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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371489
Report Date: 05/24/2022
Date Signed: 05/24/2022 12:30:24 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/19/2022 and conducted by Evaluator Mila Quinto
COMPLAINT CONTROL NUMBER: 06-CC-20220419125614

FACILITY NAME:OUR TRIBE OUR VILLAGE CHILDCARE CENTERFACILITY NUMBER:
304371489
ADMINISTRATOR:MARIN, QUASHANIKAFACILITY TYPE:
850
ADDRESS:6441 LINCOLN AVENUETELEPHONE:
(562) 999-6783
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY:30CENSUS: 14DATE:
05/24/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Quashanika Marin, DirectorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Conduct Inimical
INVESTIGATION FINDINGS:
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On May 24, 2022, Licensing Program Analysts (LPAs) Mila Quinto and Dianna Valdez Santana conducted an in-person inspection to deliver the finding regarding the above complaint allegation. LPAs met with director, Quashanika Marin. The Covid-19 Emergency Response questionnaires were asked. A tour around the facility was conducted, and a census was taken. Observed at the time of the visit was a total of 14 children and 4 staff members. A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During the investigation on 4/27/22, the Director engaged in conduct inimical to the health, welfare, and safety of children in care or the people of this state by not being truthful with the Department in regarding to arrangement made with the parents of infant being cared for at the church area. In addition, the director yelled at the Department Staff multiple times. This poses an immediate risk to safety of the children in care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 8
Control Number 06-CC-20220419125614
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: OUR TRIBE OUR VILLAGE CHILDCARE CENTER
FACILITY NUMBER: 304371489
VISIT DATE: 05/24/2022
NARRATIVE
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Based on the LPA’s observation and the interview conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Health and Safety Code Section 1596.885 (c) Type A deficiency is being cited on the attached LIC 9099D.
This report cites a Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above. Facility was advised on how to receive notifications for quarterly updates and provided with Child Care Advocate contact information: childcareadvocatesprogram@dss.ca.gov
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 7 of 8
Control Number 06-CC-20220419125614
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: OUR TRIBE OUR VILLAGE CHILDCARE CENTER
FACILITY NUMBER: 304371489
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
05/24/2022
Section Cited
HSC
1596.885(c)
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1596.885 Denial, suspension or revocation of license, registration, or special permits; grounds c)Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility...
This requirement is not met as evidence by:
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The Director stated did not agree of the report and will be appealing the report.
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During the investigation on 4/27/22, the Director engaged in conduct inimical to the health, welfare, and safety of children in care or the people of this state by not being truthful with the Department in regarding to arrangement made with the parents of infant being cared for at the church area. In addition, the director yelled at the Department Staff multiple times. This poses an immediate risk to safety of 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: Patricia Magana
LICENSING EVALUATOR NAME: Mila Quinto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC9099 (FAS) - (06/04)
Page: 8 of 8