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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 367700236
Report Date: 03/15/2022
Date Signed: 05/10/2022 04:06:45 PM

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
02/09/2022 and conducted by Evaluator Steven Montoya
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20220209160923
FACILITY NAME:YARBER FAMILY CHILD CAREFACILITY NUMBER:
367700236
ADMINISTRATOR:HEATHER YARBERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 519-1444
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:14CENSUS: 10DATE:
03/15/2022
UNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Heather Yarber LicenseeTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Uncleared individuals providing care and supervision to daycare children.
INVESTIGATION FINDINGS:
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Amended report on 5-10-2022, License Program Analyst (LPA's) Steven Montoya conducted a complaint investigation at the Yarber family day care and met Amecia Theus (Adult 1). The purpose of the inspection was to deliver the complaint findings for the above allegations. Present during the time of inspection was 3 care providers, licensse son (17 age) and 10 day care children ages ranging from 2-4 years of age.
Based on the evidence obtained it has been disclosed that licensee allowed adult #1 and Adult #2 to provided care and supervision to children without obtaining criminal record clearance and transfer. There is enough evidence to prove the above allegation occurred. Therefore the preponderance of the evidence has been met and the allegation has been substantiated. See LIC 9099 D: Type A deficiency issued.
Upon receipt of a Type A deficiency the licensee shall post the report for 30 days in addition to the Notice of Site Visit & provide copies of the licensing report to parents/guardians of children in care. This report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & the licensee will obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from the parent/guardian & place it in each child's file. If these requirements are not met, civil penalties will be assessed. This report will be emailed to licensee for review and signature.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven MontoyaTELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022
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 2
Citations on this Visit Report are Under Appeal!

Control Number 12-CC-20220209160923
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: YARBER FAMILY CHILD CARE
FACILITY NUMBER: 367700236
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
05/11/2022
Section Cited
HSC
102370(d)(1)(2)
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102370 (d) (1) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department. This requirement was not met as evidenced by
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Licensee will provide a written plan on how to prevent this violation from reoccurring by the due date 5-11-2022
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LPA observations, records review, interviews and licensee admission that adult #1 worked in the facility for at least 2 month and did not have criminal record clearance. Adult # 2 worked in the facility for at least 6 months and was not associated to the child care facility. This poses an immediate health and safety risk to children in care.
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HSC
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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: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven MontoyaTELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2