334844328-4-29-2021-10-CC-DPAR-C2N29J-20210502171200

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334844328
Report Date: 04/29/2021
Date Signed: 04/29/2021 03:28:32 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 STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/24/2021 and conducted by Evaluator Lakesha Edwards

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210224163825

FACILITY NAME:	SHAW-HOWARD FAMILY CHILD CARE		FACILITY NUMBER:	334844328
ADMINISTRATOR:	SHAW-HOWARD, LATEEFAH		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 315-2827
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92557
CAPACITY:	14	CENSUS: 8	DATE:	04/29/2021
		UNANNOUNCED	TIME BEGAN:	12:03 PM
MET WITH:	Lateefah Shaw-Howard-Licensee		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) LaKesha Edwards conducted an unannounced tele-inspection to the facility to deliver the findings of the above complaint allegation. LPA spoke with the Licensee Lateefah Shaw-Howard. LPA verified census. An initial tele-visit was conducted on 03/03/2021.

Allegation: Personal Rights: LPA conducted interviews with pertinent parties regarding the allegation. During interviews, one of the children confirmed observing an adult resident in the home yelling at and making another child cry. This child stated this made them feel sad and also mad as they did not like seeing other children cry. The other child stated their hand was hit by an adult resident of the family childcare home and stated this made them feel mad and hurt their hand and the child didn’t understand what they had done wrong. In interviewing another confidential witness, it was stated the adult resident of the family childcare home would speak to the children in care at times when it they would get loud and ask the children to quiet down.

(Continued to 9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2021

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 10-CC-20210224163825

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: SHAW-HOWARD FAMILY CHILD CARE	FACILITY NUMBER: 334844328
	VISIT DATE: 04/29/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from 9099-C

According to the witness, this adult resident's tone of of voice is deep and authoritative to get the children to listen.

In interviewing other pertinent parties, it was stated no adult residents of the family childcare home would speak to or interact with the day care children while in care but the LPA found a discrepancy in this statement from interviews with other confidential witnesses.

Based on LPA interviews and information obtained from the interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter Number 1) are being cited on the attached LIC 9099D)

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 10-CC-20210224163825

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: SHAW-HOWARD FAMILY CHILD CARE	FACILITY NUMBER: 334844328
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/29/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/03/2021 Section Cited CCR 102423(a)(4)	1 2 3 4 5 6 7	102423(a)(4) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abrdged... These rights include, but are not limited to: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	The Licensee will review Title 22 Regulations, Section 102423 (a)(4) and will submit a written statement documenting children's personal rights will not be violated. The statement is due to LPA by 05/03/2021.
	8 9 10 11 12 13 14	Based on interviews conducted, LPA has verified through interviews children witnessed an adult resident yelling at and causing a child in care to cry. This conduct caused the children to feel upset, sad and mad. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 3