364843501-2-10-2021-09-CC-KWIS-BY5N9U-20210211091628

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364843501
Report Date: 01/28/2021
Date Signed: 02/10/2021 12:01:25 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/30/2020 and conducted by Evaluator Carlos Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20201030100447

FACILITY NAME:	HERNANDEZ FAMILY CHILD CARE		FACILITY NUMBER:	364843501
ADMINISTRATOR:	ANA HERNANDEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 835-7692
CITY:	COLTON	STATE: CA	ZIP CODE:	92324
CAPACITY:	14	CENSUS: 8	DATE:	01/28/2021
		ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Ana Hernandez, Licensee		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Licensee did not pick up day care children in a timely manner

INVESTIGATION FINDINGS:

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Due to COVID-19, Licensing Program Analyst (LPA), Carlos Martinez, conducted a Tele-inspection with Ana Hernandez, Licensee, via Facetime to deliver the findings for the above referenced allegation.

During interview with Licensee, LPA Martinez asked if the she recalled being late to pick up the children from school, and the Licensee confirmed that she had been late on a couple occassions. When asked to elaborate, she mentioned that she couldn't remember the exact amount of times but stated that she had difficulty arriving to pick up the children because of the distance between the children's schools and the fact that most had similar release times. Therefore, based on the information gathered, LPA Martinez determined that the allegation that the Licensee did not pick up the day-care children in a timely is SUBSTANTIATED.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos Martinez	TELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2021

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 6

Control Number 09-CC-20201030100447

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: HERNANDEZ FAMILY CHILD CARE	FACILITY NUMBER: 364843501
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/28/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 02/05/2021 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	PERSONAL RIGHTS: Each child shall be accorded safe, healthful and comfortable accommodations, furnishing and equipment. LPA Martinez confirmed that the Licensee failed to pick up the children from school at the time required/expected.	1 2 3 4 5 6 7	The Licensee agrees to ensure that children are picked up from their respective schools at the time expected and required. Upon opening of schools, the Licensee agrees to submit a revised transportation schedule that reflects adequate pick up times for children released from school. In addition, the
	8 9 10 11 12 13 14		8 9 10 11 12 13 14	Licensee agrees to submit a copy of anUnusual Incident Report to report such incidents to CCL in accordance with Title 22 regulations.
	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: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos Martinez	TELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 6

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
10/30/2020 and conducted by Evaluator Carlos Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20201030100447

FACILITY NAME:	HERNANDEZ FAMILY CHILD CARE		FACILITY NUMBER:	364843501
ADMINISTRATOR:	ANA HERNANDEZ		FACILITY TYPE:	810
ADDRESS:	928 AWARD DRIVE		TELEPHONE:	(909) 835-7692
CITY:	COLTON	STATE: CA	ZIP CODE:	92324
CAPACITY:	14	CENSUS: 8	DATE:	01/28/2021
		ANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Ana Hernandez, Licensee		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Licensee did not safeguard day care child's personal belongings.
Licensee not adequately supervising day care children.

INVESTIGATION FINDINGS:

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Due to COVID-19, Licensing Program Analyst (LPA), Carlos Martinez, conducted a Tele-inspection with Ana Hernandez, Licensee, via Facetime to deliver the findings for the above referenced allegations.

It was alleged that the Licensee did not safeguard the day-care children's personal belongings, however, LPA Martinez was unable to corroborate allegation due to a lack of testimonial and/or direct evidence. LPA made several attempts to make contact with all pertinent parties/witnesses, however, after several unanswered messages, LPA Martinez concluded that there was not enough corroborating evidence obtained during the investigation. Other pertinent interviews were conducted, including the Licensee, who denied allegation and provided a different version of the incident. Due to conflicting evidence, LPA Martinez determined that the allegation that the Licensee did not safeguard the daw-care children's personal belongings is UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos Martinez	TELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2021

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

LIC9099 (FAS) - (06/04)

Page: 3 of 6

Control Number 09-CC-20201030100447

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: HERNANDEZ FAMILY CHILD CARE	FACILITY NUMBER: 364843501
	VISIT DATE: 01/28/2021

NARRATIVE

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An allegation was made that the Licensee was not adequately supervising the day care children, however, LPA Martinez was unable to prove that the Licensee was leaving the children unsupervised. LPA Martinez interviewed the Licensee, who denied allegation and provided an explanation for what appears to be a lack of supervision. Hernandez stated that when the school year began, children had a hard time adapting to distance learning, specifically because there were so many issues with the connection to classrooms that she had to deal with these issues individually and it took some time to adapt. She disclosed that these issues would occur often and that would take time away from other children, but denied that she wasn't watching and/or supervising them. LPA Martinez was unable to corroborate allegation due to a lack of testimonial evidence, therefore the allegation that the Licensee was not adequately supervising the day-care children is UNSUBSTANTIATED.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted. A copy of this report was provided to the Licensee.

This report must be made available for public review for 3 years upon request.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos Martinez	TELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 6

Control Number 09-CC-20201030100447

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: HERNANDEZ FAMILY CHILD CARE	FACILITY NUMBER: 364843501
	VISIT DATE: 01/28/2021

NARRATIVE

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An exit interview was conducted via Ana Hernandez, Licensee. LPA Martinez provided the applicant with a copy of this report via email. LPA asked the Licensee to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report.

A copy of this report was provided to the licensee on this date and must be made available to the public upon request for the next 3 years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Carlos Martinez	TELEPHONE: (951) 295-2190
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2021

LIC9099 (FAS) - (06/04)

Page: 6 of 6