334846056-8-5-2022-09-CC-KWIS-CH4T8S-20220808143050

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334846056
Report Date: 07/28/2022
Date Signed: 08/05/2022 09:48:24 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2022 and conducted by Evaluator Aman Sharma

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20220425163528

FACILITY NAME:	MEDRANO FAMILY CHILD CARE		FACILITY NUMBER:	334846056
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 9	DATE:	07/28/2022
		UNANNOUNCED	TIME BEGAN:	10:22 AM
MET WITH:	Amanda Medrano		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Facility is operating out of capacity.
Facility not maintained clean and sanitary.

INVESTIGATION FINDINGS:

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**REPORT AMENDED TO CLARIFY CENSUS/CAPACITY OBSERVATIONS, FINDINGS REMAIN THE SAME**
On this date and time, Licensing Program Analysts (LPAs) Aman Sharma and Rachel Zeron arrived at the facility to deliver the findings of this complaint investigation which was initiated on 05/03/2022. LPAs met with Licensee, Amanda Medrano and explained the purpose of today’s inspection was to conclude the complaint investigation. Ten children were observed to be in care, however one child was picked up during today's inspection. LPAs toured the facility, took census, and discussed the following with the licensee:

During the initial investigation, LPAs Sharma and Mejorado made observations, reviewed pertinent documentation and conducted interviews with pertinent parties. It was alleged, the daycare home is operating out of capacity; more than 8 children. It was also alleged the daycare home is "disgusting and filthy with toys, trash, food and stuff all over the floor and children in daycare had dirt on their feet and face."

PLEASE SEE LIC9099D.............

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20220425163528

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MEDRANO FAMILY CHILD CARE	FACILITY NUMBER: 334846056
	VISIT DATE: 07/28/2022

NARRATIVE

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LPA investigated the allegation and gathered the following information:
It was reported, facility is operating out of capacity and facility is not maintained clean and sanitary.

LPAs observed toys trailing from the front entrance to the back of the home. LPAs also noticed the tiles on the floor were full of debris, food crumbs, droppings that had dried up due to not being cleaned up. Surfaces of the home like the desk in the daycare area and counter top in the kitchen, coffee table in the living room were all full and cluttered with numerous items like: books, loose papers, dirty dishes, used towels, uneaten food and other items. In the backyard in the area where children play, it was found to be cluttered and dog feces were also not cleaned up and exposed to the children's' playing area.

LPAs also observed 10 children in care (one picked up during visit), in addition to the licensees own child who is over the age of 10 and resides in the home. Licensee also shared that she was unaware that a 12 year old who was present during the visit would count as a daycare child. This put the daycare over ratio by two children.

Based on LPA interviews and observations, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC9099D.

An exit interview was conducted with the director, Appeal Rights were discussed and issued, a copy of this report was provided, and a Notice of Site visit was issued. Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224).

A copy of this report must be made available upon request for the next three years.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20220425163528

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MEDRANO FAMILY CHILD CARE	FACILITY NUMBER: 334846056
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/28/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/29/2022 Section Cited CCR 102416.5(b)(3)	1 2 3 4 5 6 7	Staffing Ratio & Capacity:For a Small FCCH, the max number of children for whom care may be provided at any one time, including children under age 10 who reside at the licensee's home, shall be one of the following:More than 6 and up to 8 children, without an additional adult attendant. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee agrees to read regulation 102416 in it's entirety and submit a letter of understanding as well as an update of children's schedules with days and times listed. Licensee also agrees to submit an updated roster. Licensee agrees to send this to licensing by COB 07/29/2022.
	8 9 10 11 12 13 14	.Licensee was operating over capacity with 9 children in care. LIcensees maximum capacity cannot exceed eight children. This poses an immediate health and safety risk to chidlren in care.	8 9 10 11 12 13 14
Type B 08/05/2022 Section Cited CCR 102417(b)	1 2 3 4 5 6 7	Operation of a Family Child Care Home: The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee agrees to do a deep cleaning on the home and write a letter of understanding that she agrees to keep the home clean and orderly, Licensee agrees to send pictures of all on-limit areas of the daycare to licensing by the POC date.
	8 9 10 11 12 13 14	LPAs observed the home to be in disarray and cluttered with items such as toys, loose papers, books, debris, food crumbs and droppings. used towels, uneaten food and other items. The backyard was also observed to have dog feces. This poses a potential health and safety risk to chidlren 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.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Aman Sharma
LICENSING EVALUATOR SIGNATURE:	DATE: 07/28/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022

LIC9099 (FAS) - (06/04)

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