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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364842493
Report Date: 08/31/2023
Date Signed: 08/31/2023 12:58:45 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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/01/2023 and conducted by Evaluator Laura Mejorado
COMPLAINT CONTROL NUMBER: 09-CC-20230501135906
FACILITY NAME:FOSTER FAMILY CHILD CAREFACILITY NUMBER:
364842493
ADMINISTRATOR:FOSTER, LOLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 616-2431
CITY:RIALTOSTATE: CAZIP CODE:
92376
CAPACITY:14CENSUS: 0DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Lola FosterTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Personal Rights - Child sustained multiple bites
INVESTIGATION FINDINGS:
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On this date and time, Licensing Program Analyst's (LPAs) Laura Mejorado and Susan Brewer arrived at the facility to conclude a complaint investigation which was initiated on 05/03/2023. The complaint allegation pertaining to personal rights violation due to neglect/lack of supervision was investigated by Community Care Licensing Investigations Branch (IB), Investigator, Marlon Williams. LPA met with Licensee Lola Foster, toured the facility, and took census, no children were present during todays inspection. The following was discussed.

During the course of the investigation, Investigator Williams conducted interviews and obtained information from all relevant individuals pertinent to the investigation.

It was alleged, a child sustained multiple bites.

Please see LIC9099
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
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 3
Control Number 09-CC-20230501135906
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: FOSTER FAMILY CHILD CARE
FACILITY NUMBER: 364842493
VISIT DATE: 08/31/2023
NARRATIVE
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On or about 05/01/2023 an outside agency reported an investigation that was being conducted at the facility regarding the possible physical abuse of a child in care. The subject child was observed to have 14 human bites on their body while attending the family child care home. While conducting interviews, it was disclosed the subject child was bitten by their older sibling several times throughout the day and Licensee was forced to “pry” the older sibling’s mouth from the subject child, to stop them from biting. Medical documentation indicates the bite marks on the subject child were consistent with “neglect and abuse”. Additionally, interviews revealed the Licensee regularly accepted the subject child and their older sibling into the daycare with visible bruises and marks and admitted to never reporting the abuse or rendered medical aid for the children.

Based on the investigation, interviews, and collaboration with other agencies, the allegation was determined by IB to be Substantiated. California Code of Regulations, (Title 22, Division 12 & Chapter 1), are being cited on the attached LIC9099D. An enhanced civil penalty in the amount of $2,000.00 for a serious injury, is pending and under review by the department. If enhanced civil penalties are approved, LPA will deliver the civil penalty assessment (LIC421D) at a later date.

LPA Mejorado informed licensee Lola Foster that this report dated 08/31/23 document(s) one Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

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.

Also, LPA Mejorado informed the licensee Lola Foster to provide a copy of this licensing report dated 08/31/23 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the licensee Lola Foster. A copy of this report must be made available for the next three years.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20230501135906
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: FOSTER FAMILY CHILD CARE
FACILITY NUMBER: 364842493
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/31/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/01/2023
Section Cited
CCR
102423(a)(2)
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(a)(2) (a) Each child receiving services from a family childcare home shall have certain rights that shall not be waived... (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This was not met as evidenced by:
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Immediately, Licensee agrees to ensure children’s personal rights are not violated by providing proper supervision and agrees to obtain medical treatment for children, if needed and report suspected abuse.

www.mandatedreporterca.com
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Based on record review and interviews, the Licensee did not protect subject child from sustaining multiple bites and did not prevent, render medical aid or report suspected abuse due to the nature of the injuries inflicted upon the subject child by their older sibling, which posed an immediate Health, Safety, and Personal Rights risk to the subject child and potential children in care.
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Licensee agrees to submit a detailed written plan on how she will proactively handle biting behaviors and how suspected abuse will be reported in accordance with her mandated reporter obligations. Licensee agrees to submit plans of correction by 9/1/23.
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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.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Laura Mejorado
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
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