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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198003989
Report Date: 09/20/2024
Date Signed: 09/20/2024 12:28:55 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/06/2024 and conducted by Evaluator Kruz Long
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240906122131
FACILITY NAME:JOHNSON FAMILY CHILD CAREFACILITY NUMBER:
198003989
ADMINISTRATOR:JOHNSON, PAMELLA MAXINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 612-0904
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY:14CENSUS: 0DATE:
09/20/2024
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Pamella Johnson, LicenseeTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Licensee left two children in the car for 40 minutes.
INVESTIGATION FINDINGS:
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On 09/20/24, Licensing Program Analyst (LPA) Kruz Long conducted a subsequent complaint visit to deliver complaint investigation findings. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with Pamella Johnson, Licensee and explained the purpose of the visit. There are currently 5 children enrolled. 0 Children were present and 1 Staff during today's visit.

Reporting Party (RP) alleged: Licensee left two children in the car for 40 minutes.

Based on interview with Staff #1 (S1), on 09/06/24 at approximately 8:20 am, S1 drove to a home in an attempt to pick up Child #3 (C3). S1 parked the vehicle at the home and left the vehicle to speak with the parents of C3. According to S1, C3 had a difficult time getting into S1’s car. S1 admits to leaving Child #1 (C1) and Child #2 (C1) sitting inside the vehicle, waiting for the return of S1 to take them to school.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
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 33-CC-20240906122131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: JOHNSON FAMILY CHILD CARE
FACILITY NUMBER: 198003989
VISIT DATE: 09/20/2024
NARRATIVE
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According to S1, the windows were rolled down and the air conditioning was off. S1 states that they were approximately 4 or 5 feet away from the vehicle with visual of the car while talking to the parents as they were attempting to get C3 into the vehicle. S1 also indicate that S1 was away from the vehicle for 15 minutes before returning back to the vehicle. Text messages between RP and S1 indicate S1 left the car at 8:20am and returned to the car between 8:37am – 8:40am.

According to RP, C1 and C2 were dropped off at the care facility between 5:50am to 5:55am for S1 to take them to school by 9:00am. RP was made aware, via a text message by C1, that C1 and C2 were left in S1’s car at 8:15 am while S1 went inside a house of an unknown location. This was verified by text messaging between C1 and RP. RP proceeded to access the location of C1 and C2 which was submitted as evidence. The location of C1 and C2 was at an unknown residential home located about 3 miles from an elementary school. RP took a screen shot of the location at 8:33am. Text between RP and C1 were also submitted as evidence. Texts disclosed RP asking about S1’s whereabouts, to which C1 responded at 8:23 am “ask her something. idk near a school. You can see my location”. Per interviews with C1 and C2, they arrived at the unknown location as S1 had to drop something off at a house. According to interviews with C1 and C2 , when they arrived at the house, S1 left the vehicle and entered the house for about 10 to 30 minutes. Interviews with C1 and C2 corroborated that they did not have visual view of S1. C1 and C2 also indicate that vehicle’s windows were rolled up and the air conditioning was off. The evidence and interviews reviewed found that children were left in the licensees car while S1 worked on getting C3 in her car.

Based on interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The facility is being cited on a Type A deficiency in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section 102423(a)(2). Definitions are being cited on the attached LIC 9099D pages. 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). Acknowledgement of Receipt (LIC 9224 form) must be maintained in each child’s file immediately upon receipt from parents.

An exit interview was conducted and a copy of this report was provided to Pamella Johnson, Licensee along with Appeal Rights. A Notice of Site Visit was provided, Notice of Site Visit must be posted for 30 days.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20240906122131
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JOHNSON FAMILY CHILD CARE
FACILITY NUMBER: 198003989
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/04/2024
Section Cited
CCR
102423(a)(2)
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102423 Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include,
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Licensee shall complete a declaration indicating that Title 22 regulations regarding personal rights of children have been reviewed and understood. Licensee shall provide a copy of the declaration to the department by the POC date.
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but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This requirement is not met as evidenced by: The evidence and interviews reviewed found that children were left in the licensees car while S1 worked on getting C3 in her 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.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC9099 (FAS) - (06/04)
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