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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020101
Report Date: 05/23/2024
Date Signed: 05/23/2024 01:46:48 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
05/13/2024 and conducted by Evaluator Dayna Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240513142034
FACILITY NAME:ARAYA FAMILY CHILD CAREFACILITY NUMBER:
198020101
ADMINISTRATOR:ANGELA ARAYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 212-8601
CITY:LAKEWOODSTATE: CAZIP CODE:
90713
CAPACITY:14CENSUS: 11DATE:
05/23/2024
UNANNOUNCEDTIME BEGAN:
12:24 PM
MET WITH:Angela Araya, LicenseeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Uncleared Adult Providing Care to Daycare Children
INVESTIGATION FINDINGS:
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On May 22, 2024, at 12:30P.M., Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced complaint inspection to investigate the above allegation. LPA met with Licensee Angela Araya. LPA observed 11 children upon arrival. Also present was Nicolas Araya and Jocelyn Rodriguez, assistants. The home was observed to be clean and free of defects. During inspection, LPA conducted interviews, reviewed records, made observations, and obtained LIC9040 Roster. During the investigation, LPA conducted interviews with the reporting party, witnesses, and the Licensee.

Based on disclosures made by licensee, witness #1 and witness #2, on December 4th, ,2023 at approximately 11:40am, licensee allowed an uncleared adult to work at the family daycare. The preponderance of evidence standard has been met; therefore, the above allegation is found to be substantiated. The following citation is being cited today on the attached LIC 9099D and a civil penalty assessed.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
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-20240513142034
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: ARAYA FAMILY CHILD CARE
FACILITY NUMBER: 198020101
VISIT DATE: 05/23/2024
NARRATIVE
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Title 22, Division 12, Chapter 1, Article 03. Application Procedures
Criminal Record Clearance 102370(d)
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:

421BG civil penalty $100

(e) Violation of Section 102370(d) will result in a citation of a deficiency and an immediate assessment of civil penalties of one hundred dollars ($100) per violation per day for a maximum of five (5) days by the Department.
Assess $100 Civil Penalty

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. 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 of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days.

Exit interview was conducted with Licensee Angela Araya.

Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20240513142034
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: ARAYA FAMILY CHILD CARE
FACILITY NUMBER: 198020101
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/23/2024
Section Cited
CCR
102370(d)
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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:
This requirement is not met as evidenced by:


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Per Licensee:
All staff will be fully qualified in case of emergency, Watch CCLD Department videos: https://ccld.childcarevideos.org/family-child-care-providers/
Background Check Requirements for Caregivers. What is a Civil Penalty?
Supervising Children in a Family Child Care Home. Licensee will watch the videos and answer the questions provided by June 3, 2024, and train staff. The questions will be emailed to LPA by June 3, 2024.

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Based on interviews with witnesses and licensee, the licensee allowed an unqualifed and uncleared person on December 4, 2023 to work at the daycare, the licensee did not comply with the section cited above which poses/posed an immediate health, safety or personal rights risk to persons 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: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3