334841642-7-8-2021-09-CC-AROS-C87Q8K-20211027115651

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334841642
Report Date: 07/08/2021
Date Signed: 07/08/2021 04:40:05 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
07/07/2021 and conducted by Evaluator Blanca Ruiz-Silva

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20210707143630

FACILITY NAME:	VASQUEZ FAMILY CHILD CARE		FACILITY NUMBER:	334841642
ADMINISTRATOR:	VASQUEZ, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 541-3251
CITY:	INDIO	STATE: CA	ZIP CODE:	92203
CAPACITY:	14	CENSUS: 15	DATE:	07/08/2021
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Maria Vasquez		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Uncleared adult(s)in the home

INVESTIGATION FINDINGS:

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Licensing Program Analyst's (LPAs) Blanca Ruiz-Silva and Laura Mejorado conducted an inspection to the above-named facility for a complaint investigation. LPA's toured the facility, reviewed records and interviewed pertinent parties. LPA's were given access to the facility by licensees and the purpose for the inspection was stated. LPA B. Ruiz-Silva toured the facility and took a census. Upon arrival to the facility LPA's observed 15 children having lunch in the living room and watching appropriate age cartoons.

Upon arrival to the facility, LPA's observed an uncleared adult present at the facility and driving away with licensee's younger granddaughter. LPA's were informed by licensee, Maria Vasquez that uncleared adult is a family member who visits her and assists them with daycare duties occasionally, as well as doing backyard work for them every week.
Based on the above information and LPA’s observations the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, divisions & chapter number are being cited on the attached LIC 9099D.)
Please see LIC 9099C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

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-20210707143630

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: VASQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 334841642
	VISIT DATE: 07/08/2021

NARRATIVE

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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.

An exit interview was conducted, Notice of Site Visit posted, appeal rights discussed and given to the licensee, along with a copy of this report and a LIC9224 form. A copy of this report was provided to the licensee on this date. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20210707143630

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: VASQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 334841642
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/08/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/09/2021 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	102370(d)(1) Criminal Record Clearance. All individuals subject to a criminal record review... prior to working, residing or volunteering in a licensed home, shall obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	The licensee has agreed to have uncleared adults fingerprinted and provide proof to CCL by 07/09/21. Written statement was provided during the visit regarding Licensee acknowledging verification of clearance prior to residing at the facility as family and/or tenants. LIC 9163. LIC 508 was provided during inspection.
	8 9 10 11 12 13 14	LPAs observed one uncleared adult ( Jose Pedro Vasquez “Tio”) during inspection. In addition, Licensee admitted that he has assisted with daycare duties occasionally at the facility. This is an immediate Health and Safety risk to the children in care. CIVIL PENALTIES HAVE BEEN ASSESSED	8 9 10 11 12 13 14
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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: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

LIC9099 (FAS) - (06/04)

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