198018906-2-1-2021-54-CC-BVON-BXWUKR-20210204143930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198018906
Report Date: 02/01/2021
Date Signed: 02/01/2021 03:48:10 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
10/27/2020 and conducted by Evaluator Susann Sanchez

COMPLAINT CONTROL NUMBER: 54-CC-20201027145845

FACILITY NAME:	BARAJAS FAMILY CHILD CARE		FACILITY NUMBER:	198018906
ADMINISTRATOR:	ALICIA BARAJAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 396-8185
CITY:	BELLFLOWER	STATE: CA	ZIP CODE:	90706
CAPACITY:	14	CENSUS: 2	DATE:	02/01/2021
		UNANNOUNCED	TIME BEGAN:	03:21 PM
MET WITH:	Alicia Barajas, Licensee		TIME COMPLETED:	03:22 PM

ALLEGATION(S):

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Faciltiy is over ratio

INVESTIGATION FINDINGS:

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*****THIS TELE-INSPECTION WAS CONDUCTED IN SPANISH****
Licensing Program Analyst (LPA) Susann Sanchez conducted an announced complaint inspection to the above facility via WhatsApp due to the COVID19 Pandemic. LPA met virtually with Alicia Barajas, Licensee who gave LPA a tour of the facility. The purpose of this inspection is to deliver findings for the above complaint allegations. LPA observed 1 infants, 1 children and 1 staff member during the inspection.

During this investigation, LPA obtained a copy of the facility roster, and sign in sheets. Complainant reported that the licensee had 15 children (capacity 14) in her care between the hours of 1:30-3:30pm in September 2020. During interview with Licensee, Licensee admitted that she was over ratio for about a week during the month of September. Per Licensee, she was misinformed by a friend that during the Pandemic that it was okay to go over ratio. According to sign in & sign out sheets, Licensee was over her licensed capacity on 09/09/20, 09/10/20, 09/15/20, 09/29/20, 09/30/20, between 1:30 to 3:32pm.
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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2021

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 54-CC-20201027145845

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: BARAJAS FAMILY CHILD CARE	FACILITY NUMBER: 198018906
	VISIT DATE: 02/01/2021

NARRATIVE

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*****PAGE 2*****

The above allegation is found to be Substantiated. A finding of Substantiated means that the allegation has been found to be valid because the preponderance of the evidence standard has been met. Based on information obtained during this investigation, the following Type A deficiency listed on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiency that are being cited need to be cleared to protect the children’s health & safety.

A copy of this report must be provided to the authorized representative of all currently enrolled children and newly enrolled children for the next 12 months (1 year). The report shall be provided, no later than the next business day or the next day that the child is in care.

The Acknowledgement of Receipt of Licensing Reports (LIC 9224) shall be signed and kept in each of the children’s records. During the inspection, LPA provided a copy of the LIC 9224 to the Licensee.

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. Copies of this report must be posted for 30 days in a visible location for the authorized representatives to the children in care.

Exit interview was conducted with Alicia Barajas. This report along with a copy of the appeal rights will be sent to the Licensee via email with a read receipt or confirmation of receipt of email, which will act as the Licensee signature

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 54-CC-20201027145845

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: BARAJAS FAMILY CHILD CARE	FACILITY NUMBER: 198018906
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/01/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/02/2021 Section Cited CCR 102416.5	1 2 3 4 5 6 7	Staffing Ratio and Capacity: This requirement is not met as evidenced by based on record review and interview conducted, facility failed to operate within capacity limitations of the license. In the month of September, Licensee was over ratio on 09/09/20, 09/10/20, 09/15/20,	1 2 3 4 5 6 7	Per Licensee, she has spoken to the parents and rearranged time schedules. Per Licensee will also seek help from Children's Home Society to locate two children if parents cannot rearrange their schedules.
	8 9 10 11 12 13 14	09/29/20, and 09/30/20, which poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
	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: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2021

LIC9099 (FAS) - (06/04)

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