192009786-7-15-2019-33-CC-CGAN-BEYU9D-20190812152257

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 192009786
Report Date: 07/15/2019
Date Signed: 07/15/2019 02:33:59 PM

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
05/23/2019 and conducted by Evaluator Ana Chico

COMPLAINT CONTROL NUMBER: 33-CC-20190523161500

FACILITY NAME:	ROBLES FAMILY CHILD CARE		FACILITY NUMBER:	192009786
ADMINISTRATOR:	ROBLES, DEANNA CORONADO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 960-8758
CITY:	BALDWIN PARK	STATE: CA	ZIP CODE:	91706
CAPACITY:	14	CENSUS: 1	DATE:	07/15/2019
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Deanna Robles		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Personal Rights: Unsafe environment resulting in dog biting child.

INVESTIGATION FINDINGS:

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Ana Chico, Licensing Program Analyst (LPA) conducted an unannounced complaint inspection. LPA met with Deanna Robles, Licensee . No day care children were present at the time of the inspection.

LPA conducted interviews with licensee, complainant, alleged witness and children. LPA also also obtained pictures and documentation pertaining to the alleged bite. LPA attempted to conduct interview with the alleged victim, however, child was unable to provide verbal statements due to child's age.

Information gathered found that there are conflicting statements as to the number of pets owned by the licensee. Based on the totality of the information obtained, LPA has deemed that 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 at this time the above allegation is unsubstantiated. Exit interview conducted, during which appeal rights were explained. Notice of Site Visit provided and must be posted for 30 days. The signature on this reports acknowledges receipt of her rights.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-2956
LICENSING EVALUATOR NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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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