192007738-6-8-2022-30-CC-KSTS-CFTPBZ-20220628111108

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 192007738
Report Date: 06/08/2022
Date Signed: 06/08/2022 09:15:05 AM

Unsubstantiated

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
04/04/2022 and conducted by Evaluator Silva Garibyan

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20220404152607

FACILITY NAME:	SAN GERMAN FAMILY CHILD CARE		FACILITY NUMBER:	192007738
ADMINISTRATOR:	SAN GERMAN, MARIA GERARDO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 767-0313
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91605
CAPACITY:	14	CENSUS: 4	DATE:	06/08/2022
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Maria San German, Licensee		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Personal Rights: Licensee not providing a safe environment for day-care children.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Silva Garibyan conducted a visit to the facility for the purpose of delivering the findings on the above allegation. LPA met with Maria San German, licensee. LPA Garibyan toured the facility with the licensee, at 9:10 a.m. on 06/08/2022. There were 4 preschool children children and one assistant present at the time of the visit.
Based upon the evidence obtained through the course of reviewing documentations and interviews, there is insufficient evidence to support or disprove that Licensee not providing a safe environment for day-care children. Therefore, this allegation has been determined 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.
An exit interview was conducted and a copy of this report was provided..

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 06/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2022

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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