is and why she moved out, licensee said that she’s a friend of licensee’s daughter (though the actual relationship is that they are sisters) and that she did not know what happened, but that Ms. Gutierrez just decided to not come back one day. The fact is that there was a domestic incident concerning Ms. Gutierrez on 10/17/20 after which Ms.

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

DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: WEBER FAMILY CHILD CARE
FACILITY NUMBER: 198015036
VISIT DATE: 04/26/2021
NARRATIVE
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Gutierrez was asked to move out by licensee's daughter, who immediately informed licensee of the incident.

Reporting requirements:

When asked whether she lives in the residence, Licensee Weber said to CCL representatives that she does, but told Pomona police that she does not, during an incident which was being investigated by Pomona police.. Licensee should have informed CCL that she no longer resides in the residence once she re-located.

Licensee Weber did not report the Thursday, 12/03/20 incident when a child had gotten out of the residence and was found walking by himself on the street while those responsible for him at the time slept. (Though licensee alleges that the daycare was closed due to a funeral and that they had informed the parents, they did not inform CCL).

Licensee Weber did not report a domestic incident which occurred on Saturday, 10/17/20, when a child allegedly got physically assaulted by an adult who was visiting an adult in the residence. In addition, there were at least three other contacts with Pomona Police which were not reported to CCL which occurred on Wednesday, 10/07/20; Friday, 10/30/20 and on Tuesday, 11/24/20.

Please refer to 809D for documentation of deficiencies.

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

DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: WEBER FAMILY CHILD CARE
FACILITY NUMBER: 198015036
VISIT DATE: 04/26/2021
NARRATIVE
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An exit interview has been conducted with Licensee Rosemarie Weber. A copy of this report has been signed by LPA Bell. This report and the Appeal Rights will be scanned via e-mail to Licensee Weber, 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. A hard copy of this report will be mailed to Licensee Weber, who agrees to sign the bottom of each page of the 9099 and return the originals to LPA Bell in-person or via U.S. Mail.

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

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

DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: WEBER FAMILY CHILD CARE
FACILITY NUMBER: 198015036
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
05/06/2021
Section Cited

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Revocation or Suspension of a License or Registration
The Department shall have the authority to suspend or revoke any license for the following reasons: Conduct in the operation or maintenance of a family day care home which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of the State of California.
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-This requirement is not met as evidenced by: conflicting statements were provided to LPAs and Pomona PD as to where licensee resides and when asked why a resident moved, licensee stated that she did not know instead of disclosing a dometic incident which had occured. This poses a potential health, safety or personal rights risk to the children in care.
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Request Denied
Type B
05/06/2021
Section Cited

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REPORTING REQUIREMENTS
The licensee shall report the following information to the Department ...any change in household composition including adults moving in or out of the home and anyone living in the home who reaches his or her 18th birthday.
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-This requirement is not met as evidenced by: licensee did not inform the Department when she moved out of the residence. This poses a potential health, safety or personal rights risk to 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: 04/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: WEBER FAMILY CHILD CARE
FACILITY NUMBER: 198015036
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
05/06/2021
Section Cited

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REPORTING REQUIREMENTS
The licensee shall report to the Department any of the events as specified in... that occur during the operation of the family child care home.
(Any child absence means any instance where a child in care is missing. For example, any child in care who wanders away from the
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FCCH...shall be reported even if the child is later found safe.
This requirement is not met as evidenced by: Licensee did not report the 12/03/20 when a child had gotten out of the residence and was found walking by himself on the street. This poses a potential health, safety or personal rights risk to the children in care.
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Request Denied
Type B
05/06/2021
Section Cited

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REPORTING REQUIREMENTS
In addition to the events specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C), the licensee shall report the following events to the Department: Any suspected child abuse or neglect, as defined in Penal Code Section 11165.6, of any child in care...
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-This requirement is not met as evidenced by: Licensee did not report a domestic incident which occurred on Saturday, 10/17/20, when a child allegedly got physically assaulted by an adult who was visiting an adult in the residence. This poses a potential health, safety or personal rights risk to 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: 04/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/26/2021
LIC809 (FAS) - (06/04)
Page: 5 of 5