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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192000284
Report Date: 11/05/2021
Date Signed: 11/05/2021 09:58:53 AM



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
09/07/2021 and conducted by Evaluator Lillian J Casillas
COMPLAINT CONTROL NUMBER: 30-CC-20210907132746
FACILITY NAME:IGLESIA BAUTISTA/FRIENDSHIP CHILDREN'S CENTERFACILITY NUMBER:
192000284
ADMINISTRATOR:NAOMI LOPEZFACILITY TYPE:
850
ADDRESS:931 FRIGATE AVENUETELEPHONE:
(310) 518-8854
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY:130CENSUS: 46DATE:
11/05/2021
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Naomi LopezTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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9
Personal Rights: Staff behavior poses as a risk to daycare children while in care
INVESTIGATION FINDINGS:
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On 11/5/2021, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced complaint visit for the purpose of concluding the investigation regarding the allegation above. LPA met with Site Supervisor, Naomi Lopez, and explained the purpose of the inspection. LPA observed 46 children with 8 staff.

On 09/09/2021, LPA Casillas initiated the complaint investigation. LPA met with Teacher, Rosalba Acedo, and Site Supervisor. LPA toured the inside and outside of the facility and obtained copies of the following documents: children’s roster per class, children's roster (LIC 9040), sign-in/sign-out sheets for 09/06-9/10/2021, class schedule, personnel roster (LIC 500) and staff schedule.

On 10/12/2021, LPA Casillas conducted a follow up complaint investigation and LPA met with Site Supervisor. LPA interviewed 9 staff and obtained copies of the sign in/out sheets for 10/12/2021.

[CONTINUE ON PAGE 2]

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
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 2
Control Number 30-CC-20210907132746
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: IGLESIA BAUTISTA/FRIENDSHIP CHILDREN'S CENTER
FACILITY NUMBER: 192000284
VISIT DATE: 11/05/2021
NARRATIVE
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PAGE 2

Based on the investigation, which included interviews with relevant parties, observation, and record review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

There are no deficiencies being cited during today’s visit. An exit interview was conducted and a copy of this report was provided to Licensee.

An exit interview was conducted and a copy of this report along with the Notice of Site Visit and Appeal Rights were provided to Site Supervisor, Naomi Lopez.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2