197419263-3-30-2021-30-CC-MRUZ-BZNL82-20210401083109

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419263
Report Date: 03/24/2021
Date Signed: 03/30/2021 10:27:28 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/04/2021 and conducted by Evaluator Ericka Hill

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20210304092011

FACILITY NAME:	FELMAN FAMILY CHILD CARE		FACILITY NUMBER:	197419263
ADMINISTRATOR:	FELMAN, CAROLINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 800-3526
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	14	CENSUS: 7	DATE:	03/24/2021
		UNANNOUNCED	TIME BEGAN:	12:16 PM
MET WITH:	Licensee - Carolina Felman		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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1) Licensee not providing safe environment/comfortable for sleeping infant(s).

2) Licensee not providing a safe environment for daycare children.

INVESTIGATION FINDINGS:

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On 03/24/2021 at 12:16 pm Licensing Program Analyst (LPA) Ericka Hill conducted a tele-visit to deliver the findings for the above allegations. LPA Hill spoke with the Licensee and informed them the purpose of the visit. During this time, the Licensee stated they enroll children between the ages of 2 weeks old and 12 years old.

During the investigation LPA conducted interviews, observed the facility, and reviewed child care records.

On 03/10/2021 LPA conducted a physical visit and observed 7 children being supervised by 2 fingerprinted employees in the backyard area. The outdoor area was observed to be clean, free of hazardous materials, and equipped with age-appropriate materials for the infant and preschool age children in care.

{report continues on pg. 2}

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

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 5

Control Number 30-CC-20210304092011

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FELMAN FAMILY CHILD CARE	FACILITY NUMBER: 197419263
	VISIT DATE: 03/24/2021

NARRATIVE

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On 03/23/2021 LPA conducted a tele-visit and observed 7 children being supervised, during nap time, by the Licensee and another fingerprinted employee. LPA also observed the outdoor area to be clean, free of hazardous materials, and equipped with age-appropriate materials for the preschool age children in care. LPA observed the classroom/nap areas (infant to preschool age) to be clean, free of hazardous materials, and providing age appropriate bedding, equipment, and toys for the children.

On 03/16/2021 and 03/17/2021 LPA Hill interviewed parents and was informed that they were overall fine with the daycare. P1 stated their child attended they have obtained assistance from the Licensee for a minimum of 2 years and P2 stated they have obtained assistance for 1 and care for approximately 1 and 1/2 years. P2 stated they recall observing their child in a crib during pick-up. P2 also stated that they would enroll another child, if they were to have another.

Based on the preponderance of evidence received, reviewed, and observed by LPA Hill, the allegations above were found to be Unsubstantiated. An Unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of the LIC9099 and Notice of Site Visit was provided to the Licensee. LPA Hill informed the Licensee to read, sign, and email the LIC9099 back to LPA Hill.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/04/2021 and conducted by Evaluator Ericka Hill

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20210304092011

FACILITY NAME:	FELMAN FAMILY CHILD CARE		FACILITY NUMBER:	197419263
ADMINISTRATOR:	FELMAN, CAROLINA		FACILITY TYPE:	810
ADDRESS:	16055 TUBA STREET		TELEPHONE:	(818) 800-3526
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	14	CENSUS: 7	DATE:	03/24/2021
		UNANNOUNCED	TIME BEGAN:	12:16 PM
MET WITH:	Licensee - Carolina Felman		TIME COMPLETED:	12:35 PM

ALLEGATION(S):

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1) Licensee not keeping facility free of animal feces.

INVESTIGATION FINDINGS:

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On 03/24/2021 at 12:16 pm Licensing Program Analyst (LPA) Ericka Hill conducted a tele-visit to deliver the findings for the above allegation. LPA Hill spoke with the Licensee and informed them the purpose of the visit.

During the investigation LPA conducted interviews, observed the facility, and reviewed child care records.
On 03/10/2021 LPA conducted a physical visit and on 03/23/2021 conducted a tele-visit. During these visits, LPA Hill observed 7 children being supervised by 2 fingerprinted employees in the backyard area. The outdoor area was observed to be clean, free of feces, and equipped with age-appropriate materials for the infant and preschool age children in care. However, Community Care Licensing was informed on during multiple interviews that feces has been observed in the outdoor area and observed on the bottom of children’s shoes by parents.

{report continues on pg. 2}

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 30-CC-20210304092011

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FELMAN FAMILY CHILD CARE	FACILITY NUMBER: 197419263
	VISIT DATE: 03/24/2021

NARRATIVE

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Based on the preponderance of evidence obtained, the above allegation has been found to be a Substantiated and in violation of Personal Rights, in relation to the children in care. A Type B citation is being given to the Licensee in violation of Regulation 102417(b) under Title 22 Regulations, “the home shall be kept clean and orderly…”. A Substantiated finding means that the allegation(s) are valid because the preponderance of the evidence standard has been met.

An exit interview was conducted and a copy of the Complaint Report (LIC9099) as well as a Notice of Site Visit was emailed to the Licensee. LPA requested the Licensee to read, sign, and email the LIC9099 back to LPA Hill.

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 30-CC-20210304092011

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: FELMAN FAMILY CHILD CARE	FACILITY NUMBER: 197419263
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/24/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/23/2021 Section Cited CCR 102417(b)	1 2 3 4 5 6 7	102417(b) , “the home shall be kept clean and orderly…”. This requirement is not met as evidenced by: The facility has been observed to have feces in the outdoor area and observed on the bottom of children’s shoes by parents. This poses a potential risk to the children in care.	1 2 3 4 5 6 7	Licensee agrees to submit a declaration detailing the times the dogs go out and in based on the operational hour schedule. LPA adivsed the Licensee to install a fence/barrier in the dog outdoor space.
	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
	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: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Ericka Hill	TELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021

LIC9099 (FAS) - (06/04)

Page: 5 of 5