334844600-5-23-2022-10-CC-CMAZ-CERQK4-20220525121342

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334844600
Report Date: 05/23/2022
Date Signed: 05/23/2022 01:03:37 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 STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2022 and conducted by Evaluator Nasha King

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20220425095620

FACILITY NAME:	RODRIGUEZ FAMILY CHILD CARE		FACILITY NUMBER:	334844600
ADMINISTRATOR:	RODRIGUEZ,ANGELA/GARCIA-SA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 392-5439
CITY:	HEMET	STATE: CA	ZIP CODE:	92544
CAPACITY:	14	CENSUS: 9	DATE:	05/23/2022
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Angela Rodriguez-Licensee		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Physical Plant- Facility is unsanitary.

INVESTIGATION FINDINGS:

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On the above date and time listed, Licensing Program Analysts (LPAs) Nasha King and James Wilkerson arrived at the facility for the purpose of delivering the findings for the above-referenced allegation. LPAs met with the Licensee, Angela Rodriguez. LPAs were granted access into the home, and a tour as well as census was conducted.

On 04/25/2022, Community Care Licensing (CCL) received a complaint alleging that the facility is unsanitary. An initial 10-day visit was conducted on 04/29/2022 and during this time, LPAs King and Wilkerson conducted interviews with three children and also obtained and reviewed the Licensee’s Roster (LIC 9040) and other pertinent documentation. Additionally, LPAs conducted a physical plant inspection of all areas made accessible to the children, both inside and outside. LPAs observed the areas appeared to be clean, orderly, and in good repair at the time of the visit, and upon entering the home and during the inspection, LPAs noted that there were no foul or unpleasant odors or any smells resembling urine detected.
Please see LIC 9099C for a continuation of this report.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Nasha King	TELEPHONE: (951) 204-2046
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2022

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 10-CC-20220425095620

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: RODRIGUEZ FAMILY CHILD CARE	FACILITY NUMBER: 334844600
	VISIT DATE: 05/23/2022

NARRATIVE

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However, LPAs did observe that the Licensee has multiple pets, including two dogs and a cat that are housed indoors, and although the facility appeared to be clean, LPAs noted that there was excess fur on the kitchen table which was confirmed by the Licensee to be one of the tables the day care children use to eat their food. Additionally, it was also noted that there was excess fur throughout the facility, which stuck to the LPAs computer equipment, equipment bags, and clothing.

Based on LPAs observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

See LIC 9099D for deficiency cited.

An exit interview was conducted, and this report was reviewed with the Licensee, Angela Rodriguez and a copy was provided.

Appeal rights were discussed and provided during the exit interview.

A Notice of Site visit was given, and the Licensee understands that it must remain posted for 30 days.

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Nasha King	TELEPHONE: (951) 204-2046
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2022

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20220425095620

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: RODRIGUEZ FAMILY CHILD CARE	FACILITY NUMBER: 334844600
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/23/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/06/2022 Section Cited CCR 102417(b)	1 2 3 4 5 6 7	102417 Operation of a Family Child Care Home (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee agrees to clean and sanitize the facility daily, ensuring that the tables and chairs where the children have access to are cleaned prior to eating and conducting daily activities. Licensee will submit a statement to LPA via email, relaying how the facility will be kept clean.
	8 9 10 11 12 13 14	Based on LPAs observations, the Licensee did not comply with the section cited above, as LPAs observed excess fur throughout the facility, including the kitchen table that the day care children use to eat their food. This poses a potential Health and Safety risk to clients in care.	8 9 10 11 12 13 14
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	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: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Nasha King	TELEPHONE: (951) 204-2046
LICENSING EVALUATOR SIGNATURE:	DATE: 05/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2022

LIC9099 (FAS) - (06/04)

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