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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400955
Report Date: 04/03/2025
Date Signed: 04/07/2025 10:45:18 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
02/04/2025 and conducted by Evaluator Claudia Kam
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20250204151111
FACILITY NAME:BANKS FAMILY CHILD CAREFACILITY NUMBER:
198400955
ADMINISTRATOR:BANKS, CHEYENNEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 214-9282
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:14CENSUS: 9DATE:
04/03/2025
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Aukeona BarnesTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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9
Over ratio or out of ratio
Unfingerprinted Staff
INVESTIGATION FINDINGS:
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On 4/3/2025 at 12:05 PM Licensing Program Analyst (LPA) Claudia Kam conducted an Unannounced Complaint Inspection for the purpose of delivering findings for the above allegations. LPA announced purpose of inspection and was allowed entry to facility by Aukeon Barnes. LPA met with facility representative, who guided analysts on a tour of the facility. There were 9 children present with 1 staff upon arrival.

During the investigation LPA obtained a copy of the facility roster, and reviewed staff files and conducted interviews with parents, and staff. During the investigation LPA made observations, and obtained records. Information gathered confirms allegations.

Information provided by the reporting party alleges unfingerprinted staff and over ratio or out of ratio.

Page 1 of 2
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
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-20250204151111
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BANKS FAMILY CHILD CARE
FACILITY NUMBER: 198400955
VISIT DATE: 04/03/2025
NARRATIVE
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Based on the LPA observations and interviews conducted, and record review which were consistent in their facts establishing that the alleged event had occurred and that the facility did not take the actions needed to prevent it. Guardian reflects that staff is cleared however is associated with a different facility due to incorrect facility number on application for Live Scan. At time of visit, staff was observed to be the only caretaker for 9 children ages 1 year to 3 years old. Facility although a large is out of ratio due to only one staff present. The preponderance of evidence standard has been met; therefore, the above allegations is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division and Chapter #, are being cited on the attached LIC 9099D.

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

Exit interview was conducted with facility representative Shaina Gilmore, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role, Plan of Correction needed.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20250204151111
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BANKS FAMILY CHILD CARE
FACILITY NUMBER: 198400955
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2025
Section Cited
CCR
102370(d)(1)
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All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working....:(1)Obtain a California clearance or .... as required by the Department. This regulation has not been met as evidenced by:
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Licensee will complete the criminal record transfer request form by 4/15/2025 to the department.
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Based on observation and record review, the licensee did not ensure staff were associated to the facilty... which poses an potential Health and, Safety and, Personal Rights risk to persons in care.
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Type B
04/03/2025
Section Cited
CCR
102416.5
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(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c). This regulation has not been met as evidenced by:
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Licensee has hired a new staff as of 4/2/2025 to ensure ratio. POC has been cleared as of 4/3/2025
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Based on observation and record review, the licensee did not ensure ratio for one staff present which poses a potential Health, Safety and, 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: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3