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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334818193
Report Date: 11/15/2022
Date Signed: 11/15/2022 11:33:55 AM

Document Has Been Signed on 11/15/2022 11:33 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:OCAMPO FAMILY CHILD CAREFACILITY NUMBER:
334818193
ADMINISTRATOR:RICHARD OCAMPOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 755-7036
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
11/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Richard OcampoTIME COMPLETED:
11:50 AM
NARRATIVE
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On 11/15/2022, Licensing Program Analysts (LPAs) Aman Sharma and Giselle Carbullido arrived at the facility on another matter. However, during previous interviews conducted as well as licensee’s own admission, it was disclosed that licensee engages in giving children who do not listen “Pow Pow’s”. Licensee explained that a “Pow Pow” is a “smack on their hand or butt”. Licensee proceeded to demonstrate to LPA what a “Pow Pow” looks like, by ‘smacking’ her opposite hand and bottom.

Furthermore, it was explained to LPA that a “Pow Pow” is a ‘form of discipline’ and not “hitting”. The described “Pow Pow” is used for discipline and is a violation of children’s personal rights, according to Title 22 section 102423(a)(4) children are “…to be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning”. Licensee was advised that this type of discipline is not allowed and must cease immediately.

See LIC809D for cited deficiencies in accordance with the California Code of Regulations Title 22, Division 12.

An exit interview was conducted, appeal rights discussed, and a copy of this report was provided.

A copy of this report must be made available to the public, at the facility site, for 3 years.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/15/2022 11:33 AM - It Cannot Be Edited


Created By: Aman Sharma On 11/15/2022 at 11:02 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: OCAMPO FAMILY CHILD CARE
FACILITY NUMBER: 334818193

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/16/2022
Section Cited
CCR
102423(a)(4)

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Personal Rights: To be free from corporal/unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping/toileting; or withholding shelter, clothing, medication
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Licensee agrees to cease this form of 'discipline' immediately. Licensee must submit proof of understanding of CCR 102423(a)(4) to licensing no later than POC due date.
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or aids to physical functioning. This requirement was not met as evidenced by: Disclosure that licensee engages in giving children who do not listen “Pow Pow’s”. Licensee explained that a “Pow Pow” is a “smack on their hand or butt” This poses an immediate health and safety risk to 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.
SUPERVISOR'S NAME:Kimberly Williams
LICENSING EVALUATOR NAME:Aman Sharma
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2022


LIC809 (FAS) - (06/04)
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