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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364842493
Report Date: 11/17/2023
Date Signed: 11/17/2023 01:02:33 PM

Document Has Been Signed on 11/17/2023 01:02 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:FOSTER FAMILY CHILD CAREFACILITY NUMBER:
364842493
ADMINISTRATOR:FOSTER, LOLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 616-2431
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
11/17/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Lola FosterTIME COMPLETED:
01:10 PM
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On this date and time, Licensing Program Analysts (LPAs) Laura Mejorado and Aman Sharma arrived at the facility to conduct a follow up from the 11/16/23 Case Management Legal Non-Compliance inspection. A Decision and Order (D&O) was served via mail (electronic mail transmittal) on October 20, 2023, and became effective on October 30, 2023. The Decision and Order is regarding the revocation of the license to operate a family childcare home located at the address listed above. The Decision and Order also states Licensee, Lola Foster has been excluded from any care facility licensed by the Department for the remainder of their life. The department received a request to set aside the default Decision and Order from licensee on November 2, 2023, however this request is pending, since the request has not been granted the Decision and Order effective October 30, 2023, stands. Therefore, the licensee is advised the license is revoked and day care operations must cease immediately and should have ceased as of the effective date of the D&O.

At 11:31am, LPAs arrived at the home and knocked on the door, a minor child answered the door and stated the Licensee was in the bathroom. At 11:33am, after a while with no response, LPA called the Licensee who stated they were not home and were picking up a child from school. Licensee stated they did not know the minor child was there at the facility and that they would be back in about 20 minutes. At 11:45am, LPA called Licensee again explaining a minor can not be left alone in the facility and will either need to be picked up by their authorized representative or the Licensee must return immediately so the child is actively supervised while inside the facility. Licensee stated they would contact the authorized representative and will arrive back at the facility in 10 - 20 minutes.

At 11:55am, Licensee arrived back at the facility with one child in the car. LPAs met with Licensee and explained the reason for the inspection. LPAs were granted entrance, toured the facility, and took census.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: FOSTER FAMILY CHILD CARE
FACILITY NUMBER: 364842493
VISIT DATE: 11/17/2023
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An additional copy of the D&O was provided to Licensee, Lola Foster by LPA Mejorado during today’s inspection. Licensee acknowledged receipt and understanding of the Decision and Order which reads: Respondent Lola Foster dba Foster Family Child Care’s license to operate a family childcare home located at 118 Rosewood Street, Rialto, California, is revoked. Respondent Lola Foster is prohibited from employment in, presence in, and contact with clients of, any facility licensed by the Department, certified, or approved by a licensed foster family agency, or any resource family home, and from holding the position of member of the board of directors, executive director, or officer of the licensee of any facility licensed by the Department, for the remainder of Respondents life.

After explaining the D&O and Licensee stating they understand, Licensee asked LPAs to leave the facility. LPAs tried reviewing the remainder of the report and attempted to provide additional resources but Licensee stated they will not be signing the report and again asked LPAs to leave the facility. LPAs left a copy of the D&O along with Title 22 regulations 102358 License Exemptions and Health and Safety Code 1596.792 Exceptions to application of chapters 3.4, 3.5, and 3.6 with the Licensee and exited the facility.



Based on todays, observations of Licensee leaving a minor child in the facility alone for about 35 minutes a citation for 102417(a) Operation of a Family Child Care Home is being cited on LIC809D.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


Due to Licensee refusing to sign the report and asking LPAs to leave the facility a copy of the report was left in the facilities mailbox and a hard copy will be sent via certified mail.

SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/17/2023 01:02 PM - It Cannot Be Edited


Created By: Laura Mejorado On 11/17/2023 at 12:32 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: FOSTER FAMILY CHILD CARE
FACILITY NUMBER: 364842493

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/17/2023
Section Cited
CCR
102417(a)

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(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement is not met as evidenced by:
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Per the Decision and Order effective October 30, 2023, the facility license has been revoked.
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Based on observation, the licensee left a minor unattended and alone in the facility for about 35 minuets, which poses an immediate health, safety or personal rights risk to persons 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:Laura Mejorado
LICENSING EVALUATOR SIGNATURE:
DATE: 11/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/17/2023


LIC809 (FAS) - (06/04)
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