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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020609
Report Date: 05/16/2024
Date Signed: 05/16/2024 04:39:33 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 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
05/08/2024 and conducted by Evaluator Cynthia Reyes
COMPLAINT CONTROL NUMBER: 33-CC-20240508090848
FACILITY NAME:FERDINANDUS FAMILY CHILD CAREFACILITY NUMBER:
198020609
ADMINISTRATOR:IONA FERDINANDUSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 231-1649
CITY:GLENDORASTATE: CAZIP CODE:
91740
CAPACITY:14CENSUS: 11DATE:
05/16/2024
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Iona FerdinandusTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Infant safe sleep: Infant was sleeping in crib with a stuff animal
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced site inspection to investigate the above complaint allegation. This inspection is to ensure the health and safety standards as required by the regulations governing child care homes are met. LPA met with Iona Ferdinandus, licensee, who the complaint was gone over. Licensee took LPA on a tour of the home. Census of children who were in care on this date was taken. 10 children were observed and names documented. LPA also observed and identified 2 adults in the home that are from Easter seals and were observing C1 in care. Also present in the home on this date was the licensee daughter, husband and 2 other females that live in the home and were identified as volunteers.

During the course of this investigation, LPA conducted Interviews, documents received and reviewed, photos and video, as well as LPA own observations. Photos were taken on this date by the LPA.

Continue on next page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
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 33-CC-20240508090848
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FERDINANDUS FAMILY CHILD CARE
FACILITY NUMBER: 198020609
VISIT DATE: 05/16/2024
NARRATIVE
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Reporting Party (RP) alleged: Infant sleeping in crib with a stuff animal, infant was bottle fed laying flat inside the crib, infant was laying in the crib wrapped with a blanket.

Licensee stated mom told her to keep the Minnie doll in the pack n play when the child is sleeping.

Based on Photos, video, Interviews and LPA own observations of blankets, sheets not fitted and stuffed toys in the infants pack and play, while infant sleeping, 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, 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 Iona Ferdinandus.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20240508090848
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: FERDINANDUS FAMILY CHILD CARE
FACILITY NUMBER: 198020609
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/16/2024
Section Cited
CCR
102425(a)(3)(b)
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Infant Safe Sleep: (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged. (b) Cribs or play yards shall be free from all loose articles and objects. The requirement
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Licensee was given a copy of tthe safe sleep regulation on this ate by the LPA and it was reviewed and discussed on this date. Licensee also corrected the sheets and mattresses to fit tight and removed any items that were in the pack n plays. Licensee states will watch the videos on the departments
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is not met as evidenced by: Photos, video, Interviews and LPA own observations of blankets, sheets not fitted and stuffed toys in the infants pack and play, while infant sleeping. This poses an immediate health, safety or personal rights risk to persons in care.
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website and will write to the department when she watched them and what she learned. Licensee will submit by the POC date of 05/24/204. Videos on the Department website https://ccld.childcarevideos.org/:
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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: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC9099 (FAS) - (06/04)
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