191592324-11-15-2022-54-CC-TCON-CM3RMV-20221213120922

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191592324
Report Date: 11/15/2022
Date Signed: 11/15/2022 03:25:16 PM

Unsubstantiated

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
09/15/2022 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20220915085800

FACILITY NAME:	MAOF CHILD CARE CENTER MAYWOOD		FACILITY NUMBER:	191592324
ADMINISTRATOR:	LEONOR PANDURO (SALAZAR)		FACILITY TYPE:	850
ADDRESS:	6145 WOODWARD AVENUE		TELEPHONE:	(323) 562-0490
CITY:	MAYWOOD	STATE: CA	ZIP CODE:	90270
CAPACITY:	64	CENSUS: 24	DATE:	11/15/2022
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Rocio Hernandez		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Personal Rights- Staff hits day care children

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), T Tran arrived at the above licensed facility to conduct an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the above allegation. Upon arrival, LPA met with Rocio Hernandez, Site Supervisor. LPA toured the facility and observed proper care and supervision.

Based upon the evidence obtained during the course of the investigation through interviews, record reviews, and observation, the evidence does not support, nor disprove the above allegation of staff hits a child in care on the hand and leg occurred at the facility. Therefore, the allegations have been determined unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the facility representative, Rocio Hernandez.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2022

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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