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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198000148
Report Date: 07/12/2024
Date Signed: 07/12/2024 12:40:41 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2024 and conducted by Evaluator Carolyn Tuba
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240710151752
FACILITY NAME:FAOURI FAMILY DAY CAREFACILITY NUMBER:
198000148
ADMINISTRATOR:FAOURI, FERYALFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 625-5808
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:14CENSUS: 3DATE:
07/12/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Feryal FaouriTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee is exceeding the allowable absence
INVESTIGATION FINDINGS:
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On 0712/2024 at 9:15 am, Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced 10-day complaint inspection and during the visit was able to provide findings for the above allegation. A Covid risk assessment was conducted. LPA met with Licensee, Feryal Faouri and took a census of 3 children present. There were also two (2) additional adults present who are fingerprint cleared.

Complainant alleged that Licensee is exceeding the allowable absence. LPA interviewed the Licensee who stated that she had been on vacation from May 16, 2024 – July 3, 2024, and that her daughter who assists her had been left in the care of the children. She stated that she currently has 9 children enrolled but that her daughter had no more than 3 to 5 children who attended at one time. Licensee stated that she was not aware that she could not leave her daughter in her absence and that she was out of the country due to an emergency. LPA advised that if she should need to be gone due to being on vacation or any type of emergency, Licensee would need to give notice to parents and close for the duration of her absence.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024
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 33-CC-20240710151752
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: FAOURI FAMILY DAY CARE
FACILITY NUMBER: 198000148
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/12/2024
Section Cited
CCR
102417(a)
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102417 Operation of a Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home.......
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LPA consulted with the Licensee and printed a copy of the regulation that states that if she needs to take time off then she would need to close her facility.
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This requirement is not met as evidenced by: Based on the interview with the licensee who did not comply with the section cited above. LPA confirmed that licensee was on vacation from 5/16-7/3/2024 which poses/posed a potential health, safety or personal rights risk to persons 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: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20240710151752
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FAOURI FAMILY DAY CARE
FACILITY NUMBER: 198000148
VISIT DATE: 07/12/2024
NARRATIVE
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During the course of investigation LPA verified if her daughter was fingerprint cleared had required immunizations, a current CPR/1st Aid which expires 11/2025 and a current mandated reporter certificate. LPA found that the certificate had expired on 5/1/2024 and there was not a current training taken. A Case Management report for the mandated reporting was issued.

On 7/12/2024 LPA Carolyn Tuba clarified California Code Title 22 section 102417(a) Operation of a Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. LPA provided a copy of the regulation to the Licensee. Based on the interview conducted the preponderance of evidence standard has not been met, therefore the above allegation is found to be substantiated.

The following deficiency listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiency that are being cited need to be cleared to protect the children’s health & safety.

A notice of site visit was given and must remain posted for 30 days.Exit interview conducted and report was reviewed with the Licensee, Feryal Faouri.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3