192009786-12-9-2021-33-CC-CGUA-CBA2EC-20220202161942

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 192009786
Report Date: 12/09/2021
Date Signed: 12/09/2021 03:56:07 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
11/22/2021 and conducted by Evaluator Fabiola Vasquez

COMPLAINT CONTROL NUMBER: 33-CC-20211122143610

FACILITY NAME:	ROBLES FAMILY CHILD CARE		FACILITY NUMBER:	192009786
ADMINISTRATOR:	ROBLES, DEANNA CORONADO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 643-6254
CITY:	BALDWIN PARK	STATE: CA	ZIP CODE:	91706
CAPACITY:	14	CENSUS: 1	DATE:	12/09/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Deanne Robles		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Licensee left day care child in soiled diaper for extended period of time.
Licensee did not provide adequate food service to day care child

INVESTIGATION FINDINGS:

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Licensing Program Analyst’s (LPA’s) Fabiola Vasquez and Seung Lee conducted an announced 10-day complaint visit. LPA’s spoke with Deanna Robles, Licensee. LPA’s identified themselves and stated the purpose of the visit is to investigate the above allegations. Licensee guided LPA on a tour of the facility. Census: 1 Staff: 2

Pertaining to the allegations that, “Licensee left day care child in soiled diaper for extended period of time”, “Licensee did not provide adequate food service to day care child”.
During the investigation, interviews were conducted with the reporting party, Licensee, S1,S2, S3, S4, S5 and parent.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

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-20211122143610

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: ROBLES FAMILY CHILD CARE	FACILITY NUMBER: 192009786
	VISIT DATE: 12/09/2021

NARRATIVE

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LPA obtained a copy of the current children’s roster.

Based on the evidence obtained during the investigation through, interviews, observation, and review of records, there were no disclosures made that support the allegations.

Licensee left day care child in soiled diaper for extended period of time. Licensee did not provide adequate food service to day care child

Due to information and statements initially stated during interviews. The allegations have been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated.

Licensing staff also discussed PUB 394 Parent’s Rights with licensee. Licensees understand that parents have a right to file a complaint without a retaliation. Going to parent’s house or work when parents have the right to complaint can be borderline harassment. Per licensee, she does not have time for that. LPA's also, discuss and licensee understands that she can not tell the parents not to speak with licensing staff.

Exit interview has been conducted with Licensee Deanna Robles. Appeal Rights were verbally explained and provided to Licensee as well. A copy of this report (LIC 9099) along with the Appeal Rights LIC (9058) has been signed by LPA Vasquez. A Notice of Site Visit was provided to Licensee.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021

LIC9099 (FAS) - (06/04)

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