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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364840450
Report Date: 02/23/2022
Date Signed: 02/23/2022 11:10:36 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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/10/2021 and conducted by Evaluator Taadhimeka Zeigler
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211210115354
FACILITY NAME:CASA RAMONA INCFACILITY NUMBER:
364840450
ADMINISTRATOR:TABITHA THURFACILITY TYPE:
850
ADDRESS:1633 W. 5TH STREETTELEPHONE:
(909) 889-0011
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92411
CAPACITY:45CENSUS: 14DATE:
02/23/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Tabitha ThurTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Facility is not providing adequate supervision of children in care.

Facility is not in good repair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Taadhimeka Zeigler arrived at the facility to continue the investigation into the above allegations. LPA met with, Tabitha Thur. LPA discussed the purpose of the visit. The facility was toured and the census was taken.

The course of the investigation included observation, children and staff interviews, and the review of documentation.

Regarding the allegation that the facility is not providing adequate supervision of children in care, interviews disclosed that when enough staff are not present, the children in room A1 are walked to the outside of the classroom, the teacher or teacher's aid will wait at the door while the child walks to the restroom alone. The teacher or teacher's aid will wait at the classroom door in order to continue to have a visual on children in the classroom.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
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 7
Control Number 09-CC-20211210115354
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CASA RAMONA INC
FACILITY NUMBER: 364840450
VISIT DATE: 02/23/2022
NARRATIVE
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Regarding the allegation that the facility is not in good repair, LPA was able to visually observe the disrepair. LPA observed that the sinks in all the children's restrooms have peeling paint. LPA observed that the rubber on the steps of the playground apparatus is torn and exposing the metal of the structure. LPA also observed peeling paint that is hanging on the outside awning, which falls down into the sand on the playground when it is windy.

This agency has investigated the complaint regarding the allegations. Based on interviews conducted and observation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Citations issued on LIC9099D.

An exit interview was conducted, appeal rights were discussed and provided, and a Notice of Site was issued. A copy of this report was provided to Tabitha Thur.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 09-CC-20211210115354
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: CASA RAMONA INC
FACILITY NUMBER: 364840450
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/23/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/24/2022
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision - No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation. This requirement was not met as evidenced by:
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Enhanced refresher training will be provided to all staff with the emphasis on safety guidelines as it relates to responsibility for providing care and supervision for children and expectations from staff. Proof of training or training plan to be provided to LPA by 02/24/2022.
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Interviews disclosed that when enough staff are not present, the children in room A1 are walked to the outside of the classroom, the teacher or teacher's aid will wait at the door while the child walks to the restroom alone. This poses a threat to the health and safety of children in care.
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Type B
03/25/2022
Section Cited
CCR
101239(n)
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Fixtures, Furniture, Equipment and Supplies - Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts. This requirement was not met as evidenced by:
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At the time of this visit this sinks have been repaired. The playground struture and the awning will be repaired. Upon completion of repairs, proof will be submitted to LPA.
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LPA visually observed the sinks located in the children's restroom is peeling, the hard plastic covering on the steps of the playground structure is torn, and the outside awning has hanging paint/wood that falls onto the children's playground. This poses a threat to the health and safety of 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: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 7
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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/10/2021 and conducted by Evaluator Taadhimeka Zeigler
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20211210115354

FACILITY NAME:CASA RAMONA INCFACILITY NUMBER:
364840450
ADMINISTRATOR:TABITHA THURFACILITY TYPE:
850
ADDRESS:1633 W. 5TH STREETTELEPHONE:
(909) 889-0011
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92411
CAPACITY:45CENSUS: 14DATE:
02/23/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Tabitha ThurTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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9
Facility is not kept at comfortable temperature for children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Taadhimeka Zeigler arrived at the facility to continue the investigation into the above allegations. LPA met with, Tabitha Thur. LPA discussed the purpose of the visit. The facility was toured and the census was taken.

The course of the investigation included observations, children and staff interviews, and the review of documentation.

Regarding the allegation that the facility is not kept at comfortable temperature for children in care, interviews disclosed that sometimes the children are too hot or too cold. The air conditioning unit in classroom A1 is currently out of service. Interviews also revealed that in order to maintain the temperature between 68 degrees and 85 degrees, the facility is curently using portable heaters and fans.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 09-CC-20211210115354
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: CASA RAMONA INC
FACILITY NUMBER: 364840450
VISIT DATE: 02/23/2022
NARRATIVE
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The temperature is monitored through the use of a wall thermometer.

There was conflicting information received during the investigation and the LPA was not able to corroborate the allegation.

Based on interviews, documentation, and observation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka ZeiglerTELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC9099 (FAS) - (06/04)
Page: 7 of 7