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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304310224
Report Date: 09/26/2023
Date Signed: 09/26/2023 10:08:36 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/05/2023 and conducted by Evaluator Dianna ValdezSantana
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230705083914
FACILITY NAME:KELLY, TATIANAFACILITY NUMBER:
304310224
ADMINISTRATOR:KELLY, TATIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 337-8394
CITY:LAHABRASTATE: CAZIP CODE:
90631
CAPACITY:14CENSUS: 5DATE:
09/26/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Licensee, Tatiana Kelly TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Licensee did not serve day care children safe age appropriate foods.
INVESTIGATION FINDINGS:
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On 09/26/2023 Licensing Program Analyst (LPA) Dianna Valdez Santana made an unannounced visit to facility for the purpose of a complaint that was received. Upon arrival LPA, met by licensee, Tatiana Kelly who provided a tour of the facility. LPA, observed 5 children in care during today’s visit. LPA explained the reason for today's visit upon arrival.

A review of the Facility Personnel Report Summary conducted on today’s date indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 07/05/2023 a complaint was filed with the Licensing office stating Licensee did not serve day care children safe age-appropriate foods.
Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023
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 06-CC-20230705083914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KELLY, TATIANA
FACILITY NUMBER: 304310224
VISIT DATE: 09/26/2023
NARRATIVE
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Reporting Party (RP) stated, the kids had a 4th of July party on 7/3/23 and photos were posted to Facebook. The photos show the kids all got hot dogs and grapes, all whole. Hot dogs and grapes are literally the two most dangerous foods when it comes to children choking.

During the course of investigation, LPA interviewed 3 staff members, and 3 parents.

During the staff interview, Staff 1 (S1), Staff 2 (S2), Staff 3 (S3) stated, they cut the little ones (preschool-age) food so that it is served appropriately according to their ages. Licensee stated she normally always cuts the preschoolers food but admitted to an oversight on the day of their Fourth of July party due to a lot that was going on that day. Licensee stated she did cut up the food for the 18 month old children that day but not the rest. Licensee said she has plenty of pictures from other days before and after the 4th of July party showing she cuts up the younger children’s food.

The licensee and assistant failed to cut the whole grapes and whole hot dogs for all the children that are considered the most vulnerable to choking hazards which is from infants to 4 years old.

3 of 5 parents were interviewed, parents had no issues or concerns with the daycare.

Based on interviews conducted and photos, 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 Section 102423(a)(2) Personal Rights is being cited on the attached LIC 9099D. Please refer to attached 9099D for documentation of deficiencies.



Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

Page 2 of 2, End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20230705083914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KELLY, TATIANA
FACILITY NUMBER: 304310224
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2023
Section Cited
CCR
102423(a)(2)
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Personal Rights (a)Each child receiving services from a family child care home shall have certain rights... These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This Requirement is not met as
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Licensee stated she normally always cuts the preschoolers food and showed LPA different photos of that. In addition Licensee stated she will ensure to always cut certain foods that are a potential choking hazards to ensure children are not put at risk. She will also train her staff to do the same.
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 evidenced by: Based on LPA’s interviews and photos, the licensee and her staff failed to properly serve the children food in an age-appropriate manner. This poses a potential risk to the safety of the children 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: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3