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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334841977
Report Date: 07/15/2021
Date Signed: 07/15/2021 10:28:09 AM

Document Has Been Signed on 07/15/2021 10:28 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:UNITED FAMILIES INC INDIOFACILITY NUMBER:
334841977
ADMINISTRATOR:MAGDA FRANCOFACILITY TYPE:
850
ADDRESS:47155 VAN BUREN STREET 252TELEPHONE:
(760) 863-3952
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY: 40TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
07/15/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
07:35 AM
MET WITH:Site Director, Maria LomeliTIME COMPLETED:
10:45 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Blanca Ruiz-Silva and Samuel Lopez arrived at the facility to conduct an inspection, for a separate an unrelated issue. After touring the facility, taking a census, and verifying staff associations, LPAs found the facility to be out of compliance due to staff Myriam Romanello not being associated to the facility.

The facility was cited:


101170(e)(2)Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f)

During today's inspection, LPAs were informed by Director that associations for staff are processed by United Families INC central office, which is located off site. LPA discovered that the staff had been associated to all other sister locations but, not this facility. LPAs informed Site Supervisor and HR staff of the discrepancy. HR staff informed LPAs that Ms. Miriam Romanello would be associate to the facility today. LPA Lopez provided information on how to submit the documentation to Community Care Licensing to expedite the transfer of the criminal record clearance. LPA spoke with Site Director, Maria Lomeli, to discuss a plan of corrections to prevent this issue from reoccurring and to avoid future deficiencies similar to this issue.

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



A copy of this report must be made available to the public, upon their request, for 3 years.

The Notice of Site Visit visit must be posted for 30 days. Failure to keep these posted for the entire 30 days will result in an immediate $100 civil penalty for each.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 07/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2021
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 07/15/2021 10:28 AM - It Cannot Be Edited


Created By: Blanca Ruiz-Silva On 07/15/2021 at 09:07 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: UNITED FAMILIES INC INDIO
FACILITY NUMBER: 334841977

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/16/2021
Section Cited
CCR
101170(e)(2)

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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, residing or volunteering in a licensed facility:
(2) Request a transfer of a criminal record clearance as specified in Section 101170(f) This requirement was not being met as evidence by: Ms. Romanello was not listed
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Director agreed to process clearance transferred by submitting proper documentation to CCL office. Proof of completion to be submitted by 07/16/2021 to the Riverside Child Care Regional Office. Information was discussed with Director and Human Resources Staff.
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to the facility license, even though she has been working at the facility since March 2019. LPA verified Criminal Record Clearance with the Riverside Child Care Regional Office and discovered the the staff was cleared and associated to all other sister locations. This poses a potential risk to the Health and 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.
SUPERVISOR'S NAME:Aaron Ross
LICENSING EVALUATOR NAME:Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 07/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/15/2021


LIC809 (FAS) - (06/04)
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