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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018844
Report Date: 06/22/2023
Date Signed: 08/30/2023 04:25:37 PM

Document Has Been Signed on 08/30/2023 04:25 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WRIGHT FAMILY CHILD CAREFACILITY NUMBER:
198018844
ADMINISTRATOR:FELISA WRIGHTFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 399-1493
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 6DATE:
06/22/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Felisa Wright TIME COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Crystal Green arrived on 06/22/2023 at the facility for an unannounced inspection to follow up on a substantiated allegation for a complaint investigation.

On 03/27/2023, the Department concluded a complaint investigation which alleged the following allegation: Infants finger was severed due to lack of supervision.

The allegation was substantiated, and the licensee was cited for California Code of Regulations (CCR) 102423(a)(2) Personal Rights for Lack of Care and Supervision and HSC:1596. 885(c)- Conduct Inimical.

On 03/27/2023, the licensee was issued two type A deficiencies CCR:102423(a)(2). Personal Rights for lack of care and supervision and HSC:1596. 885(c)- Conduct Inimical for different accounts provided to the department and parents as to how the injury occurred.

On 5/22/2023, During a Noncompliance Conference held with the licensee at Monterey Park Regional Office, she acknowledged that she did not follow proper First Aid protocol.

The investigation also revealed that on 01/10/23, the licensee did not call 911 and lost the fingertip
during the child’s transport to the hospital.

The Department has concluded an analysis and has determined that a civil penalty is warranted for the
serious bodily injury. The Welfare and Institutions Code section 15610.67 defines serious bodily injury as
"an injury involving extreme physical pain, substantial risk of death, or protracted loss or impairment of
a function of a bodily member, organ, or of mental faculty, or requiring medical intervention, including
but not limited to, hospitalization, surgery, or physical rehabilitation."
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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 06/22/2023 11:06 AM - It Cannot Be Edited


Created By: Crystal Green On 06/21/2023 at 03:16 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WRIGHT FAMILY CHILD CARE

FACILITY NUMBER: 198018844

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
06/22/2023
Section Cited
CCR
102425

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102425 INFANT SAFE SLEEP (a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard.
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The Licensee has since purchased an additional infant playpen and feeding chair. LPA observed the licensee to have sufficient infant equipment to accommodate the enrolled infants.
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The Requirement was not met as evidenced by the investigation revealed that the child was also not afforded a safe sleep environment as she was placed on a bean bag with a propped feeding bottle. This poses an immediate 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.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Crystal Green
LICENSING EVALUATOR SIGNATURE:
DATE: 06/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2023


LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: WRIGHT FAMILY CHILD CARE
FACILITY NUMBER: 198018844
VISIT DATE: 06/22/2023
NARRATIVE
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A copy of the LIC 421D was given to Licensee Felisa Wright, and the originals were signed.

Exit interview conducted. A copy of the report was issued. Appeal rights provided. Licensee Felisa Wright signature on this report acknowledges receipt of the Appeal Rights, found on page two of LIC 421D.

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 parents of the children in care for up to one year. LIC 9224 - Acknowledgement of Receipt of Licensing Reports were explained and provided

*This is an amended report to the original document created on 06/22/2023.


Page 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2023
LIC809 (FAS) - (06/04)
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