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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841590
Report Date: 02/05/2021
Date Signed: 02/05/2021 04:06:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:LOPEZ FAMILY CHILD CAREFACILITY NUMBER:
334841590
ADMINISTRATOR:LOPEZ, ROSARIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 722-7920
CITY:BANNINGSTATE: CAZIP CODE:
92220
CAPACITY:14CENSUS: 5DATE:
02/05/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Rosario Lopez TIME COMPLETED:
03:15 PM
NARRATIVE
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Due to Covid-19 pandemic and the executive order issued by Governor Newsom on March 16, 2020, on February 5, 2021, Licensing Program Analyst (LPA) Timeka Reed conducted a case management inspection telephonically with Rosario Lopez, Licensee.

On January 12, 2021, LPA spoke to the Licensee regarding an investigation. During the conversation, unrelated to the investigation, the Licensee stated when she began caring for C2 and C3, she noticed C2 had bruises under their eye. Licensee stated she discussed with C3 where the bruises came from, and C3 explained they were inflicted by a family member in their home.

LPA asked the Licensee if she had a reasonable suspicion C2 or C3 were victims of child abuse. Licensee stated she did because she saw bruises under the eye of C2. LPA asked Licensee if she had contacted Child Protective Services (CPS) and filed a report based on what she saw and what C3 had stated. Licensee stated she did not. LPA reminded the Licensee she is a mandated reporter and it is her responsibility to contact the appropriate agency when there is a reasonable suspicion of child abuse and then to report the incident to Community Care Licensing (CCL).

Based the Licensee’s stated, this agency has determined the Licensee failed to report suspected child abuse.

See LIC 809D for deficiency cited.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: LOPEZ FAMILY CHILD CARE
FACILITY NUMBER: 334841590
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/05/2021
Section Cited

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Reporting Requirements
(c)(1) Any suspected child abuse or neglect, as defined in Penal Code Section 11165.6, of any child in care, in addition to reporting requirements pursuant to Penal Code Section 11166.
Based on the statement provided by Licensee, the Licensee failed to report
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 suspected child abuse or neglect to the appropriate agency. This is evidenced by the Licensee admitting she failed to contact CPS after suspecting there was abuse based on her own observation and the statement provided to her by a child in care. This poses as a potential health and safety risk to 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.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Timeka ReedTELEPHONE: (951) 970-1161
LICENSING EVALUATOR SIGNATURE:
DATE: 02/05/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/05/2021
LIC809 (FAS) - (06/04)
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