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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195700057
Report Date: 09/25/2024
Date Signed: 09/25/2024 02:40:20 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/13/2024 and conducted by Evaluator Tatiana Bickham
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240913091034
FACILITY NAME:NAMAYIGA FAMILY CHILD CAREFACILITY NUMBER:
195700057
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 2DATE:
09/25/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Darcya PerezTIME COMPLETED:
02:55 PM
ALLEGATION(S):
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Provider does not keep facility free of pests.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tatiana Bickham conducted an unannounced complaint inspection on 09/25/2024 at 11:40 AM. LPA met with adult (A1) Darcya Perez residing in the home to discuss the above allegation. Licensee did not arrive unitl 1:00PM.

During today's visit, LPA toured the day care home. LPA was unable to obtain a copy of the children's roster.

Per Reporting Party, provider does not keep facility free of pests.

LPA observed and took photos of two mouse and insect traps located in the kitchen. LPA observed a small roach inside of the insect trap by the kitchen sink and another small roach in the kitchen next to the washer/dryer.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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 58-CC-20240913091034
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: NAMAYIGA FAMILY CHILD CARE
FACILITY NUMBER: 195700057
VISIT DATE: 09/25/2024
NARRATIVE
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Per Interview with Licensee, Licensee stated the home does have a pest issue. The home has been fumigated a few times to get rid of the roaches and sticky traps have been placed throughout the home to try to help. The last time pest control came to the home they recommended the basement be fumigated as well to ensure all of the roaches are gone. Per Licensee the entire home including the basement will get fumigated again.

Licensee stated her youngest child enrolled is 6 months and the oldest 8. LPA discussed with the Licensee, safety concerns for the infants and toddlers enrolled because they spend the majority of their time on the floor. Licensee stated she has gotten rid of any furniture she thought was infested and will make sure the day-care area is clean at all times.

Based on the LPA observations and interview with Licensee, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22 (code) is being cited on the attached LIC 9099D.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return.  A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year).  The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.  Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. 

Exit interview was conducted with Licensee, Winnie Namayiga. Appeals Rights and the Notice of Site visit were provided.

The Notice of Site Visit must remain posted for 30 days during the hours of operation. Failure to maintain posting as required will result in a civil penalty of $100.00.

Page 2.
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 58-CC-20240913091034
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: NAMAYIGA FAMILY CHILD CARE
FACILITY NUMBER: 195700057
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/25/2024
Section Cited
CCR
102423(a)(2)
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(a) Each child receiving services from a family child care home shall have certain rights that shall...(2).. receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement was not as evidenced by:
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Licensee agrees to have home and basement fumigated by 10/4/24 and will provide proof of receipt to LPA by date listed above.
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Based on LPAs observation and interview with Licensee, Licensee did not ensure home was clear of pest. This 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.
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3