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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198013548
Report Date: 07/20/2022
Date Signed: 07/20/2022 02:20:15 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 CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/13/2022 and conducted by Evaluator Alicia Mooberry
COMPLAINT CONTROL NUMBER: 54-CC-20220713111334
FACILITY NAME:ADAMS & MCCRAW FAMILY CHILD CAREFACILITY NUMBER:
198013548
ADMINISTRATOR:ADAMS, RAYJENNIA&MCCRAW, MFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 564-0901
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:14CENSUS: DATE:
07/20/2022
UNANNOUNCEDTIME BEGAN:
12:54 PM
MET WITH:Rayjennia Adams, LicenseeTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility operating over license capacity
INVESTIGATION FINDINGS:
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An unannounced complaint inspection was made on this day by Licensing Program Analysts (LPAs) Alicia Mooberry and Austin Estrada to the licensed facility. LPAs met with Licensee RayJennia Adams and iformed licensee of purpose of visit, a tour of the home, including off limit areas was provided. Upon arrival LPA observed 9 children. Also present was Mack McCraw, Co-licensee, Shiree Adams, and James Adams, Assistants. All adults present in the home have obtained a Criminal Record Clearance.

The licensee was informed of the allegation of over capacity against the facility.
Per Licensee, they admitted to LPA that on 7/12/22 she was overcapacity, having 15 children in care. Licensee stated she had accepted the Child #1 (not enrolled), on a trail basis. Licensee was aware she was overcapacity at that moment when a representative with another agency observed the violation. Per licensee, she was overcapacity for less than 2 hours
----Report Continues 9099D
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
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 54-CC-20220713111334
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ADAMS & MCCRAW FAMILY CHILD CARE
FACILITY NUMBER: 198013548
VISIT DATE: 07/20/2022
NARRATIVE
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An investigation regarding the allegation of the facility operating over capacity was completed. LPA obtained a copy of the facility's roster and a written statement from licensee confirming violation and plan to correct. Based on licensee's admission and complainant's observation the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Section 102416.5, are being cited on the attached LIC 9099D.

Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the Parent Notification Requirements was provided to the licensee, along with a copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports.

Exit interview was conducted with Licensee RayJennia Adams and a copy of this report was provided. Appeal Right were discussed and a copy provided.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20220713111334
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ADAMS & MCCRAW FAMILY CHILD CARE
FACILITY NUMBER: 198013548
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/20/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/20/2022
Section Cited
CCR
102416.5(a)(f)
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(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.(f) The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children.
This requirement is not met as evidenced by:
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Per licensee, Child #1 was sent home on same date. Licensee provided written declaration confirming the overcapacity and stating they understand not to have more children than the license allows at any one time. Licensee will provide a written children's schedule.
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Per Licensee's verbal and written admission to LPA that on 7/12/22 she was overcapacity, having 15 children in care. Per licensee, Child #1 was present on a trial basis. This poses an immedicate risk to the health and safety of 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: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 07/20/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3