Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017228
Report Date: 07/01/2019
Date Signed: 07/01/2019 10:51:08 AM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/19/2019 and conducted by Evaluator Warren Birks
COMPLAINT CONTROL NUMBER: 54-CC-20190619161831
FACILITY NAME:NICHOLAS FAMILY CHILD CAREFACILITY NUMBER:
198017228
ADMINISTRATOR:NICHOLAS, SHAMEKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 788-0855
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 6DATE:
07/01/2019
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Shameka NicholasTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee yells at children.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Warren Birks and Denise Gibbs conducted an unannounced complaint inspection to investigate the above allegation. LPAs met with Licensee Shameka Nicholas who was providing care for six children. The Licensee's cleared assistant Maria Ochoa arrived approximately one hour later.

During the investigation, LPA interviewed children, a staffmember and the Licensee. There was disclosure from children, staff, and the Licensee that the Licensee has raised their voice and yelled at children on occassion. The Licensee explained that there are children enrolled with behaviorial issues that require professional therapist. The Licensee indicated that she may yell/raise her voice sometimes because the child will not respond to redirection. She indicated that sometimes raising her voice may be the only deterrant from the child being a danger to themselves or other children. LPA informed Licensee that children may be intimidated by this type of discipline and it is a personal rights violation. The Licensee idicated that she and her assistants will have a meeting regarding new discipline policies going forward as an alternative to raising their voices. Continued:
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
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 54-CC-20190619161831
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NICHOLAS FAMILY CHILD CARE
FACILITY NUMBER: 198017228
VISIT DATE: 07/01/2019
NARRATIVE
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Based on interviews with Licensee, staff and children the preponderance of evidence standard has been met, therefore the allegation (Licensee yells at children) is found to be SUBSTANTIATED.

The Notice of Site Visit (LIC 9213) and Licensing Report– must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a $100.00 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 their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt. Exit interview conducted with Licensee's assistant Maria Ochoa.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20190619161831
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: NICHOLAS FAMILY CHILD CARE
FACILITY NUMBER: 198017228
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/01/2019
Section Cited
CCR
102423(a)(4)
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Personal Rights : To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.
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Licensee indicated she will have a meeting with staff to implement alternantive discipline that is in line with Title 22 regulations.
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This requirement was not met as evidenced by: There was disclosure from children, staff, and the Licensee that the Licensee and staff has raised their voice and yelled at children on occassion. This poses an immediate 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.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3