198015114-9-2-2021-33-CC-BBEL-C6GRZV-20210902132834

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015114
Report Date: 09/02/2021
Date Signed: 09/02/2021 01:28:47 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:	WILLIAMS FAMILY CHILD CARE		FACILITY NUMBER:	198015114
ADMINISTRATOR:	WILLIAMS, SHEREAL ELISIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 731-7381
CITY:	POMONA	STATE: CA	ZIP CODE:	91767
CAPACITY:	14	CENSUS: 8	DATE:	09/02/2021
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Licensee Shereal Williams,		TIME COMPLETED:	10:30 AM

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	An Informal meeting was conducted on this date via Zoom. Present during the meeting were Licensee Shereal Williams, SEIU Local 99 External Organizer Silvia Carrillo, Licensing Program Manager (LPM) Claudia Guangorena and Licensing Program Analyst (LPA) Emiko Bell. The purpose of this meeting was to discuss an allegation which was Substantiated on 08/06/21, as well as the Unsubstantiated complaints from 11/09/16 and 12/30/20, which had similar allegations involving Personal Rights violations. Personal Rights and licensee's discipline methods were discussed. Licensee stated that she is currently searching for classes on discipline and Personal Rights. Licensee understands that she is being placed on Required visits for two years, which means that more frequent inspections will be conducted in additional to the Annual inspection. In addition, licensee is being asked to view videos on the CCLD.CA.GOV web site and to write summaries of the videos as to what was learned and what practices will be implemented based on videos watched. Licensee and her assistants will watch both the "Supervising Children in Family Child Care" and "Children's Personal Rights in Child Care" videos and provide summaries to LPA of what was learned from the videos and what will be done differently in the future. The summaries of the videos will be provided to LPA Bell by Monday, 09/13/21. As explained

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

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: WILLIAMS FAMILY CHILD CARE	FACILITY NUMBER: 198015114
	VISIT DATE: 09/02/2021

NARRATIVE

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during the meeting, the summaries should be handwritten and if a meeting agenda is provided, all attendees of the meeting will sign the actual agenda and not a separate sign-in sheet.

An exit interview has been conducted with Licensee Shereal Williams. A copy of this report has been signed by LPM Claudia Guangorena and LPA Emiko Bell. This report will be scanned via e-mail to Licensee Williams, who will sign both pages of the report and return them to LPA Bell either via email or via US Mail.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

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