Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198006099
Report Date: 01/08/2018
Date Signed: 01/08/2018 12:35:35 PM


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
12/28/2017 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20171228103632
FACILITY NAME:RANCHO LOS AMIGOS CHILDREN'S CENTERFACILITY NUMBER:
198006099
ADMINISTRATOR:RAQUEL LUNAFACILITY TYPE:
830
ADDRESS:7755 GOLONDRINAS STREETTELEPHONE:
(562) 401-7981
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:35CENSUS: 16DATE:
01/08/2018
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maria LuengasTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Director allowed uncleared adults to provide care and supervision to day-care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Maria Luengas.

During the course of the investigation, LPA Lee made observations, reviewed records, and conducted interviews in regards to the above allegation.

LPA Lee observed that 3 staff members present on this date have not been associated to the facility. These 3 staff membesr are also not associated to the preschool license that is in the same address. The Director stated that she faxed in the paperwork for Staff##2, and #3. The Director stated that the transfer for Staff#1 was done by the previous facility from the parent company. The Director stated that this facility is part of the Kindercare LLC company. LPA Lee explained to the Director that paper work to establish facility associations cannot be faxed to the Monterey Park regional office. LPA Lee advised the Director to either mail or drop off the paperwork in person in the future.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2018
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-20171228103632
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: RANCHO LOS AMIGOS CHILDREN'S CENTER
FACILITY NUMBER: 198006099
VISIT DATE: 01/08/2018
NARRATIVE
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LPA Lee also advised the Director to contact the regional office to confirm if new employees are associated after paperwork has been submitted. Staff #1, #2, and #3 were all confirmed to be have the completed clearances to work at licensed day care facilities. Although the 3 staff members were cleared, they were not associated to the facility despite working here for several months. The Director stated that she did not know that the Monterey Park Regional Office does not accept transform forms via fax, and will follow the recommended procedures advised by LPA Lee in the future.

Based on LPA's observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. Caifornia Code of Regulations, Title 22 are being cited on the attached LIC 9099D.

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.

The Notice of Site Visit (LIC 9213) – 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 Maria Luengas, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISOR'S NAME: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20171228103632
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: RANCHO LOS AMIGOS CHILDREN'S CENTER
FACILITY NUMBER: 198006099
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/08/2018
Section Cited
CCR
101170(e)(2)
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Criminal Record Clearance.

Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall request a transfer of a criminal record clearance from another facility or Trustline. LPA observed
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Director stated she will only mail or drop off transfer paperwork in the future. The paperwork for the 3 staff members was taken to the Monterey Park office by a staff member during the inspection.
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Staff #1, #2, and #3 were present and working at the facility while not being associated to the facility. This is an immediate risk to children in care. Civil Penalty assesed for 3 staff members on this date.
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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: Guangorena ClaudiaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2018
LIC9099 (FAS) - (06/04)
Page: 3 of 3