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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334809760
Report Date: 07/19/2019
Date Signed: 07/19/2019 03:01:07 PM



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
07/18/2019 and conducted by Evaluator Ana Noble
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20190718130318
FACILITY NAME:CARDENAS FAMILY CHILD CAREFACILITY NUMBER:
334809760
ADMINISTRATOR:CARDENAS, MARGARITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 398-2534
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:14CENSUS: 19DATE:
07/19/2019
UNANNOUNCEDTIME BEGAN:
12:17 PM
MET WITH:Margarita CardenasTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Day care operating over capacity
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Ana Noble, La Kesha Edwards and Otsanya Cameron arrived at the facility to conduct an investigation into the above allegation. LPAs Noble, Edwards and Cameron were granted access into the home by the Margarita Cardenas, Licensee. A census was taken and day-care areas of the home were toured.

During census and tour, LPAs observed a total of 19 children in care, in addition to information that was provided by a credible and reliable sources that indicates additional dates in the month of June, were the Licensee operated over capacty. Licensee admitted, to operating over capacity today due to a familiy that typical is not scheduled to be present but due to a emergency the parent asked Licensee to watch the children. Therefore, based on the invesigations and information gathered the allegation of the facility operating over capacity has been deemed SUBSTANTIATED based on the preponderance of evidence.

REPORT CONTINUED ON LIC9099-C, Please SEE LIC 9099-D for the deficiencies cited for Title 22 Regulation Section 102416.5(a) Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Ana NobleTELEPHONE: (951) 782-3278
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
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 3
Control Number 09-CC-20190718130318
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: CARDENAS FAMILY CHILD CARE
FACILITY NUMBER: 334809760
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/20/2019
Section Cited
CCR
102416.5(a)
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Staffing Ratio and Capacity. The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement was not met by evidence of: LPAs observed a total of 19 children present during inspection present with Licensee and assistant. This is immediate risk to children.
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Licensee agrees to immediate cease operating over capacity and will submit a written schedule of the children currently enrolled and times children will be in care submit to the department by 7/20/2019. An Informal Office visit may be require and scheduled, Licensee will be notified via letter.
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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: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Ana NobleTELEPHONE: (951) 782-3278
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 09-CC-20190718130318
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: CARDENAS FAMILY CHILD CARE
FACILITY NUMBER: 334809760
VISIT DATE: 07/19/2019
NARRATIVE
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An exit interview was conducted with Ms. Cardenas, Notice of Site Visit posted, appeal rights discussed and given to the licensee or facility representative, along with a copy of this report and LIC 9224 was given to the licensee or facility representative.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility for the next 12 months.

The Notice of Site Visit and Type A Deficiencies from today’s visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Ana NobleTELEPHONE: (951) 782-3278
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3