198017716-10-5-2021-33-CC-BVON-C7PNLV-20211011103408

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198017716
Report Date: 07/30/2021
Date Signed: 10/05/2021 10:49:33 AM

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
07/09/2021 and conducted by Evaluator Steven Rodriguez

COMPLAINT CONTROL NUMBER: 33-CC-20210709161716

FACILITY NAME:	THEUS FAMILY CHILD CARE		FACILITY NUMBER:	198017716
ADMINISTRATOR:	THEUS, SHERRIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 798-3878
CITY:	PASADENA	STATE: CA	ZIP CODE:	91104
CAPACITY:	14	CENSUS:	DATE:	07/30/2021
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Sherrie Theus		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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At 9:15am, LPA S. Rodriguez conducted an unannouced follow up visit in regards to a complaint that was received on the allegation of Personal Rights, specifically in regards to the Licensee hitting the children. LPA S. Rodriguez identified himself to the licensee and her assistant using the LPA badge and discussed the purpose of the visit.
At 9:25am LPA S.Rodriguez performed a census of all individuals currently in the home. The licensee and her day care assistant were present along with 6 children. The names and dob of all children was gathered. The day care assistant identified herself as Deborah Johnson and has a clear association status.

At 9:30am, LPA S.Rodriguez was guided on a tour of the home. All areas of the home were inspected and the off limit areas were identified and not in use. The house was clean and under good operation. During the tour, Deborah Johnson was assisting with the children.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven Rodriguez	TELEPHONE: (323) 430-3179
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20210709161716

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: THEUS FAMILY CHILD CARE	FACILITY NUMBER: 198017716
	VISIT DATE: 07/30/2021

NARRATIVE

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Upon completion of the tour, a discussion with Licensee Sherrie Theus was held at 9:45am in regards to the children's roster. LPA S.Rodriguez explained to the licensee that the roster needed to be current. Several children now enrolled were not present on the roster. Licensee Sherrie Theus updated the roster during the time of the visit and a photo was taken of the new roster. Children who are currently no longer enrolled were also given an exit date on the roster. While Licensee was updating the roster, LPA S.Rodriguez attempted to conduct an interview with Child #1. The time was 9:45am.

Upon completion of the updated roster by Licensee Sherrie Theus, LPA S.Rodriguez requested to interview day care assistant Deborah Johnson while licensee looked after the children. The time was 10:00am.

Based on the investigation conducted by LPA S. Rodriguez, which included interviews with all staff members, several parents of children in care, review of records, and an interview with a child in care, the allegation of Licensee hit children is Unsubstantiated.

Although the above allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are Unsubstantiated.

An exit interview was conducted with Licensee Sherrie Theus at 10:15am. Due to current Covid-19 pandemic, LPA S.Rodriguez informed licensee that the report along with the findings and additional forms would be created at the Licensing Office and returned for signatures. A copy of this report was signed and appeal rights were provided to licensee.

Notice of Site Visit (9213) was given to Licensee. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting will result in a $100 Civil Penalty.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven Rodriguez	TELEPHONE: (323) 430-3179
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021

LIC9099 (FAS) - (06/04)

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