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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197495043
Report Date: 06/07/2023
Date Signed: 06/07/2023 04:45:19 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 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
06/02/2023 and conducted by Evaluator Dalicia Adkins
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230602105444
FACILITY NAME:DEVINE FAMILY CHILD CAREFACILITY NUMBER:
197495043
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 10DATE:
06/07/2023
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee Lakeisha Devine TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Ratio: Licensee operating out of ratio.
INVESTIGATION FINDINGS:
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On 06/07/2023 at 2:00pm Licensing Program Analyst (LPA) Dalicia Adkins conducted an unannounced complaint visit regarding the above-mentioned allegation. LPA met with licensee Lakeisha Devine, LPA explained the purpose of the visit and was granted entry into the home. LPA was guided on a tour of the facility, LPA observed licensee supervising ten children. Licensee husband arrived after LPA arrival.

This is a small family child care home and is licensed to care up to eigth children. LPA observed licensee alone caring for ten children. At 2:10 pm LPA Adkins confirmed with licensee that is she operating out of ratio and is over capacity. Although licensee stated that children in care has different child care hours and sometimes service hours may overlap.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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-20230602105444
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: DEVINE FAMILY CHILD CARE
FACILITY NUMBER: 197495043
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/07/2023
Section Cited
CCR
102416.5(a)(3)(C)
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102416.5 Staffing Ratio and Capacity(a) the capcity specified on the license shall be the maximum number of children in care. (3)More than six and up to eight children w/out an additional adult attendant. (C)The total licensed capacity for a fcc shall not exceed eight children. This requirement is not met as evidence by:
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Licensee agreed to watch ratio and personal rights videos on CCLD website and summary of take away from the videos. Licensee agreed develope a service plan of child care hours and service hours for each child care child. Licensee will send LPA POC via email by 6/8/2023.
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Based on observation and interview the facility was out of ratio and over capacity. At 2:10pm LPA observed licensee alone with 10 children in the home 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.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20230602105444
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: DEVINE FAMILY CHILD CARE
FACILITY NUMBER: 197495043
VISIT DATE: 06/07/2023
NARRATIVE
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Based on observations and interview the facility was operating out of ratio and over capacity therefore the allegation of operating out of ratio is substantiated. Meaning the allegation is valid because the preponderance of the evidence has been met. In accordance with California Code of Child Care Title 22 regulation this facility is cited (1) deficiency; 102416.5 Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided. (b) for a small family child care home ,the maximum number of children for whom care may be provided at any one time, including children under the age ten who reside at the licensee's home, shall be one of the following (3) More than six and up to eight children, without an additional adult attendant. This is a Type A violation, which poses an immediate safe and health risk to children in care. Refer to Licensing Report LIC 9099 D.

LPA discussed proof of correction(POC) with licensee. Licensee agreed to send LPA POC via email by 06/08/2023.

Upon receipt of this report, the licensee shall post the Notice of Site Visit and any licensing report documenting a type "A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or enrolled children for the next 12 months (1 year). The acknowledgment of Receipt LIC 9224 form must be maintained in each child's file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224).

This report reviewed with licensee and copy given. Notice of Site Visit given and must be posted for 30 days. Exit interview conducted.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC9099 (FAS) - (06/04)
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