334845193-3-16-2022-10-CC-CMAZ-CD3V4B-20220401160600

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334845193
Report Date: 03/16/2022
Date Signed: 03/16/2022 11:28:57 AM

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
01/11/2022 and conducted by Evaluator James Wilkerson

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20220111092807

FACILITY NAME:	SANDERS FAMILY CHILD CARE		FACILITY NUMBER:	334845193
ADMINISTRATOR:	SANDERS, EMMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 229-5784
CITY:	HEMET	STATE: CA	ZIP CODE:	92543
CAPACITY:	14	CENSUS: 5	DATE:	03/16/2022
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Emma Sanders		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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Uncleared adult living in facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst, (LPAs) James Wilkerson and Anastasia Flores arrived at this facility to conclude an investigation into the above allegation. An initial visit was attempted on 01/13/22 where Community Care Licensing staff were denied access into the facility. A subsequent visit was conducted on 01/28/22 and was extended at that time. During the visit today, a tour of the facility and census was conducted. There was an allegation that the licensee's husband is living in the home without a criminal record clearance or exemption. Licensee denies this allegation. A check of a social media site reveals that the licensee is married and depicts photos of an anniversary among other photos. Interviews were conducted with clients and children and the interviews indicated that the adults living in the home are the licensee and her husband.

The preponderance of evidence has been met and the above allegation is SUBSTANTIATED. See LIC 9099C for continuance of this report.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

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-20220111092807

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: SANDERS FAMILY CHILD CARE	FACILITY NUMBER: 334845193
	VISIT DATE: 03/16/2022

NARRATIVE

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See LIC 9099D for citation issued for this deficiency.

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.

There will be a Civil Penalty of $500.00 assessed for this violation of Title 22 Regulations. See LIC 421BG.

A Civil Penalty has been assessed on this visit. Payment is due when billed and the check(s) or money orders shall be made payable to the “California Department of Social Services”. YOU WILL RECEIVE AN INVOICE IN THE MAIL. DO NOT SEND MONEY UNTIL YOU RECEIVE YOUR INVOICE. DO NOT SEND CASH.

An exit interview was conducted, appeal rights explained and provided along with form LIC9224 (AB 633).

A Notice of Site Visit was provided along with a copy of this report to the licensee on this date.
A copy of this report must be made available to the public, upon request for three years

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20220111092807

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: SANDERS FAMILY CHILD CARE	FACILITY NUMBER: 334845193
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/16/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/16/2022 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	Criminal Record Clearance - (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department.	1 2 3 4 5 6 7	Licensee had her husband finger-printed for a clearance or exemption on 01/28/22. Licensee stated that her husband has moved out of the home. A Non-Compliance Conference will be scheduled to discuss this deficiency on a later date.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by: The licensee’s husband is/was living in the home without a criminal record clearance or exemption.	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: Carlos Martinez	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: James Wilkerson	TELEPHONE: (951) 218-7031
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

LIC9099 (FAS) - (06/04)

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