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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019771
Report Date: 07/30/2021
Date Signed: 07/30/2021 10:11:32 AM

Substantiated


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
05/11/2021 and conducted by Evaluator Elka Chavez
COMPLAINT CONTROL NUMBER: 54-CC-20210511091553
FACILITY NAME:FANSHAW FAMILY CHILD CAREFACILITY NUMBER:
198019771
ADMINISTRATOR:ITA FANSHAWFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 920-0362
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:14CENSUS: 6DATE:
07/30/2021
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Ita FanshawTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Provider inappropriately disciplined day care child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elka Chavez, conducted an unannounced inspection at the facility listed above to conclude the above pending allegation. LPA met with licensee, Ita Fanshaw. Also present was licensee's assistant, Breatriz Alvarez.

Reporting party reported that the provider inappropriately disciplined day care child. Based on interviews conducted, the licensee stated and adult #1 it was stated that as a form of discipline confirmed adult #1 picked child #1 up by both arms and wrapped one arm around child #1. Adult #1 also stated they also slapped their left arm (arm of adult #1) with their right arm to make the slap sound. Adult #1 nor the Licensee provided the purpose of the slapping sound. Based on interviews which were conducted, and the preponderance of the evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1 (FCC) 102423(a)(4) are being cited on the attached LIC9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 54-CC-20210511091553
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: FANSHAW FAMILY CHILD CARE
FACILITY NUMBER: 198019771
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/03/2021
Section Cited
CCR
102423
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(a) Each child receiving services from a family child care home shall have certain ...
(4) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, This requirement is not met as evidenced by:
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Licensee stated that she will train assistants, volunteers by watching video on personal rights and discuss discipline. Licensee will stated that she will provide proof by 8/3/21.
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Based on interviews with the licensee and adult #1 it was stated that as a form of discipline child #1 picked up by adult #1 by both arms and adult #1 slapped their own arms. This action did not appear per interviews to be of a punitive nature; however, this poses a potential risk to the health & safety to the 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.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC9099 (FAS) - (06/04)
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