<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334840032
Report Date: 05/12/2023
Date Signed: 05/12/2023 06:41:53 PM

Document Has Been Signed on 05/12/2023 06:41 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:FIGUEROA FAMILY CHILD CAREFACILITY NUMBER:
334840032
ADMINISTRATOR:FIGUEROA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 845-1414
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
05/12/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Maria FigueroaTIME COMPLETED:
07:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 05/12/2023, Licensing Program Analysts (LPAs) Rachel Zeron and Taityana Benson made an unannounced visit to conduct a complaint investigation, while on visit LPAs found the following deficiencies. City of Beaumont Code Enforcement inspectors were accompanying LPAs due to the allegations on the complaint investigation 09-CC-20230428134629.

LPAs observed the downstairs bedroom to have half of the ceiling missing, exposing the attic. The LPAs observed the downstairs bathroom sink and toilet to be inoperable due to the water being shut off. The toilet was not flushed and had urine settled at the bottom of the toilet. The family room ceiling had several square shaped cutouts, exposing wires, which was a safety hazard. When questioned about the damage, Licensee disclosed that the home had water damage on the second floor of the home. Licensee indicated that she did not report the damage to CCLD and has not been able to complete the repairs. A citation for failing to notify CCLD of the alterations to existing building and grounds will be issued.

LPA informed the Licensee that prior to alterations to the building and grounds of the facility, she shall notify CCLD of proposed changes by calling the duty line, their assigned LPA and by submitting a Unusual Incident/Injury Report (LIC624B) via email/fax. Licensee indicated she was not aware that department notification was required for her interior water damage and pulling up the interior carpet.

While LPAs toured the facility, LPAs asked Licensee to escort LPAs upstairs and Licensee refused. LPAs reminded Licensee that LPAs have inspection authority and Licensee still refused. A citation and a civil penalty will be issued for inspection authority refusal.

Based on the City of Beaumont Code Enforcement Inspectors facility inspection, the facility was deemed unsafe due to substandard structure, lack of running water and interior deterioration. The City of Beaumont Code Enforcement Inspectors placed a notice on the exterior of the facility indicating the facility is unsafe, do not enter or occupy.

Licensee agrees to place the facility inactive until the facility is deemed safe and operable by Community Care Licensing and the City of Beaumont Code Enforcement/Building & Safety. Upon Licensee request, the LPAs provided the Licensee with Request For Inactive Child Care License Status (LIC9211). LPAs informed the Licensee that while the facility is inactive status, she can not care for children. CCLD will need to be informed and inspected prior to returning the facility to active status.

See LIC 809-D for cited deficiencies.

An exit interview was conducted, Notice of Site Visit posted, appeal rights discussed and a copy of this report was provided to the licensee.

A Non-Compliance Conference has been scheduled for Wednesday, 05/17/2023 at 10:00 a.m., to further discuss violations cited.

A copy of this report must be posted and a copy provided to every parent of every child currently enrolled, as well as all newly enrolled children for the next 12 months. An "Acknowledgement of Receipt of Licensing Reports" form (LIC 9224) must be signed by each parent and placed inside each child's file.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Taityana Benson
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 05/12/2023 06:41 PM - It Cannot Be Edited

Citations on this Visit Report are Under Appeal!


Created By: Taityana Benson On 05/12/2023 at 03:48 PM
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: FIGUEROA FAMILY CHILD CARE
FACILITY NUMBER: 334840032

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
05/12/2023
Section Cited
CCR
102391(a)

1
2
3
4
5
6
7
Inspection Authority of the Department:
Any duly authorized officer, employee, or agent of the Department shall, upon presentation of proper identification, enter and inspect any place providing personal care, supervision, and services at any time, with or without advance notice, to secure compliance with, or to prevent a violation of, the regulations adopted by the Department governing family child care homes. This requirement is not being met as evidenced by:
1
2
3
4
5
6
7
Licensee agrees to write a letter of understanding, the letter should contain a statement that she understands that Licensing has Inspection Authority and will abide by this regulation. letter will need to be submitted by POC date.
8
9
10
11
12
13
14
Based on the Licensee denial to grant access to the upstairs area of the home when requested, LPAs were unable to tour the upstairs area. This poses an immediate health and safety risk to children in care.
8
9
10
11
12
13
14
Type B
05/12/2023
Section Cited
CCR102416.3(a)

1
2
3
4
5
6
7
Alterations to Existing Buildings or Grounds:
Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following:.
Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.
this requirement is not being met as evidenced by:
1
2
3
4
5
6
7
Licensee agrees to write a letter of understanding, the letter should contain a statement that she understands that Licensing needs to be informed of any construction and or damage to the facility..letter will need to be submitted by POC date.
8
9
10
11
12
13
14
Based on LPAs interviews and records review, Licensee failed to report water damage and renovations needed for safety of the children in care.
This poses an possible health and safety risk to children in care.
8
9
10
11
12
13
14
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:Taityana Benson
LICENSING EVALUATOR SIGNATURE:
DATE: 05/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/12/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2