198019364-2-26-2021-33-CC-FVAZ-BYLUHR-20210226143621

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019364
Report Date: 02/26/2021
Date Signed: 02/26/2021 02:37:08 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:	GRAHAM FAMILY CHILD CARE		FACILITY NUMBER:	198019364
ADMINISTRATOR:	FALLON TIANA GRAHAM		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 500-5600
CITY:	DIAMOND BAR	STATE: CA	ZIP CODE:	91765
CAPACITY:	14	CENSUS: 4	DATE:	02/26/2021
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Fallon Graham		TIME COMPLETED:	02:30 PM

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	Licensing Program Analyst (LPA) Fabiola Vasquez contacted the facility on 2/26/21 via telephone due to COVID-19 and precautionary measures in order to conduct an unannounced Case Management-deficiencies inspection. During today’s tele-inspection, licensee took LPA on a virtual tour of the facility in order to take census. Census: 4 Staff: 2 The purpose of the inspection is to cite for deficiencies found during a previous inspection conducted on 08/13/20, During the initial phone call, LPA spoke with Licensee Fallon Graham, to whom the purpose of the call was stated; a tele-inspection was then conducted via FaceTime. The deficiency listed on the following page is due to Licensee’s disciplinary procedures by licensee’s own admission, any time there is an issue she puts children in the corner, she will turn off the TV completely and sit the children down in the corner by the wall in the hallway. Other collaborating statements were made by C3 disclosing, they get time out and they sit down in the hallway; Fallon tells them to stay. C4 disclosed they go into the hallway; they stare at the wall and not watch tv. The children stand up and have to be quiet. When children get in trouble, they look at the wall in the hallway. Licensee is being cited in accordance with California Code of Regulations Title 22. Type A citation is being issued. Deficiency cited poses an immediate risk to the Health, Safety and/or Personal Rights risk to children in care. Please refer to 809D for documentation of deficiencies. PAGE 1 OF 2

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2021

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

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: GRAHAM FAMILY CHILD CARE	FACILITY NUMBER: 198019364
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/26/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/22/2021 Section Cited	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: This requirement was not met as evidenced by:
	8 9 10 11 12 13 14	By licensee’s own admission any time there is an issue she puts children in the corner, she will turn off the TV completely and sit the children down in the corner by the wall in the hallway. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14
	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: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: GRAHAM FAMILY CHILD CARE	FACILITY NUMBER: 198019364
	VISIT DATE: 02/26/2021

NARRATIVE

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Upon receipt, the Licensee shall post the Licensing report. This report 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 Fallon Graham. A copy of this report has been signed by LPA Vasquez. This report will be scanned via e-mail to Licensee Fallon Graham, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. A hard copy of this report will be mailed to Licensee Graham, who agrees to sign the bottom of each page of the 9099 and return the originals to LPA Vasquez in-person or via U.S. Mail. A Notice of Site Visit was not provided to Licensee Graham since a physical inspection was not conducted.

Licensee will be updating the LIC 279 to reflect facility hours to be under 23 hours, parent handbook update to 23 hours, a 30 day notice for any changes from the date provided to parents.

Due: March 5, 2021.

PAGE 2 OF 2

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021

LIC809 (FAS) - (06/04)

Page: 3 of 3