198019607-1-5-2024-33-CC-ACHO-D27FBP-20240206032101

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019607
Report Date: 01/05/2024
Date Signed: 01/05/2024 04:09:07 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
11/09/2023 and conducted by Evaluator Veronica Martinez-Garza

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20231109083859

FACILITY NAME:	ZHANG & WANG FAMILY CHILD CARE		FACILITY NUMBER:	198019607
ADMINISTRATOR:	LEI ZHANG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 802-7173
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90032
CAPACITY:	14	CENSUS: 7	DATE:	01/05/2024
		UNANNOUNCED	TIME BEGAN:	02:38 PM
MET WITH:	Licensee Lei Zhang		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Care providers did not provide adequate supervision, resulting in day care child sustaining injuries/bruising
Care providers did not prevent day care child from sustaining injury

INVESTIGATION FINDINGS:

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On 01/05/24 at 02:38 p.m., Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced complaint investigation to the above allegations. Upon arrival, LPA rang the doorbell and waited for Licensee to open the door. LPA then knocked on the door and waited for Licensee to open the door. LPA knocked on the window and again waited for Licensee to open the door. LPA observed all lights were turned off, however, there are 2 cars parked in the front drive way. LPA then called Licensee on the phone, however, phone call went to voicemail. LPA left a voicemail. LPA also sent a text message to Licensee who later replied that she was home and opened the door to LPA. At 2:46 p.m., LPA met with Lei Zhang, Licensee who guided LPA on a tour of the facility. There were 07 children present. The licensee’s assistant was also present during this investigation.

According to the Reporting Party (RP), “Care providers did not provide adequate supervision, resulting in day care child sustaining injuries/bruising” and “Care providers did not prevent day care child from sustaining injury.”
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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024

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-20231109083859

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ZHANG & WANG FAMILY CHILD CARE	FACILITY NUMBER: 198019607
	VISIT DATE: 01/05/2024

NARRATIVE

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During the course of the investigation, LPA interviewed staff 1 (S1 thru 2), child (C1 thru 2), and parent (P1 thru 4). LPA also obtained a copy of the children’s roster, and pictures of a bouncer and booster seat.

Allegation regarding- Care providers did not prevent day care child from sustaining injury. LPA interviewed S1, who disclosed that C3 may have sustained an ankle injury while using a Fisher-Price Infant-to-Toddler Rocker. S1 believes the rocker had an exposed screw that may have caused C3 to injure the ankle. Per S1, parents of C3 observed an ankle injury and asked S1 to put socks on C3. S1 stated that C3 would wear socks when using the rocker. S1 stated that the rocker was thrown away and LPA did not observe any rocker during the investigation on 11/13/23. LPA obtained a picture of the rocker used by C3 and observed that the licensee circled the screw covers and added a statement that the areas circled may have caused C3s ankle injury. LPA also accessed the Consumer Product Safety Commission (CPSC) website which found that the Fisher-Price Infant-to-Toddler Rocker had been recalled as of June 14, 2022. LPA also observed that the facility was previously cited on 03/01/2019 for having a bouncer accessible to children in care. S1 corrected the deficiency and stated that the bouncer was thrown away. LPA Ramos conducted a Plan of Correction visit on 03/07/2019 and corroborated that S1 removed and discarded the bouncer. S1 has been aware at least since 2019 that the Department prohibits the use of bouncers and any other item that falls into that category. LPA also interviewed S2, who stated being aware of C3s ankle injury, however, didn’t know how it occurred. LPA attempted to interview C1 thru 2, however, children were not qualified. LPA interviewed parents (P1 thru 4). According to P1, S1 was gone “a lot” and children were left with S2. The exact length of time was given, and LPA determined that S2 is qualified to provide care and supervision. According to P1, C4 has been removed from the facility. Parents (P3 thru 4) made no disclosures. According to P3, C2 is always happy during drop off. P3 and P4 stated they do not have any concerns regarding S1 and S2 or the facility.

Allegation regarding- Care providers did not prevent day care child from sustaining injury. LPA interviewed S1, who disclosed that C3 sustained a bruise on the left cheek while falling from a Kids2 booster feeding chair. Per S1, C3 was placed in the booster feeding chair that was placed on top of a dining room chair, did not fastened C3s seat belt and placed the booster seat tray.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20231109083859

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ZHANG & WANG FAMILY CHILD CARE	FACILITY NUMBER: 198019607
	VISIT DATE: 01/05/2024

NARRATIVE

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S1 stated that C3 was secured since the booster feeding chair tray “clicked” reassuring S1 that C3 was secured. According to S1, C3 was left in 1 out of 2 indoor rooms while S1 prepared snacks in the living room. Then, S1 stated that diaper changes were being done when C3 fell from the booster feeding chair. S1 couldn’t recall exactly what they were doing when the incident occurred. Per S1, no one was supervising C3. S1 also stated that C3 is very tiny and has a lot of mobility, however, doesn't know how C3 was able to "click" the tray to open. S1 believes C3 fell from the booster feeding chair and hit their face with the dining room chair. LPA obtained a picture of the booster feeding chair used by C3. S1 stated on the picture that C3 climbed out, lost balance, and landed on their face. LPA conducted research on the Kids2 booster feeding chair on the Consumer Product Safety Commission (CPSC) and did not find any articles or recalls. LPA also interviewed S2, however, no disclosures were made due to S2 not understanding the Language Link Mandarin translator #16631 who was assisting LPA with the questions. LPA attempted to interview C1 thru 2, however, children were not qualified. LPA interviewed parents (P1 thru 4). According to P4, their child likes the facility and likes the teachers as if they were family. P3 and P4 stated they do not have any concerns regarding S1 and S2 or the facility. Licensee has been advised that an office meeting will be scheduled to discuss the citations being issued. LPA also discussed the Technical Support Services on this date.

Based on interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiencies are being cited (see attached 9099D).

Upon receipt, the Licensee shall post the “D” page of the Licensing report. This page shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100 civil penalty. A copy of this report shall be provided to the parents/guardians of the children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parents/guardians of any children newly enrolled at the facility for the next 12 months. The LIC 9224 Acknowledgement of Receipt of Licensing Reports must be maintained in each child's file immediately upon receipt from the parent. LPA provided Licensee with a blank copy of the LIC 9224 Acknowledgement of Receipt of Licensing Report.

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

Exit interview conducted and report was reviewed with Licensee Lei Zhang
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 33-CC-20231109083859

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ZHANG & WANG FAMILY CHILD CARE	FACILITY NUMBER: 198019607
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/05/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/05/2024 Section Cited CCR 102417(a)	1 2 3 4 5 6 7	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....Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Per Licensee, she will ensure that children using a booster chair will be strapped and supervised at all times. LPA obtained a declaration LIC 855.
	8 9 10 11 12 13 14	Licensee left Child 1 (C1) in a booster seat unsupervised in one of the (2) bedrooms locatted downstairs; and did not ensure that C1 was secured by using the booster seat strap/belt. C1 was able to get out of the booster seat and hit their face which created a bruise on their cheek.	8 9 10 11 12 13 14
Type A 01/05/2024 Section Cited CCR 102417(d)(1)	1 2 3 4 5 6 7	102417 Operation of a Family Child Care Home(d) The home shall provide safe toys, play equipment and materials. (1) Fixtures, furniture and equipment that have been banned or recalled by the United States Consumer Protection Safety Commission shall not be used for children in care or accessible to children in care.	1 2 3 4 5 6 7	Per Licensee, she threw away the rocker. Licensee understands that recalled or prohibited items are not to be used in a licensed day care. LPA obtained a declaration LIC 855. LPA did not observe a rocker or bouncer during this inspection.
	8 9 10 11 12 13 14	Licensee admitted that she placed C1 in a recalled bouncer United States Consumer Protection Safety Commission which is also prohibited by the department to be used in a licensed care facility. Licensee stated that the bouncer may have caused C1 to suffer an ankle injury.	8 9 10 11 12 13 14

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: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024

LIC9099 (FAS) - (06/04)

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