<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364842131
Report Date: 04/26/2021
Date Signed: 04/26/2021 11:42:25 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
02/04/2021 and conducted by Evaluator Aaron Mabika
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210204141507
FACILITY NAME:BADILLO FAMILY CHILD CAREFACILITY NUMBER:
364842131
ADMINISTRATOR:BADILLO, NELLIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 902-6974
CITY:TWENTYNINE PALMSSTATE: CAZIP CODE:
92277
CAPACITY:14CENSUS: 11DATE:
04/26/2021
UNANNOUNCEDTIME BEGAN:
04:35 PM
MET WITH:Nellie BadilloTIME COMPLETED:
04:55 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal rights: Licensee not meeting day care child’s diapering needs resulting in skin reddening and possible blockage of circulation.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Mabika met virtually with Licensee, Nellie Badillo to announce the findings of the above complaint investigation. This complaint investigation consisted of interviews with staff, parents, children and a review of pictures taken and other relevant resources before concluding. Based on evidence obtained, the preponderance of evidence standard has been met and the allegation of Personal Rights has been substantiated. Images taken of child # 4 reveal sustained skin discoloration around the privates and on thighs due a tight diaper or possible infrequent diaper change. In the communication exchange Licensee admission that the diaper may have been tightened because the child had his hands in the diaper at the time it was changed.

This is a Type A citation. Upon receipt of the Type A Violation(s), licensee shall post the report for 30 days in addition to the Notice of Site Visit and provide copies of the licensing report to parents/guardians of children in care at the facility by the close of the business day. LIC 9224 was provided to the licensee together with a 9099D and notice of site visit.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021
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 12-CC-20210204141507
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: BADILLO FAMILY CHILD CARE
FACILITY NUMBER: 364842131
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/26/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/26/2021
Section Cited
CCR
102423(a)(4)
1
2
3
4
5
6
7
102423(a)(4) Personal Rights; Each child receiving services from a family childcare home shall have certain rights…not limited to..be free infliction of pain…or other action… interference with eating, sleeping or toileting.
1
2
3
4
5
6
7
With immediate effect Licensee shall tell her staff to change the diapers even when they are dry.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Child #4 sustained obvious skin discoloration around the privates and upper thighs.
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: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20210204141507
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: BADILLO FAMILY CHILD CARE
FACILITY NUMBER: 364842131
VISIT DATE: 04/26/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
An exit interview was conducted, a copy of this report, Deficiency document LIC 9099D, Acknowledgement of Licensing Reports (LIC 9224), appeal rights and notice of site visit were read out and emailed to Licensee, Nellie Badillo
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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