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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494353
Report Date: 05/19/2022
Date Signed: 05/19/2022 01:59:12 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2022 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220307145023
FACILITY NAME:MCKINNEY-EVANS FAMILY CHILD CAREFACILITY NUMBER:
197494353
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 7DATE:
05/19/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Secele McKinney-EvansTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Personal Rights: Licensee did not give a child in care medication
INVESTIGATION FINDINGS:
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On 5/19/2022, Licensing Program Analysts (LPAs) Lillian Casillas and Veronica Wheatley conducted an unannounced complaint visit for the purpose of delivering the findings of the investigation regarding the allegation above. LPAs met with Licensee, Secele McKinney-Evans.

On 3/14/2022, LPA Casillas initiated the complaint investigation and met with Licensee. LPA interviewed Licensee and Staff 1. LPA also obtained copies of the following documents: children’s roster (LIC9040), copy of parent handbook, and children’s records for Child 1 (C1) and Child 2.

Based on interviews with relevant parties and record review, including a doctor’s note provided to the Licensee, there is a preponderance of evidence to prove the alleged violation did occur. Therefore, the allegation is SUBSTANTIATED. The doctor’s note issued on 7/19/2021 stated that C1 "must be given the

[CONTINUE ON PAGE 2]
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022
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 30-CC-20220307145023
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MCKINNEY-EVANS FAMILY CHILD CARE
FACILITY NUMBER: 197494353
VISIT DATE: 05/19/2022
NARRATIVE
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2nd dose while at daycare." While there may have been dates in 2021 the medicine was dispensed, the Licensee admitted to not administering the medication in February 2022. A Type A deficiency was cited during today's inspection (see LIC 9099-D for details).

Upon receipt of this report, the Licensee shall post the Notice of Site Visit (LIC 9213) and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 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 return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224) form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224).

An exit interview was conducted. A copy of this report was provided to Licensee, Secele McKinney-Evans, along with Appeal Rights and Notice of Site Visit.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20220307145023
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MCKINNEY-EVANS FAMILY CHILD CARE
FACILITY NUMBER: 197494353
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
05/19/2022
Section Cited
CCR
102423(a)(4)
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102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights...These rights include, but are not limited to, the following: (4) ... withholding shelter, clothing, medication or aids to physical functioning.
This requirement is not evidenced by:
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Licensee agrees to view the Children's Personal Rights in Child Care video https://ccld.childcarevideos.org/family-child-care-providers/childrens-personal-rights-in-child-care/ and provide a LIC 855 Declaration acknowledging completion by 5/27/2022 to LPA via email.
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Based on interviews and record review, Licensee did not ensure to administer medication to Child 1 per doctor's note provided to the facility, which poses an immediate health, safety, or personal rights risk to children in care.
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Licensee agrees to review PIN-22-02-CCP Best Practices Related to the Provision of Incidental Medical Services in Child Care Centers and Family Child Care Homes and provide a summary on a LIC 855 Declaration by 5/27/2022 to LPA via email.
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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: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3