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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334845343
Report Date: 02/26/2021
Date Signed: 02/26/2021 02:20:46 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
02/18/2021 and conducted by Evaluator Otsanya Cameron
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20210218115927
FACILITY NAME:KING FAMILY CHILD CAREFACILITY NUMBER:
334845343
ADMINISTRATOR:KING,TAILESHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 518-5169
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92555
CAPACITY:14CENSUS: 0DATE:
02/26/2021
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Tailesha KingTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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The licensee engaged in conduct that is inimical to the health and safety of the people of the state of California.

Licensee failed to report an incident
INVESTIGATION FINDINGS:
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 Regional Manager Lya Johnson and Licensing Program Analyst (LPA) Otsanya Cameron arrived at the facility on 02/26/21 to deliver the findings for the above allegation. LPA met with Licensee, Tailesha King and were not granted access into the facility.

Based on the information received during the interview with the Licensee and her own admission that she was arrested at the facility while day care children were present and that an unusual incident report was not reported to CCL, the above allegations are SUBSTANIATED.

SEE LIC 9099D for deficiency. .


This report was provided to Ms. King on 02/26/21.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
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-20210218115927
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: KING FAMILY CHILD CARE
FACILITY NUMBER: 334845343
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/26/2021
Section Cited
CCR
102402(a)(2)
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Revocation or Suspension of a License or Registration - The Department shall have the authority to suspend or revoke any license for the following reasons: Conduct in the operation or maintenance of a family day care home which is inimical to the health, morals, welfare, or safety of either an individual in or
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A Temporary Suspension Order was placed on the facility on this date.
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receiving services from the facility or the people of the State of California.

This requirement was not met as evidenced by the fact that the police arrested her for destroying evidence and as an accessory to a crime.
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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: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20210218115927
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: KING FAMILY CHILD CARE
FACILITY NUMBER: 334845343
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/26/2021
Section Cited
CCR
102419
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Reporting Requirements - (b) The licensee shall report to the Department any of the events as specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.. which provides in part: "A report shall be made to the Department..
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A Temporary Suspension Order was placed on the facility on this date.
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…following the occurrence during the operation of a family day care home of any of the following events: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child." This requirement was not met as evidenced by the fact that -------------->
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<--------Continued from the box on left.

that Ms. King failed to report that she was arrested while children were in care; requiring that the police officers had to provide care and supervision to the children until their parents arrived to pick them up.
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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: Dawn ParkerTELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Otsanya CameronTELEPHONE: (951) 970-1388
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3