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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700191
Report Date: 10/04/2023
Date Signed: 10/04/2023 04:00:25 PM

Document Has Been Signed on 10/04/2023 04:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:DUNN, RODEEN FAMILY CHILD CAREFACILITY NUMBER:
197700191
ADMINISTRATOR:DUNN, RODEENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 878-6794
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
10/04/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:31 PM
MET WITH:Rodeen Dunn, LicenseeTIME COMPLETED:
04:15 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Joe Katrdzhyan and Lilia Hernandez conducted an unannounced case management visit citing for a deficiency observed during an inspection. LPAs arrived at the facility at 10:15AM and met with Staff #1. LPAs were later met by Rodeen Dunn, Licensee, who guided LPAs on tour of the facility. There were 7 children, 1 infant under 12 months, and 2 staff upon arrival.

Upon arriving at 10:15AM, LPAs observed Staff #1 working at the facility prior to Licensee requesting a transfer of a criminal record clearance as specified in Section 102370(j). Staff #1 was not listed on the facility roster. At 10:33am, LPAs called the CCL On Duty Officer of the Day and confirmed that Staff #1 was not associated to DUNN, RODEEN FAMILY CHILD CARE.

Licensee disclosed that documents were submitted to the Department to have Staff #1 associated to the facility in the past but was unable to produce records/proof.

Per licensee, they did not follow up to verify if Staff #1 was associated prior to Staff #1 first day of employment.

Staff #1 disclosed that they have been employed since April 2023. Staff #1 disclosed that they indeed have fingerprints and was previously employed at a different facility. LPAs advised Licensee that all individuals prior to working residing, or volunteering in a licensed facility, shall have a criminal record clearance or a criminal record transfer. Due to Licensee not having Staff #1 associated to the facility since April of 2023, this poses an immediate health and safety personal rights risk to children in care.

Criminal Record Clearance, non compliance with conditions of probation, where the license is on probation pursuant to the Revised Decision and Order #1220101101B, dated 6/28/22, where on page 31 of the Order, Item 1, Respondent shall obey all laws, including the California Community Care Facilities Act, and adhere to all Department regulations promulgated thereunder. ---Page 1 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: DUNN, RODEEN FAMILY CHILD CARE
FACILITY NUMBER: 197700191
VISIT DATE: 10/04/2023
NARRATIVE
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The following deficiency listed on the attached deficiency page is being cited in accordance with California Code of Regulations Title 22.

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. A copy of the Parent Notification Requirements was also provided to the licensee.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Rodeen Dunn, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/04/2023 04:00 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 10/04/2023 at 02:48 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: DUNN, RODEEN FAMILY CHILD CARE
FACILITY NUMBER: 197700191

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/04/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/04/2023
Section Cited
CCR
102370(d)(2)

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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility...Request a transfer of a criminal record clearance as specified in Section 102370(j)
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On 10/4/2023 at 12:26PM, Licensee emailed a copy of the LIC9182 and Staff"s #1 driver license. LPA's verified that Staff # 1 was associated on 10/4/2023.
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This requirment was not met as evidenced byUpon arriving at 10:15AM, LPA's observed Staff #1 working at the facility prior to Licensee requesting a transfer of a criminal record clearance as specified in Section 102370(j). Staff #1 was not listed on the facility roster. At 10:33am, LPAs called the CCL On Duty Officer of the Day and confirmed that Staff #1 was not associated to DUNN, RODEEN FAMILY CHILD 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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/04/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/04/2023


LIC809 (FAS) - (06/04)
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