192007298-11-26-2019-33-CC-ACHO-BJZU8N-20191219142148

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 192007298
Report Date: 11/26/2019
Date Signed: 11/26/2019 10:13:13 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
11/15/2019 and conducted by Evaluator Ariel Cazares

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20191115153542

FACILITY NAME:	CANAL FAMILY CHILD CARE		FACILITY NUMBER:	192007298
ADMINISTRATOR:	CANAL, IRMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 338-3361
CITY:	BALDWIN PARK	STATE: CA	ZIP CODE:	91706
CAPACITY:	14	CENSUS: 7	DATE:	11/26/2019
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Irma Canal		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Neglect/Lack Supervision: Staff failed to provide adequate supervision resulting in child being injured.

INVESTIGATION FINDINGS:

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An unannounced complaint inspection was made on this day by Licensing Program Analysts (LPAs) Ariel Cazares and Katrina Chicote to the licensed day care. LPA met with Licensee Irma Canal to discuss the above allegation. At the time of arrival LPA observed 7 children and 1 additional staff. 1 children arrived later.

An investigation was conducted and completed by LPA Ariel Cazares. LPA conducted interviews with complainant, licensee, staff, and other parties involved. Per complainant, child #1 was bitten at the facility and per child #1's parent the staff did not know how the injury occurred.

An interview was conducted with licensee who stated that child #1 was bitten by child #2 when they were outside playing with Staff #1. Per licensee, she was indoors preparing lunch for the child and did not observe the incident. LPA interviewed Staff #1, who stated that during an outdoor activity, child #1 began to cry. Staff stated they went to observe what had occurred and observed a mark on the child. Staff #1 did not observe how the injury occurred, but stated they were outside with the children when the incident occurred.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019

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-20191115153542

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: CANAL FAMILY CHILD CARE	FACILITY NUMBER: 192007298
	VISIT DATE: 11/26/2019

NARRATIVE

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LPA interviewed Staff #2 that was also present on the day of the incident. Staff #2 was not able to corroborate Staff #1's statement. Staff #2 did not observe the incident.

LPA interviewed the parent of child #1. Per parent, a lack of supervision was what resulted in the injury. Parent stated that the staff were not aware of how the incident occurred. Parent stated that the licensee was not caring for the child when the injury occurred.

LPA reviewed child #1's file and observed that the incident report and a copy were both signed by the parent of child #1. The incident report documents what occurred. LPA verified that licensee was not present during the incident, but Staff #1 was. Although licensee was not caring for child when the injury occurred, a qualified assistant was present at the time. LPA was unable to determine, based on the interviews and documentation reviewed, whether or not a violation occurred.

During inspections conducted to the facility, LPA did not observe neglect or lack of supervision. LPA observed two staff present on both 11/19/19 and today's inspection. The facility was compliant with staff-child ratios on both days. When children were present outside, staff was also present outside. During activities indoors, staff were present indoors.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted with Licensee Irma Canal. A copy of this report and appeal rights were provided.

A "Notice of Site Visit" and copy of the report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019

LIC9099 (FAS) - (06/04)

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