364843735-10-13-2022-12-CC-CYAS-CKE6V6-20221020210810

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364843735
Report Date: 10/13/2022
Date Signed: 10/13/2022 10:47:17 AM

Substantiated

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
06/22/2022 and conducted by Evaluator Babatunde Ibitoye

COMPLAINT CONTROL NUMBER: 12-CC-20220622110920

FACILITY NAME:	FIGUEROA DE GARCIA FAMILY CHILD CARE		FACILITY NUMBER:	364843735
ADMINISTRATOR:	IRMA FIGUEROA DE GARCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 782-7959
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	14	CENSUS: 1	DATE:	10/13/2022
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	IRMA FIGUEROA		TIME COMPLETED:	11:01 AM

ALLEGATION(S):

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Child sustained an injury while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Babatunde Ibitoye conducted an unannounced follow-up complaint inspection at the FIGUEROA DE GARCIA Family Child Care Home. LPA met with the Licensee Irma Figueroa, (spanish speaking). LPA Call the office staff for assistance with Interpreting.
The purpose of the inspection was to deliver the findings for the above complaint allegation. On June 17, 2022, that Child #1 (C1) sustained an injury while in care.

Based on interviews, physical evidence, and photos it was determined that the licensee was neglectful in implementing safety measures/precautions in securing the family dog. As a result, child #1 was bit resulting in injuries to Child #1 face. The dog bite on Child #1 was captured on video.
Although the licensee and her husband were both outside when the accident occurred, they did not have their eyes on Child #1 or stopped the child as the child ran to the dog. This could have prevented the dog’s reaction. Therefore, the above allegation is Substantiated.
Type” A” Deficiency cited. See LIC 9099 D

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde Ibitoye	TELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

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-20220622110920

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: FIGUEROA DE GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 364843735
	VISIT DATE: 10/13/2022

NARRATIVE

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LPA (Ibitoye) informed licensee Irma Figueroa that this report dated (10/13/2022) document Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
Also, LPA (Ibitoye) informed the licensee Irma Figueroa to provide a copy of this licensing report dated (10/13/2022) that documents a Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
An Enhanced Civil Penalty as of result of child #1’s injury that occurred on 06/17/22 is under review at this time. Licensee Adult son (S # 1) See LIC 811 assist to interpret the report to Licensee
An exit interview was conducted, and a copy of the report and appeal rights was left with the Licensee Irma Figueroa

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde Ibitoye	TELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

LIC9099 (FAS) - (06/04)

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Control Number 12-CC-20220622110920

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: FIGUEROA DE GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 364843735
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/13/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/13/2022 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.	1 2 3 4 5 6 7	per Licensee,the dog will be in the cage at the backyard during daycare hours
	8 9 10 11 12 13 14	This requirement was not met as evidenced by interviews, photos, and video recordings that the Licensee was neglectful in implementing safety measures/precautions in securing the family dog. As a result, child #1 was bit resulting in injuries to her face. This poses an immediate risk 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) 789-6944
LICENSING EVALUATOR NAME: Babatunde Ibitoye	TELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

LIC9099 (FAS) - (06/04)

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