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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015114
Report Date: 08/06/2021
Date Signed: 08/20/2021 04:43:23 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 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
06/16/2021 and conducted by Evaluator Betty Bell
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210616130324
FACILITY NAME:WILLIAMS FAMILY CHILD CAREFACILITY NUMBER:
198015114
ADMINISTRATOR:WILLIAMS, SHEREAL ELISIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 731-7381
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:14CENSUS: DATE:
08/06/2021
UNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Licensee Shereal WilliamsTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Staff hit children in care

Children are unsupervised
INVESTIGATION FINDINGS:
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***This is an amendment of an original report given to licensee on 08/06//21. Lines 11-13 were added on page 2 and pages 3 and 4 were amended for spacing purposes only; no wording was added or deleted.***

An unannounced in-person inspection was conducted by Licensing Program Analyst (LPA) Emiko Bell. The purpose of this inspection was to provide the findings of the Complaint investigation. Upon arrival, LPA was greeted and let into the facility by Licensee Shereal Williams, to whom the purpose of the inspection was announced.

Census: There were 11 children and five staff present. Staff-child ratio was met.

Throughout the course of the investigation, interviews were conducted with licensee, three staff, five parents, five minors, and the Reporting Party, and documentation in the form of the Child Care Facility Roster was 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: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
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 12
Control Number 33-CC-20210616130324
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: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 198015114
VISIT DATE: 08/06/2021
NARRATIVE
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-Pertaining to the allegation that “Staff hit children in care”:

This allegation refers to a staff who spanks infants (children under the age of 2) on their bottoms, arms and/or legs when they don’t listen or misbehave.

Corroborating statements were made by three children and the Reporting Party that children in diapers are spanked (not hit) on their bottoms (over their diapers), arms, and/or legs. No parents interviewed reported visible marks and no complaints have been received regarding visible marks on children.

When asked about the method of discipline for the children older than two years old, two children, four staff and five parents stated that they are given explanations as to what they did that was “not good” and are placed on time out; one parent and one staff mentioned that children may be re-directed.

This agency has investigated the complaint alleging that there was a violation of Title 22, Division 12, Chapter 1, Article 6, Section 102423 "Personal Rights." The complaint alleged that “Staff hit children in care.” Based upon the evidence as presented above, the allegation 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 06, Section 102423 "Personal Rights" is being cited on the attached LIC 9099D.

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

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 12
Control Number 33-CC-20210616130324
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: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 198015114
VISIT DATE: 08/06/2021
NARRATIVE
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 Page 3/6

-Pertaining to the allegation that “Children are unsupervised”:

This refers to an allegation that one time, a child was observed standing on the sidewalk by themselves and that children are left in the daycare room unsupervised while staff are in the front part of the house for an extended period of time, as well as that children are occasionally supervised by a minor.

Five parents, three staff and two children state that the children are always supervised by the adult staff; licensee, three children and one staff stated that the children are always supervised by adult staff except when they ride the scooters outside of the gate which separates the residence from the street. When riding the scooters, on at least one occasion, the daycare children were supervised by a minor (though all acknowledge that the adult staff were present at the residence at the time.)

By definition, an adult is age 18 or older. According to regulations, a minor age 14 or older can be an “Assistant provider.” However, a minor can only provide “care” to the daycare children, not supervision; supervision can only be provided by either licensee or a substitute adult (i.e. someone age 18 or older). Therefore, though the daycare children are never left completely without supervision, that by licensee’s own admission, though she is always present, she may not necessarily be outside with the children and the minor, the allegation has been determined to be Substantiated.

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

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 12
Control Number 33-CC-20210616130324
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: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 198015114
VISIT DATE: 08/06/2021
NARRATIVE
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 Page 4/6

This agency has investigated the complaint alleging that there was a violation of Title 22, Division 12, Chapter 1, Article 6, Section 102417 "Operation of a Family Child Care Home." The complaint alleged that “Children are unsupervised.” Based upon the evidence as presented above, the allegation 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 06, Section 102417 "Operation of a Family Child Care Home" is being cited on the attached LIC 9099D.

Please refer to 9099D for documentation of deficiencies.

Upon receipt, the Licensee shall post the Notice of Site Visit and the “D” page of the Licensing report. Both the Notice of Site Visit and the “D” page shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100 civil penalty. A copy of this report shall be provided to the parents/guardians of the children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parents/guardians of any children newly enrolled at the facility for the next 12 months. The LIC 9224 Acknowledgement of Receipt of Licensing Reports must be maintained in each child's file immediately upon receipt from the parent. LPA provided Licensee with a blank copy of the LIC 9224 Acknowledgement of Receipt of Licensing Report.



An exit interview has been conducted with Licensee Shereal Williams. Appeal Rights were provided and explained to Licensee. A copy of this report has been signed by and provided to Licensee.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 12
Control Number 33-CC-20210616130324
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: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 198015114
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/09/2021
Section Cited
CCR
102423(a)(4)
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PERSONAL RIGHTS
Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:

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Licensee and her assistants will watch the Personal Rights video and provide summaries to LPA of the video, also, licensee will hold a meeting regarding acceptable disciplinary process for infants (per licensee, no corporal punishment or time out). Licensee will provide LPA the agenda and sign-in sheet for the meeting
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To be free from corporal or unusual punishment...

-This requirement is not met as evidenced by: There is a staff who spanks infants (children under the age of 2) on their bottoms, arms and/or legs when they don’t listen or misbehave.
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and the summaries of the Personal Rights video by COB on the POC due date of 08/10/21.
*This poses an immediate health, safety and/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: 08/06/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
LIC9099 (FAS) - (06/04)
Page: 6 of 12
Control Number 33-CC-20210616130324
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: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 198015114
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/16/2021
Section Cited
CCR
102417(a)
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OPERATION OF A FAMILY CHILD CARE HOME
The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children
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Licensee will ensure that children know she is outside with them. LIcensee will provide LPA with a statement of how she will ensure that the children know she is outside with them by the COB on the POC due date of 08/10/21.
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during his/her absence...

-This requirement is not met as evidenced by: on at least one occasion, a minor was in charge of supervising the children outside on the street while the licensee and other adults staff were inside the residence
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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: 08/06/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 12
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
06/16/2021 and conducted by Evaluator Betty Bell
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210616130324

FACILITY NAME:WILLIAMS FAMILY CHILD CAREFACILITY NUMBER:
198015114
ADMINISTRATOR:WILLIAMS, SHEREAL ELISIAFACILITY TYPE:
810
ADDRESS:2828 KIMBALL AVENUETELEPHONE:
(909) 731-7381
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:14CENSUS: DATE:
08/06/2021
UNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Licensee Shereal WilliamsTIME COMPLETED:
04:50 PM
ALLEGATION(S):
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Child sustained injury while in care
INVESTIGATION FINDINGS:
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An unannounced in-person inspection was conducted by Licensing Program Analyst (LPA) Emiko Bell. The purpose of this inspection was to provide the findings of the Complaint investigation. Upon arrival, LPA was greeted and let into the facility by Licensee Shereal Williams, to whom the purpose of the inspection was announced.

Census: There were 11 children and five staff present. Staff-child ratio was met.

Throughout the course of the investigation, interviews were conducted with licensee, three staff, five parents, five minors, and the Reporting Party, and documentation in the form of the Child Care Facility Roster was obtained.

Page 1/3
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: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 10 of 12
Control Number 33-CC-20210616130324
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: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 198015114
VISIT DATE: 08/06/2021
NARRATIVE
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 Page 2/3

-Pertaining to the allegation that “Child sustained injury while in care”:

This allegation refers to an occasion in March 2021 when three to five daycare children were outside on the street riding scooters, supervised by a minor under the age of 18. It was in doing a move called “The River,” on the sidewalk right in front of licensee’s residence that Child #1 got too close to the grass, lost their balance, and fell, sustaining a scrape about three inches long on their left knee.

Though the daycare child sustained a scrape, this is not necessarily an “injury” since though the child was crying, they were not bleeding profusely nor was medical attention needed.

This agency has investigated the complaint alleging that there was a violation of Title 22, Division 12, Chapter 1, Article 6, Section 102423 "Personal Rights." The complaint alleged that “Child sustained injury while in 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.

Therefore, no citations will be issued for the allegation listed above.

Upon receipt, Licensee Shereal Williams posted the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in the issuance of a citation and the assessment of a $100 civil penalty.

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

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
LIC9099 (FAS) - (06/04)
Page: 12 of 12
Control Number 33-CC-20210616130324
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: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 198015114
VISIT DATE: 08/06/2021
NARRATIVE
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 Page 3/3

An exit interview has been conducted with Licensee Shereal Williams. Appeal Rights were provided and explained to Licensee. A copy of this report has been signed by and provided to Licensee.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Betty BellTELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
LIC9099 (FAS) - (06/04)
Page: 11 of 12