364810655-1-15-2020-12-CC-CYAS-BLNM6Y-20200210082043

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364810655
Report Date: 01/15/2020
Date Signed: 01/15/2020 01:13:14 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/09/2020 and conducted by Evaluator Donna Maddox

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20200109150206

FACILITY NAME:	DE HARO FAMILY CHILD CARE		FACILITY NUMBER:	364810655
ADMINISTRATOR:	DE HARO, FLAVIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 886-0254
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92404
CAPACITY:	14	CENSUS: 7	DATE:	01/15/2020
		UNANNOUNCED	TIME BEGAN:	10:32 AM
MET WITH:	Licensee, Flavia De Haro		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staffing Ratio and Capacity: Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Maddox met with licensee, Flavia De Haro today for the purpose of investigating the above complaint allegation. As LPA was explaining the nature of this unannounced inspection, LPA observed English is not the licensee's first language. LPA contacted the PRO and solicited the assistance of LPA Rodriguez whom is a Bi-lingual Analyst. LPA requested LPA Rogdriguez ask Licensee how many children she has enrolled, and if she has a designated Assistant as Licensee is licensed for a large capacity (14 children). Licensee stated the following: The day the Food Program came by (1/9/2020), she had 10 children in care without an Assistant present. Licensee stated she has an Assistant (that is fingerprinted and associated), however on this date, her Assistant was unable to come due to a family emergency. LPA asked licensee how many children she has enrolled, licensee stated she has 10 children enrolled but they do not come every day and their schedules stagger.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020

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-20200109150206

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: DE HARO FAMILY CHILD CARE	FACILITY NUMBER: 364810655
	VISIT DATE: 01/15/2020

NARRATIVE

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She stated although she was operating out of ratio, the children were safe and secured. LPA commended Licensee for keeping the children safe and secured, however, Title 22 Regulations are specific with Staffing and Ratio's. LPA informed Licensee she was operating out of ratio when she had more than 8 children alone according to Section 102416.5 Staffing Ratio and Capacity (e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home.

A Type A citation was issued today, LPA explained the following to licensee regarding Type A citations: **Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). Family child care homes shall post during hours of operation. **Failure to meet the posting requirements shall result in an immediate $100.00 civil penalty. In addition; all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report documenting the Type A citation and sign form LIC 9224 acknowledging receipt. Civil Penalty assessments will be assessed if all above requirements are not adhered to.

Licensee stated she understood and will ensure she adheres to Regulations and ensure she operates within her capacity and ratio's.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 12-CC-20200109150206

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: DE HARO FAMILY CHILD CARE	FACILITY NUMBER: 364810655
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/15/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/16/2020 Section Cited CCR 102416.5	1 2 3 4 5 6 7	Staffing Ratio and Capacity: The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. (e) If no assistant provider is present	1 2 3 4 5 6 7	Licensee states she will ensure she operates within ratio at all times and ensure she has a back up person available in just in case her designated Assistant is unavailable.
	8 9 10 11 12 13 14	at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home. This requirement was not met as evidenced by Licensee's admission she had 10 children in care on 1/9/2020 alone because her Assistant had an emergency and could not come in to assist her.	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: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna Maddox	TELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:	DATE: 01/15/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020

LIC9099 (FAS) - (06/04)

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