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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493885
Report Date: 01/18/2023
Date Signed: 01/18/2023 12:12:05 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, 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
11/04/2022 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20221104151047
FACILITY NAME:HAYES FAMILY CHILD CAREFACILITY NUMBER:
197493885
ADMINISTRATOR:HAYES, TONIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 335-9622
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:14CENSUS: 5DATE:
01/18/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Toni Hayes, LicenseeTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Personal Rights:Staff are using inappropriate measures to discipline children in care
INVESTIGATION FINDINGS:
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On 1/18/2023, Licensing Program Analyst (LPA) Adrian Risher and Licensing Program Manager Maureen Neal conducted a complaint subsequent visit regarding the above mentioned allegations to deliver the findings. Upon arrival, LPA met with Toni Hayes, Licensee and explained the purpose of the inspection. LPA observed 5 children in care with 2 staff.
On 08/01/2022, ESCCRO received a complaint regarding staff are using inappropriate measures to discipline children in care. Information was obtained that children were disciplined by staff by means of pinching, shoving, grabbing & yelling. There was a recent incident that occurred at the daycare between staff and children in care. An audio recording of an incident between staff and children was provided to the department.

On 11/10/2022, LPA Risher conducted the initial complaint visit. During the visit, LPA Risher conducted interviews with staff.mLPA requested a copy of the facility roster, mandated reporter certificates for all staff and copies of files of children who left since July 2022. Licensee was not present at the time of the inspection. LPA Risher received written declarations from staff present.
Substantiated
Estimated Days of Completion: 80
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023
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 30-CC-20221104151047
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: HAYES FAMILY CHILD CARE
FACILITY NUMBER: 197493885
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/03/2023
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee ...These rights include, but are not limited to, the following:(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ...
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Licensee has agreed to submit a step by step plan on discipline due on 2/3/2023 to CCL via email or postal mail. Licensee has agreed to attend the in-person Family Child Care Home Orientation for the month of February 2023.
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This requirement wa not as evidenced by: Licensee admitted to the use of inappropriate discipline towards children in care
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 Licensee has agreed to participate in the department’s Technical Support Program. The department will supply further information for the TSP and orientation.
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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: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 30-CC-20221104151047
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: HAYES FAMILY CHILD CARE
FACILITY NUMBER: 197493885
VISIT DATE: 01/18/2023
NARRATIVE
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On 1/18/2023, LPA Risher and LPM Neal conducted a subsequent visit. LPA Risher conducted follow up interviews with staff. LPM Neal interviewed Licensee. Licensee provided a copy of an incident report for September 30, 2022.

Based on observations and interviews, the preponderance of evidence standard has been met, therefore the above allegation of personal rights is found to be Substantiated. Licensee admitted to the use of inappropriate discipline to include pinching and utilizing inappropriate language.

Exit interview was conducted and report was provided to Toni Hayes, Licensee. Appeal rights will be provided.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3