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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364808632
Report Date: 02/17/2022
Date Signed: 02/17/2022 12:08:27 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/10/2022 and conducted by Evaluator Kendal Zirbes
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220210140331
FACILITY NAME:DURAN FAMILY CHILD CAREFACILITY NUMBER:
364808632
ADMINISTRATOR:DURAN, MONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 337-7739
CITY:LAKE ARROWHEADSTATE: CAZIP CODE:
92352
CAPACITY:14CENSUS: 14DATE:
02/17/2022
UNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Licensee, Monica Duran TIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Inadequate staffing
INVESTIGATION FINDINGS:
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On February 17, 2022 at 9:37am Licensing Program Analyst (LPA) Zirbes met with Licensee. The purpose of the inspection was to initiate a complaint investigation at the licensed facility regarding the above allegation. LPA disclosed the purpose of the inspection to the Licensee. Present during today’s inspection were 14 childcare children (3 infants and 11 children under four years of age) and two staff members (licensee and assistant).
During the inspection, LPA gather documentation related to the investigation and interviewed Licensee. Based on the LPAs observation and record review the facility is currently out of ratio. The facility had a total of 14 children, three infants and 11 additional children under five years of age. A large family home may only care for 12 children, no more than three of whom may be infants or twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code. Per Health and Safety Code the large family childcare may care for 14 children when at least two school age children are present. At the time of this inspection, there were no children who were age six and no child who was enrolled in kindergarten.
Report continued on page two
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Kendal ZirbesTELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
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 12-CC-20220210140331
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: DURAN FAMILY CHILD CARE
FACILITY NUMBER: 364808632
VISIT DATE: 02/17/2022
NARRATIVE
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Report continued from page one

Therefore, the facility was out of ratio when 14 children and at least two school a age children were not present. This poses an immediate risk to the children in care. Based on the LPA observations, record review and interviews, there is a preponderance of evidence to prove the facility was out of ratio. Facility is being cited under 102416.5(d)(2) Staffing Ratio and Capacity.

Upon receipt of the Type A Violation(s), licensee shall post the report for 30 days in addition to the Notice of Site Visit & provide copies of the licensing report to parents/guardians of children in care at the facility by the close of business the following day or the next day child returns to the facility. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Monica Duran.

:

SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Kendal ZirbesTELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20220210140331
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: DURAN FAMILY CHILD CARE
FACILITY NUMBER: 364808632
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/18/2022
Section Cited
CCR
102416.5(d)(2)
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102416.5(d)(2) Staffing Ratio and Capacity: More than twelve and up to fourteen children only if the criteria in Section 1597.465 of the Health and Safety Code are met. This requirement was not met as evidenced by:
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Per Licensee, the facility will maintain ratio standards. One child is enrolled in pre-kindergarten. Licensee will review capacity and ratio videos/documentation provided by CCL. Licensee will send an email confirming the videos were reviewed.
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 On February 17, 2022, LPA observed a total of 14 children. Per record review and interviews, at least two children were not at least age six and were not enrolled in Kindergarten. Therefore the staffing ratio was not being met. This poses a immediate Health, Safety or personal right risk to the children in care.
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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: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Kendal ZirbesTELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3