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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192005518
Report Date: 05/27/2020
Date Signed: 05/27/2020 11:36:29 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
04/21/2020 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200421114838
FACILITY NAME:LAGUNAS & AVILES FAMILY CHILD CAREFACILITY NUMBER:
192005518
ADMINISTRATOR:VICTOR LAGUNAS, ONECIMA AVFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 503-9713
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY:14CENSUS: 7DATE:
05/27/2020
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Victor Lagunas and Onecima Aviles/licenseesTIME COMPLETED:
11:40 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights: Adult pushed daycare child while in care
Personal Rights: Adult demonstrated inappropriate form of discipline towards daycare child while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This report is being delivered electronically per Tele-Visits Procedure for COVID-19.
Licensing Program Analyst (LPA), Silva Garibyan met with the licensees, Victor Lagunas and Onecima Aviles via FaceTime, for the purpose of delivering the findings on the above allegations on 05/27/2020 at 11:25 AM. There were seven children present at the time of the Tele-Visit. Based upon the evidence obtained through the course of reviewing documentations and interviews, there is insufficient evidence to support or disprove that Adult pushed daycare child while in care and Adult demonstrated inappropriate form of discipline towards daycare child while in care . Therefore, this allegations have been determined unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
Licensees were advised that an email will be sent with the report attached, which has been reviewed during the Tele-Visit. Licensee further advised that a read receipt via email shall be considered an acknowledgement that they are in receipt of this form and understand they licensing appeal rights as explained.
An exit interview was conducted and a copy of this report will be provided via email to licensees.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2020
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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