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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336300117
Report Date: 05/02/2024
Date Signed: 05/02/2024 01:05:14 PM

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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2024 and conducted by Evaluator Sumayya Habeebulla
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240418123113
FACILITY NAME:DURAZO FAMILY CHILD CAREFACILITY NUMBER:
336300117
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
05/02/2024
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Angeles DurazoTIME COMPLETED:
01:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Facility Failed to report incident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On date and time listed, Licensing Program Analyst (LPA) Sumayya Habeebulla arrived unannounced at the facility and met with Licensee Angeles Durazo to deliver the investigative findings for the above stated allegations. During the investigation, interviews were conducted with Licensee and other pertinent parties. LPA also obtained copies of pertinent records that included: facility roster, Allergy reports, medical consent form, and LIC 700.

On April 18, 2024, complaints were received by the department alleging Facility Failed to report incident and Lack of supervision.

See LIC 9099C for continuation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024
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 5
Control Number 10-CC-20240418123113
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: DURAZO FAMILY CHILD CARE
FACILITY NUMBER: 336300117
VISIT DATE: 05/02/2024
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
26
27
28
29
30
31
32
The first allegation is that facility failed to report an unusual incident which involved a child in care needing medical attention. On April 11, 2024, Licensee stated that close to lunch time one of the children in care showed signs of breathing difficulty and was coughing. Licensee attempted to contact the parents and other persons on the emergency list but was unable to get a hold of someone and was concerned for the child’s well-being. Therefore, Licensee contacted Emergency Services and the Paramedics arrived and the child was taken to the hospital for treatment. Licensee failed to report this incident to the Child Care Licensing Department as per the regulation requirement.

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, 102416.2(b)(1) Reporting Requirements), are being cited on the attached LIC 9099D.

An Exit Interview was conducted, A Notice of Site visit was given, and Licensee understands that it must remain posted for 30 days.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20240418123113
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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: DURAZO FAMILY CHILD CARE
FACILITY NUMBER: 336300117
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/09/2024
Section Cited
CCR
102416.2(b)(1)
1
2
3
4
5
6
7
The licensee shall report to the Department any of the events as specified in Health and Safety Code...(C) that occur during the operation of the family childcare home. (1) Medical treatment means treatment by a ..., as defined in Section 101152(m).
1
2
3
4
5
6
7
The Licensee agrees to review Title 22 section with reporting requirements and submit a written statement of understanding/compliance to the Department by the POC due date.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Licensee had to call emergency services for a child in care and did not report this incident to the department.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2024 and conducted by Evaluator Sumayya Habeebulla
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240418123113

FACILITY NAME:DURAZO FAMILY CHILD CAREFACILITY NUMBER:
336300117
ADMINISTRATOR:DURAZO,ANGELESFACILITY TYPE:
810
ADDRESS:3538 PILLAR COURTTELEPHONE:
(619) 931-0582
CITY:PERRISSTATE: CAZIP CODE:
92570
CAPACITY:8CENSUS: 3DATE:
05/02/2024
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Angeles DurazoTIME COMPLETED:
01:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Lack of supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On date and time listed, Licensing Program Analyst (LPA) Sumayya Habeebulla arrived unannounced at the facility and met with Licensee Angeles Durazo to deliver the investigative findings for the above stated allegations. During the investigation, interviews were conducted with Licensee and other pertinent parties. LPA also obtained copies of pertinent records that included: facility roster, Allergy reports, medical consent form, and LIC 700.

On April 18, 2024, complaints were received by the department alleging Lack of supervision.

See LIC 9099C for continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20240418123113
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: DURAZO FAMILY CHILD CARE
FACILITY NUMBER: 336300117
VISIT DATE: 05/02/2024
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
26
27
28
29
30
31
32
The second allegation is Lack of supervision. Licensee stated that there have been times when her daughter helps with caring for the childcare children, but Licensee has never left the children alone at any point of time. Licensee stated other than her daughter, no one else has assisted in caring for the children. During the initial visit conducted on 04/23/24, LPA observed only Licensee present with the 5 children in care and on the visit conducted on this date 05/02/24, LPA observed Licensee and 3 children in care.

From the information received through interviews with Licensee and other pertaining parties, the above allegation cannot be verified. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Licensee Ms. Angeles Durazo, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5