364842131-8-11-2021-12-CC-CYAS-C6GV4E-20210902160612

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364842131
Report Date: 08/11/2021
Date Signed: 08/11/2021 04:57:27 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
06/07/2021 and conducted by Evaluator Aaron Mabika

COMPLAINT CONTROL NUMBER: 12-CC-20210607090916

FACILITY NAME:	BADILLO FAMILY CHILD CARE		FACILITY NUMBER:	364842131
ADMINISTRATOR:	BADILLO, NELLIE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 902-6974
CITY:	TWENTYNINE PALMS	STATE: CA	ZIP CODE:	92277
CAPACITY:	14	CENSUS: 10	DATE:	08/11/2021
		UNANNOUNCED	TIME BEGAN:	03:38 PM
MET WITH:	Nellie Badillo		TIME COMPLETED:	05:35 PM

ALLEGATION(S):

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Parents not notified of Type A violation.

INVESTIGATION FINDINGS:

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On 08/11/2021 Licensing Program Analyst (LPA) Mabika met with Licensee, Nellie Badillo to announce the findings of the above complaint investigation. Upon arrival, LPA was led on a tour of the day care and counted 10 children in care under the supervision of 3 staff. The children were wearing masks, and were socially distanced while actively engaged in meaningful activities.

This complaint investigation consisted of interviews with staff, parents, children and a review of other relevant documents before concluding. Licensee personally disclosed she did not know she had to inform parents by way of presenting them with an LIC 9224 form and have then sign an acknowledgement that would be kept in each child’s folder. Licensee states she informed the parents verbally. Based on evidence obtained, the preponderance of evidence standard has been met and the allegation of failure to notify parents of the issuance of a Type “A” citation has, therefore, been substantiated and a civil penalty assessment of $500.00 issued. See LIC 421C for the Civil penulty.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20210607090916

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: 08/11/2021

NARRATIVE

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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.

Appeal rights were supplied to the licensee.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20210607090916

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: 08/11/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/12/2021 Section Cited HSC 1596.8595(c)	1 2 3 4 5 6 7	1596.8595 Posting Licensing Reports by FCCH. (c)(1) A licensed child day care facility shall provide to ... guardians of each child receiving services in the facility copies of any licensing report that documents any Type A citation ...of the newly enrolling child copies of any licensing report that the	1 2 3 4 5 6 7	Licensee provided LIC 9224s and collected parents' signatures
	8 9 10 11 12 13 14	child copies of any licensing report that the licensee has received during the prior 12-month period. (3) The licensee shall require each recipient ... sign the statement. This requirement was not met as evidenced by the only a verbal notification of the violation. This poses an immediate rest to the health and safety of children in care.	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 Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 08/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021

LIC9099 (FAS) - (06/04)

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