198019339-11-4-2019-54-CC-BVON-BHMTKG-20191105134751

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019339
Report Date: 11/04/2019
Date Signed: 11/04/2019 02:06:14 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
07/25/2019 and conducted by Evaluator Armando J Lucero

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190725123145

FACILITY NAME:	SANTOS FAMILY CHILD CARE		FACILITY NUMBER:	198019339
ADMINISTRATOR:	BENILDA SANTOS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 453-6149
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	14	CENSUS: 0	DATE:	11/04/2019
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Benilda Santos, Licensee		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Licensee locked children in a room

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analysts (LPAs) A. Lucero and J. Guzman regarding the allegation above. LPAs met with Licensee Benilda Santos.

Complaint alleges licensee locked children in a room. During interview conducted with licensee, it was stated that when child #1 was throwing a tantrum, she would enclose child #1 in the day care room and close the sliding glass door; LPA obtained Declaration Form. Interview was conducted with child #3 who stated that they saw licensee place child #1 in a separate room for throwing a tantrum, close the sliding glass door, and lock it.

Based on the LPAs observations, interviews concluded and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22 102423(4) Personal Rights, is being cited on the attached LIC 9099-D.

Report Continues on Next Page

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019

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 5

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
07/25/2019 and conducted by Evaluator Armando J Lucero

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190725123145

FACILITY NAME:	SANTOS FAMILY CHILD CARE		FACILITY NUMBER:	198019339
ADMINISTRATOR:	BENILDA SANTOS		FACILITY TYPE:	810
ADDRESS:	11850 HAYFORD ST		TELEPHONE:	(562) 453-6149
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	14	CENSUS: 0	DATE:	11/04/2019
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Benilda Santos, Licensee		TIME COMPLETED:	02:20 PM

ALLEGATION(S):

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Licensee had accessible pool
Licensee handled child’s food inappropriately

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analysts (LPAs) A. Lucero and J. Guzman regarding the allegations above. LPAs met with Licensee Benilda Santos.

Complaint alleges Licensee installed an accessible pool and Licensee handled child’s food inappropriately. Interview was conducted with Licensee who stated that she did have a child’s pool set up over the weekend during non-operating hours but took it down during the week during operating hours. On the date of inspection on 08/01/2019, LPA did observe a child’s flexible pool bundled up in the back yard but was not set up and did not have any water in it.

Regarding the allegation of Licensee handled child’s food inappropriately, it was stated during interview with licensee that she placed children’s food in a plastic container and then into a plastic bag. Interviews were conducted with children.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019

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

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 54-CC-20190725123145

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: SANTOS FAMILY CHILD CARE	FACILITY NUMBER: 198019339
	VISIT DATE: 11/04/2019

NARRATIVE

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Due to a conflict of information received, LPA is unable to determine if Licensee had an accessible pool during day care operating hours, and LPA is unable to determine if Licensee handled child’s food inappropriately. Although the above allegations may have happened or are 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.

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.

Exit interview conducted with the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights (LIC 9058 01/16) was provided. The Licensee’s signature on this report acknowledges receipt of rights.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019

LIC9099 (FAS) - (06/04)

Page: 5 of 5

Control Number 54-CC-20190725123145

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: SANTOS FAMILY CHILD CARE	FACILITY NUMBER: 198019339
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/04/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 11/04/2019 Section Cited CCR 102423(4)	1 2 3 4 5 6 7	Personal Rights To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or	1 2 3 4 5 6 7	Licensee stated that in the future if she has a difficult child, she will disenroll the child. Licensee stated that she also knows that she cannot place children in a room, den, or patio and close the doors.
	8 9 10 11 12 13 14	withholding shelter, clothing, medication or aids to physical functioning. The requirement is not met as evidenced by: Licensee stated that she would place child alone in day care area with closed sliding door. This is an immediate 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: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 54-CC-20190725123145

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: SANTOS FAMILY CHILD CARE	FACILITY NUMBER: 198019339
	VISIT DATE: 11/04/2019

NARRATIVE

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A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). Acknowledgement of Receipt (LIC 9224 form) must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

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.

Exit interview conducted with the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights SP (LIC 9058 01/16) was provided. The Licensee’s signature on this report acknowledges receipt of rights.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 5