192004352-2-17-2022-33-CC-BVON-CC45US-20220228191626

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 192004352
Report Date: 02/17/2022
Date Signed: 02/17/2022 10:48:18 AM

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 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
12/22/2021 and conducted by Evaluator Roxana Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20211222094930

FACILITY NAME:	GARCIA FAMILY CHILD CARE		FACILITY NUMBER:	192004352
ADMINISTRATOR:	GARCIA, HERMELINDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 258-1314
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90042
CAPACITY:	12	CENSUS: 1	DATE:	02/17/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Hermelinda Garcia		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Daycare facility has allowable levels of carbon monoxide present

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA's) Roxana Lopez and Lilli Babcock conducted a Complaint Investigation on this date. Risk assessment was conducted upon entry and appropriate PPE was used. The purpose of this visit is to provide findings of the complaint investigation which was received on 12/22/2021. LPA met with Licensee Hermelinda Garcia, to whom the purpose of the inspection was announced. A tour of the facility was given.

Throughout the course of the investigation, interviews were conducted with reporting party, staff, fire department, gas company and parents. LPA also reviewed and obtained copies of children’s rosters, doctor notes, paperwork from gas company, receipts and pictures.

Per initial complaint report, it was reported that daycare facility has allowable levels of carbon monoxide.
The complainant alleges that facility had allowable levels of carbon monoxide in the facility.
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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana Lopez	TELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022

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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Control Number 33-CC-20211222094930

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 192004352
	VISIT DATE: 02/17/2022

NARRATIVE

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Licensee disclosed that the gas company came to the facility to inspect air vents, smoke detectors and carbon monoxide detectors, which were found to be operable. Per licensee, all appliances and water heater were inspected too. Licensee stated that during gas company inspection, she was informed that the oven was producing minimal levels of Carbon Monoxide. Licensee was told that this was not harmful and was not picked up by the working carbon monoxide detectors in the home. Licensee and assistant both stated that no one in the home or the facility has been feeling unexpectedly ill.

LPA interviewed parents and no disclosures about this specific allegation were made.

On 01/07/2022, the licensee bought a new stove and carbon monoxide detector. The gas company re-tested facility on 01/13/2022 and cleared the facility for carbon monoxide.

This agency has investigated the complaint alleging daycare facility has allowable levels of carbon monoxide present. Based on LPA’s observations, interviews which were conducted and record reviews, the preponderance of the evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana Lopez	TELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022

LIC9099 (FAS) - (06/04)

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