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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192009922
Report Date: 12/13/2022
Date Signed: 12/13/2022 02:37:24 PM

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
10/12/2022 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20221012133727
FACILITY NAME:CHICA FAMILY CHILD CAREFACILITY NUMBER:
192009922
ADMINISTRATOR:CHICA, ZORAIDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 675-6809
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:14CENSUS: 4DATE:
12/13/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Zoraida ChicaTIME COMPLETED:
02:55 PM
ALLEGATION(S):
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Allegation: Licensee demonstrated inappropriate form of discipline on daycare children.
INVESTIGATION FINDINGS:
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On 12/13/2022, Licensing Program Analyst (LPA), Loyce Phillips, conducted an unannounced visit for the purpose of delivering the findings on the above allegation. LPA was greeted by Licensee, Zoraida Chica and toured the facilit. LPA observed 4 children in care.

On 10/14/2022, during initial visit, LPA toured the facility, obtained a copy of the facility roster, documented observations, interviewed staff, children, and parents.

During this investigation, LPA documented observations, obtained documents, conducted interviews with children and parents. The children in care disclosed they like coming to the facility, enjoy playing with their toys and feel safe playing outside. During parent interviews, parents disclosed they were satisfied with the level of care provided at the facility and did not express any issues or concerns.

9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 30-CC-20221012133727
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CHICA FAMILY CHILD CARE
FACILITY NUMBER: 192009922
VISIT DATE: 12/13/2022
NARRATIVE
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Based on the evidence obtained, interviews conducted and observations, the allegation of Licensee demonstrated inappropriate form of discipline on day-care children is deemed Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur.

No deficiencies are being cited accordance to Title 22 of the California Code of Regulations and/or Health & Safety Codes.

An exit interview was conducted, a copy of this report, appeals rights and a notice of site visit were discussed and provided to Licensee, Zoraida Chica.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2