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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 426207903
Report Date: 10/22/2020
Date Signed: 10/28/2020 02:28:10 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/04/2020 and conducted by Evaluator Martina Jimenez
COMPLAINT CONTROL NUMBER: 17-CC-20200904155600
FACILITY NAME:MEJIA FAMILY CHILD CAREFACILITY NUMBER:
426207903
ADMINISTRATOR:GLORIA TORRES DE MEJIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(805) 925-2876
CITY:SANTA MARIASTATE: CAZIP CODE:
93458
CAPACITY:14CENSUS: 9DATE:
10/22/2020
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Gloria MejiaTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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1. Staff is hitting children
2. Facility is operating over capacity and out of ratio.
INVESTIGATION FINDINGS:
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This report is an amendment of the original report dated 10/22/20.

On 10/22/20, at 10:30 AM, Licensing Program Analysts (LPAs) Martina Jimenez and Francisca Velazquez, conducted an unannounced inspection of the above allegations to conclude a Complaint investigation. LPAs met with Sulema Mejia, Licensee’s Assistant/daughter. LPA Jimenez advised the Assistant of nature and purpose of the inspection. Prior to entering the FCCH, LPA asked Licensee Pre- Screening questions related to COVID-19. Licensee's responses to the Pre-screening questions suggest no COVID-19 exposure on site.

LPAs and assistant toured the interior and exterior of the FCCH. There were 9 children in care at the time of the inspection. Licensee arrived at 10:45 AM, during the tour of the home. Assistant stated that Licensee had went to run an errand and was away from the FCCH for approximately 10 minutes prior to LPAs arrival

This report continues on LIC 9099C & LIC 9099D

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2020
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 17-CC-20200904155600
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MEJIA FAMILY CHILD CARE
FACILITY NUMBER: 426207903
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/23/2020
Section Cited
CCR
102423(a)(1)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
To be treated with dignity in his/her personal relationship with staff and other persons.
This requirement is not met as evidenced
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Licensee stated that Licensee will submit a written plan on or before 10/23/20 regarding how Licensee will treat the day-care children with dignity at all times. Plan to be submitted via email.

Martina.Jimenez@dss.ca.gov
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The Licensee corroborated allegations of the complaint admitting to staff hitting day-care children. Licensee stated that Licensee spanks the children on the butt and redirecting the children, which poses an immediate health and safety risk to children in care.
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Type A
10/23/2020
Section Cited
CCR
102416.5(d)2
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For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (2) More than twelve and up to fourteen children only
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Licensee stated that Licensee will submit a written plan on or before 10/23/20 regarding how Licensee will maintain the required staff to child ratio at all times. Plan to be submitted via email.

Martina.Jimenez@dss.ca.gov
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if the criteria in Section 1597.465 of the Health and Safety Code are met.
This requirement is not met as evidenced by LPAs observation, on 10/22/2020, LPAs observed alone assistant caring for 9 children. The statements from Assistant is that licensee was out running an errand. The Licensee arrived at 10:45 AM, during the visit, which poses an immediate health and safety risk to children in care.
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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: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 17-CC-20200904155600
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: MEJIA FAMILY CHILD CARE
FACILITY NUMBER: 426207903
VISIT DATE: 10/22/2020
NARRATIVE
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Today, at 11:53 AM, Licensee, and Licensee’s assistant were interviewed and admitted to hitting day-care children as a form of punishment. Licensee stated that she spanks the children on the butt and redirecting the children.

Based on LPA observations, interviews, and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter number 102423(a)(1) and 102416.5(d)2, are being cited on the attached LIC 9099D.

An exit interview was conducted with Licensee. Appeal Rights were given and explained to the Licensee. LPA discussed and explained the FCCH's required plan of correction.

Licensee was provided the Acknowledgement of Receipt (LIC 9224). Parents shall receive a copy of 9099, 9099C, and 9099D. Each parent/guardian shall sign an LIC 9224 with copies maintained in each child's file. Every parent enrolling a new child in the FCCH shall receive a copy of the report and sign a LIC 9224 for the next twelve months. A copy of this report was reviewed and provided to the Licensee.

This report was translated in Spanish by Francisca Velazquez.

LPA provided the Licensee a Notice of Site (LIC 9213) visit which was posted in the LPA's presence.

This report is an amendment of the original report dated 10/13/20. The report was emailed to licensee for signature.

SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Martina JimenezTELEPHONE: (805) 387-5041
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3