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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197401594
Report Date: 10/21/2019
Date Signed: 11/08/2019 11:53:31 AM



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
09/19/2019 and conducted by Evaluator Veronica Wheatley
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190919150912
FACILITY NAME:HUGHES FAMILY DAY CAREFACILITY NUMBER:
197401594
ADMINISTRATOR:HUGHES, DOROTHYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 217-1528
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY:14CENSUS: 0DATE:
10/21/2019
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Dorothy & Ernest HughesTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Personal Rights
Garage is being used as a bedroom
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), V. Wheatley conducted an inspection regarding the above allegations. LPA met wtih licensee Dorothy Hughes and husband Ernest Hughes at 4:20PM. Mr. and Mrs. Hughes both state there are no day care children enrolled since Labor Day. LPA did not observe any day care children on the premises today or during a previous inspection.

LPA inquired regarding Adult #1 residing in the home. Mr. and Mrs. Hughes denied the allegation and states Adult #1 does not reside in the home. The licensee and Mr. Hughes completed a declaration regarding Adult #1 not residing in the home. LPA inspected the garage which is locked. The licensee does not have a key and had to use a butter knife to open the garage door. LPA observed the garage full of several unsafe items. The garage is so full of items that there is no where to put a bed or personal items. There is no flat surface observed anywhere in the garage. LPA took photos of the items in the garage.

See page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2019
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-20190919150912
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: HUGHES FAMILY DAY CARE
FACILITY NUMBER: 197401594
VISIT DATE: 10/21/2019
NARRATIVE
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PAGE 2

Investigation Branch Investigator Christina Ferris conducted an inspection and did not find sufficient evidence to substantiate the allegation.

Based on information obtained through LPA Wheatley's observation and information obtained through interviews which were conducted, the allegations are unsubstantiated. 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.

Exit interview & copy provided to license.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2