198019427-9-20-2023-33-CC-BVON-CY9RFE-20231206115854

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019427
Report Date: 09/20/2023
Date Signed: 09/20/2023 03:33:26 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
09/18/2023 and conducted by Evaluator Roxana Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230918085928

FACILITY NAME:	CARRILLO FAMILY CHILD CARE		FACILITY NUMBER:	198019427
ADMINISTRATOR:	BLANCA LIDIA CARRILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 374-1633
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90604
CAPACITY:	14	CENSUS: 9	DATE:	09/20/2023
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Angelina Rodriguez		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Licensee is operating out of ratio

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced complaint inspection visit to the above facility. A COVID risk assessment was conducted upon entry. LPA met with, Angelina Rodriguez Assistant to whom the reason for the visit was explained.

Upon arrival LPA Lopez observed Assistant was caring for 9 children age 6 mos-4 years with no other adult or child age 6 or above. Two of these children being infants. The facility (assistant) was observed not operating within the license capacity limitations. This poses an immediate risk to the health and safety of children in care. Per Assistant, Licensee left approximately at 11:00 am and took 1 child with her leaving her with 9 children. A civil penalty for repeat violation was assessed on this date too.

LPA Lopez observed Licensee arrived at another facility # 198020987 at 10:49 am. During that inspection LPA asked Licensee, who was at their day care home and how many children were present. Per Licensee, her assistant Angelina Rodriguez was caring for 11 children. ------------------ pg. 1 of 2 -----------------------------

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230918085928

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: CARRILLO FAMILY CHILD CARE	FACILITY NUMBER: 198019427
	VISIT DATE: 09/20/2023

NARRATIVE

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At 1:03 pm Assistant stepped out of the day care room to take a child to the bathroom- Assistant walked back into the room at 1:04 pm and informed LPA that Licensee was home. LPA then walked into the home and asked Licensee for a full tour of the home.

LPA asked Licensee, what her plan will be for ratio purposes in case of an emergency? Per Licensee, they have an adult daughter in the home that is fingerprinted and associated and can ask them for help if needed.
This agency has investigated the complaint alleging Licensee is operating out of ratio. Based on LPA’s observations and interviews which were conducted and record reviews, the preponderance of the evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 3 (FCC) (1 DCC) number) are being cited on the attached LIC9099D.

LPA Roxana Lopez informed licensee Blanca Carrillo that this report dated 9/20/2023 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Roxana Lopez informed the licensee to provide a copy of this licensing report dated 9/20/2023 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee, Blanca Carrillo.

---------------------------------------------- pg.2 of 2 ------------------------------------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 33-CC-20230918085928

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: CARRILLO FAMILY CHILD CARE	FACILITY NUMBER: 198019427
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/20/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/20/2023 Section Cited CCR 1024165(e)	1 2 3 4 5 6 7	Staffing Ratio & Capacity 102416.5(e) If no assistant is present at a Large Family Child Care Home, licensee shall comply with the capacity req for a Small Family Child Care Home as specified in subsections (b) and (c). This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Per Licensee if needed, they will ask their adult daughter who is fingerprint clear and associated to help in the day care. Licensee and assistant will review staffing ratio and capacity regulation and provide written plan to maintain ratio. Plan will be submitted by 9/25/23
	8 9 10 11 12 13 14	Based on observation and interview, the facility did not comply with the section cited above as Assistant was caring for 9 children aged 6 mos-4 years with no other adult or child age 6 or above which poses an immediate health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2023

LIC9099 (FAS) - (06/04)

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