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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376301146
Report Date: 05/01/2025
Date Signed: 05/01/2025 05:02:53 PM

Document Has Been Signed on 05/01/2025 05:02 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
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME:WHARTON FAMILY CHILD CAREFACILITY NUMBER:
376301146
ADMINISTRATOR/
DIRECTOR:
WHARTON,KARENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 669-6459
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
05/01/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Elizabeth SalgadoTIME VISIT/
INSPECTION COMPLETED:
05:20 PM
NARRATIVE
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On 05/01/25, Licensing Program Analysts (LPAs), Kelli Waters and Kelly Gerth, conducted an unannounced visit to the facility for a separate unrelated issue. Licensee, Karen Wharton, was not present, however LPA Waters was able to speak to her on the phone and confirmed she was out of state at the time. LPAs met with facility staff, discussed the reason for the visit, took a census and toured the facility. Present during the visit, LPAs observed 6 children (4 infants and 2 preschool age) and four staff. Two staff left at 12:30pm as two staff arrived.

During facility inspection, records review and interviews, LPAs observed multiple California Code of Regulations (CCR), Title 22 violations. Record review revealed 1 out of 4 staff were not associated to the facility at time of inspection, in addition 3 out of 4 staff were missing health and safety requirement documents in their personnel file on site. 4 out of 6 children present were missing required heath documents. During inspection, LPAs observed facility was not following safe sleep regulations regarding sleep logs for children under 24 months, personal items in play yards while infants sleep, and an infant sleeping in a separate room with a closed door.

Facility has an in-ground pool located in the backyard. The pool has mesh fencing, 5 ft high surrounding the entire body of water. The mesh fencing was less than 2 inches from the ground. There was self-closing, self-latching key lockable device more 60 in from the ground, in working order. The licensee did not have a water pool alarm, body hook and pole, safety ring or daily safety log on site.
See 809-D for deficiencies.

An exit interview was conducted, a copy of this report, and appeal rights were discussed and provided to facility representative. The Notice of Site Visit must be posted for 30 days. A copy of this report must be made available to the public, at the facility site, for 1 year.
NAME OF LICENSING PROGRAM MANAGER: Carlos Martinez
NAME OF LICENSING PROGRAM ANALYST: Kelli Waters
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 05/01/2025 05:02 PM - It Cannot Be Edited


Created By: Kelli Waters On 05/01/2025 at 03:56 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: WHARTON FAMILY CHILD CARE

FACILITY NUMBER: 376301146

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2025
Section Cited
CCR
102425(j)(5)

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102425(j)(5) Infant Safe Sleep If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times.
This requirement was not met as evidenced by:
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Licensee will submit a written plan that details where children will be sleeping and how the Licensee will ensure physical visual observation at all times without having to open any doors, to LPA via email
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Based on observations, LPAs observed 3 out of 4 infants sleeping in rooms with closed doors, which poses a potential health, safety or personal risk to children in care.
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Type B
05/15/2025
Section Cited
CCR102425(j)(D)

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102425 Infant Safe Sleep
(D)Documentation shall be maintained in the infant’s file and be available to the Department for review.

This requirement was not met as evidenced by:
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BY POC date, Licensee will provide evidence of immediate implementation of safe sleep logs for all children 24 months and under, to LPA via email
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Based on observation, file review and interview, the licensee did not comply with the section cited above where 3 out 4 infant children’s files reviewed did not have evidencing of safe sleep (15 min check) logs, which poses a potential health, safety or personal risk to 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.
Carlos Martinez
NAME OF LICENSING PROGRAM MANAGER:
Kelli Waters
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2025


LIC809 (FAS) - (06/04)
Page: 3 of 7
Document Has Been Signed on 05/01/2025 05:02 PM - It Cannot Be Edited


Created By: Kelli Waters On 05/01/2025 at 04:05 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: WHARTON FAMILY CHILD CARE

FACILITY NUMBER: 376301146

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2025
Section Cited
CCR
102425(b)

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102425(b) Cribs or play yards shall be free from all loose articles and objects.

This requirement was not met as evidenced by:
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By POC date, Licensee will read, review and provide a signed written statement of understanding of all safe sleep regulations and submit to LPA via email.
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Based on observation, 3/3 infants in play yards used for napping were observed to have personal items such as blankets and pillows which poses a potential health, safety or personal risk to children in care.
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Type B
05/15/2025
Section Cited
HSC1596.8662(4)(b)(1)

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HSC 1596.8662(4)(b)(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training... every two years following the date on which he or she completed the initial mandated reporter training.
This requirement was not met as evidenced by;
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POC: By POC date, Licensee will submit proof to LPA of a current mandated reporter certificate for all staff, via email
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Based upon file review, 3 of 4 staff files did not have evidence of a current mandated reporter training certificate, which poses a potential health, safety or personal risk to 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.
Carlos Martinez
NAME OF LICENSING PROGRAM MANAGER:
Kelli Waters
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/01/2025 05:02 PM - It Cannot Be Edited


Created By: Kelli Waters On 05/01/2025 at 04:10 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: WHARTON FAMILY CHILD CARE

FACILITY NUMBER: 376301146

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2025
Section Cited
CCR
102417(g)(8)

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102417 (g)(8) All homes shall have a current roster of the children.

This requirement was not met as evidenced by;
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By POC date, Licensee will submit a current and complete roster (LIC 9040) of all children enrolled to LPA via email
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Based upon observation, interview and file review the Licensee did not have evidence of a current roster of the children in care which poses a potential health and safety risk to children in care.
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Type B
05/15/2025
Section Cited
HSC1597.622(a)(1)

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HSC 1597.622(a)(1) commencing September 1, 2016, a person shall not be employed...a family day care home if he or she has not been immunized against influenza, pertussis, and measles.

This requirement was not met as evidenced by;
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By POC date, Licensee will submit proof to CCL of immunizations for all staff, LPA via email
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Based upon file review, 2 of 4 staff files did not have evidence of immunizations which poses a potential health, safety or personal risk to 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.
Carlos Martinez
NAME OF LICENSING PROGRAM MANAGER:
Kelli Waters
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2025


LIC809 (FAS) - (06/04)
Page: 5 of 7
Document Has Been Signed on 05/01/2025 05:02 PM - It Cannot Be Edited


Created By: Kelli Waters On 05/01/2025 at 04:17 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: WHARTON FAMILY CHILD CARE

FACILITY NUMBER: 376301146

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2025
Section Cited
CCR
102416(c)

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102416 (c) The licensee and other personnel as specified, shall complete training on preventive health practices including pediatric CPR and first aid. This requirement was not met as evidenced by
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By POC date, Licensee will submit proof to LPA current cpr for all staff alone with children in care, to LPA via email
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Based upon file review, 3 out 4 staff files reviewed did not have evidence of a current pediatric CPR and first aid, for staff left alone with children in care which poses a potential health, safety or personal risk to children in care.
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Type B
05/15/2025
Section Cited
CCR102418(a)

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102418 (a) Prior to admission to a family day care home, children shall be immunized against diseases...
This requirement was not met as evidenced by;
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By POC date, licensee will submit proof of immunizations for all children enrolled and noted on the updated roster, to LPA via email
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Based on observation and file review, 2 out of 4 children’s files reviewed did not have evidence of immunizations for the children, which poses a potential health, safety or personal risk to 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.
Carlos Martinez
NAME OF LICENSING PROGRAM MANAGER:
Kelli Waters
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE:
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/01/2025 05:02 PM - It Cannot Be Edited


Created By: Kelli Waters On 05/01/2025 at 04:21 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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: WHARTON FAMILY CHILD CARE

FACILITY NUMBER: 376301146

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/01/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/15/2025
Section Cited
CCR
102370(d)(2)

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(2) Request a transfer of a criminal record clearance as specified in Section 102370(j)

This requirement was not met as evidenced by:
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BY POC date, Licensee will send proof of clearance for S2 and current association to her facility to LPA via email
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Based on record review, 1 out 4 staff present did not have a background clearance associated to the facility, therefored the licensee did not comply with the regulation cited above which poses a potential health and safety risk to persons in care.
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Type B
05/29/2025
Section Cited
HSC1596.814(a)

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HSC 1596.814(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements:

This was not met as evidenced by:
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Licensee will read AB Pool Safety regulations 1596.814 and comply with all sections. Licensee will provide photographic and video evidence of all correction and send to LPA via email.
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Based on observation, Licensee did not have a pool alarm or cover, a body hook and rescue pool, a lifesaving ring or a safety inspection daily log, which poses a potential health and safety risk for 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.
Carlos Martinez
NAME OF LICENSING PROGRAM MANAGER:
Kelli Waters
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/01/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2025


LIC809 (FAS) - (06/04)
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