334806341-7-14-2023-09-CC-GSEA-CTXL23-20230721082138

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334806341
Report Date: 07/14/2023
Date Signed: 07/14/2023 12:37:22 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/26/2023 and conducted by Evaluator Giselle Carbullido

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20230626122611

FACILITY NAME:	FOOTE FAMILY CHILD CARE		FACILITY NUMBER:	334806341
ADMINISTRATOR:	FOOTE, LOUVORN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 687-8153
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92503
CAPACITY:	14	CENSUS: 0	DATE:	07/14/2023
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Louvorn Foote, Licensee		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Uncleared adult living in the home

INVESTIGATION FINDINGS:

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On the date and time listed above, Licensing Program Analyst (LPA) Giselle Carbullido arrived at the facility to conduct an investigation in regard to the above complaint received on 06/26/23. An initial visit was conducted on 06/30/23 and LPA toured the facility, reviewed records, and interviewed Licensee. During today’s visit, LPA was given access to the facility by the Licensee Louvorn Foote. LPA discussed purpose of visit, took census, and toured the facility. LPA met with the Licensee to further discuss the complaint allegations and deliver findings.
It was alleged there were uncleared adults living in the home. During the investigation, LPA conducted interviews with all pertinent parties, and obtained documentation.
Licensee denied any uncleared adults lived in the home, however, evidence gathered from documentation obtained and interviews with pertinent parties indicated Adult #1 has been living in the home for the past few years.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

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 09-CC-20230626122611

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FOOTE FAMILY CHILD CARE	FACILITY NUMBER: 334806341
	VISIT DATE: 07/14/2023

NARRATIVE

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Based on the above information, the Department has determined the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED, per California Code of Regulations, Title 22, Division 12.

See LIC9099D for cited deficiency. A Civil Penalty has been assessed during this inspection. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

LPA Giselle Carbullido informed Licensee, Louvorn Foote, that this report dated 07/14/23 documents one Type A citation, which shall be posted for 30 consecutive days, as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Giselle Carbullido informed the Licensee, Louvorn Foote, to provide a copy of this licensing report dated 07/14/23, which documents the Type A citation, to parents/guardians of all children currently enrolled by either 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.

An exit interview was conducted, and appeal rights were discussed. A copy of this report and Notice of Site Visit were provided to the Licensee and the LPA observed the Notice of Site Visit form was posted by Licensee. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THREE YEARS.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20230626122611

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: FOOTE FAMILY CHILD CARE	FACILITY NUMBER: 334806341
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/15/2023 Section Cited CCR 102395(a)(1)	1 2 3 4 5 6 7	102395(a)(1) Criminal record clearance: (1) Failure to obtain a California clearance or criminal record exemption, request a transfer of a criminal record clearance or request and be approved for a transfer of an exemption as specified in ... for any individual required to be fingerprint ... prior to allowing the individual to work, reside or volunteer in the facility. This requirement is not met as evidenced by	1 2 3 4 5 6 7	Licensee will submit fingerprints for uncleared adult in the home prior to adult returning to the home. Licensee will submit a written statement of understanding for Criminal Record Clearance by POC due date 07/15/2023.
	8 9 10 11 12 13 14	Based on interviews and records obtained, the facility did not have all adults living in the home fingerprint cleared. This poses an immediate health and safety risk to children in care. A civil penalty has been assessed in the amount of 500,00.	8 9 10 11 12 13 14	Licensee will send in LIC9224 for all children enrolled to the department.
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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.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

LIC9099 (FAS) - (06/04)

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