376614787-8-16-2023-51-CC-TDAL-CV6QH3-20230829121029

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376614787
Report Date: 08/16/2023
Date Signed: 08/16/2023 10:14:14 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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/14/2023 and conducted by Evaluator Nancy Diaz

COMPLAINT CONTROL NUMBER: 51-CC-20230814083834

FACILITY NAME:	REJANE, MINNIE FAMILY CHILD CARE		FACILITY NUMBER:	376614787
ADMINISTRATOR:	MINNIE REJANE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 219-7287
CITY:	CARLSBAD	STATE: CA	ZIP CODE:	92008
CAPACITY:	14	CENSUS: 4	DATE:	08/16/2023
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Minnie Rejane		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

1. Staff left medication out, accessible to children in care.
2. Staff did not seek medical attention timely for child in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 8/16/23 @ 8:50AM, LPA Nancy Diaz made an unannounced complaint inspection for the complaint received on 8/14/23. LPA discussed the above allegations with licensee, Minnie Rejane. Observed present today were 4 daycare children and helpers Lupe Arieta & Daniela Carvalho. Mrs. Rejane stated that on 8/10/23, she was having breakfast with 2 daycare children when the door bell rang. She remembers placing the pill on her plate when she answered the door. When she returned, the pill was gone and she noticed the outside of the capsule near the child who sat the table. She texted the children's parents and contacted the poison control at 8:14AM. She was instructed by Poison control to notify parents to take child to ER. She did not call 911. She stated that the child appeared normal and did not appear to be in distress. Both parents arrived at 8:35AM and they contacted 911. Ambulance arrived at approximately 8:45AM. Child was taken to hospital by the abulance

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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 51-CC-20230814083834

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: REJANE, MINNIE FAMILY CHILD CARE	FACILITY NUMBER: 376614787
	VISIT DATE: 08/16/2023

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

Based on information obtained through interview with the licensee and her self-reported unusual incident, LPA determined that the preponderance of evidence has been met. There is enough supporting information to prove the above allegations are SUBSTANTIATED, see deficiencies cited on the attached LIC 9099D.

LPA Nancy informed licensee Minnie Rejane that this report dated (8/16/23) documents a Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

LPA Nancy Diaz also informed the licensee to provide a copy of this licensing report dated (8/16/23) that documents any 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.

Exit interview was conducted with Mrs. Rejane. LPA provided Mrs. Rejane a copy of this report and her appeal rights.

SUPERVISOR'S NAME: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 51-CC-20230814083834

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: REJANE, MINNIE FAMILY CHILD CARE	FACILITY NUMBER: 376614787
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/16/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/16/2023 Section Cited CCR 102423	1 2 3 4 5 6 7	PERSONAL RIGHTS. Each child receiving services from a family child care home shall have certain rights that shall not be waived... These rights include...(2) To receive safe, healthful, and comfortable accommodations... This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee wrote and submitted a plan of correction today, she stated that she has moved storage of the medication to her bedroom where she will take the pill. She will also call 911 on any future emergencies.
	8 9 10 11 12 13 14	Licensee admitted to living the pill accessible to 2 children in the morning while having breakfast. She also admitted to not calling 911 to provide emergency aid to the child who ingested the pill. This poses an immediate threat to the health, safety and personal rights 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: Tashima Daniel	TELEPHONE: (619) 767-2242
LICENSING EVALUATOR NAME: Nancy Diaz	TELEPHONE: (619) 767-2207
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3