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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020449
Report Date: 07/13/2022
Date Signed: 07/13/2022 12:48:15 PM

Substantiated


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
07/07/2022 and conducted by Evaluator Cynthia Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220707101628
FACILITY NAME:SOTO & JONES FAMILY CHILD CAREFACILITY NUMBER:
198020449
ADMINISTRATOR:DAISY SOTO&ROSALIND JONESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 717-8446
CITY:MONROVIASTATE: CAZIP CODE:
91016
CAPACITY:14CENSUS: 7DATE:
07/13/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Rosalind Jones TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Personal Rights-Licensee provided day care child with mold contaminated water
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced site inspection to investigate the complaint allegation listed above. LPA met with Rosalind Jones, licensee who guided the LPA on a tour of the facility. Due to COVID- 19 precautionary measures were taken by the LPA who wore appropriate personal protective equipment during the entire inspection. Also present on this date was Co-licensee Daisy Soto with 7 day care children in the garage. LPA reminded both licensee that there is to be no eating or sleeping in the garage. LPA had licensee Rosalind update the children roster and gave LPA a copy during todays visit. . .

Based upon LPA interviews and documents reviewed and received, it was stated that the child's water cup had been cleaned by the licensee, but may have collected the mold during the weekend by the cup being stored and not completely dried after it was cleaned. It was also observed that there was mold at the bottom of the cup as well as little black dots all over and small particle's floating in the cup when the child drank water from it. Licensees both stated they observed the mold when the parent showed them the cup.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022
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 3
Control Number 33-CC-20220707101628
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: SOTO & JONES FAMILY CHILD CARE
FACILITY NUMBER: 198020449
VISIT DATE: 07/13/2022
NARRATIVE
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This requirement is not met as evidenced by: Corroborating statements given that the child's water cup did have mold when child took it home from the day care.

Based on the available information, the preponderance of evidence standard has been met, therefore the allegation of Personal Rights Licensee provided day care child with mold contaminated water is found to be Substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 1), is being cited on the attached LIC. 9099D

LPA Reyes informed licensees Rosalind Jones and Daisy Soto that this report dated 07/13/2022 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Reyes informed the licensees Rosalind Jones and Daisy Soto to provide a copy of this licensing report dated 07/13/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was issues to the Licensee.


Exit interview conducted and report was reviewed with the licensee Rosalind Jones and Daisy Soto

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20220707101628
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: SOTO & JONES FAMILY CHILD CARE
FACILITY NUMBER: 198020449
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/13/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/13/2022
Section Cited
CCR
102423(a)(2)
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102423(a)(2) Personal Rights
(a) 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: (2) To receive
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Licensees stated they will update their Admission Agreement documenting new policies for water bottles being used at the day care and will write a declaration on how they will ensure an incident like this does not occurs again. Licensees will send documents by the POC date of 07/22/2022.
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safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by: Corroborating statements given that the child's water cup did have mold when child took it home from the day care. This poses an immediate risk to the 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.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3