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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197404126
Report Date: 10/02/2019
Date Signed: 10/22/2019 09:44:03 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/01/2019 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20191001141938
FACILITY NAME:SAN FERNANDO GARDENS CHILD CARE CENTERFACILITY NUMBER:
197404126
ADMINISTRATOR:AURA OSOYFACILITY TYPE:
850
ADDRESS:10896 LEHIGH AVE.TELEPHONE:
(818) 834-7874
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY:24CENSUS: 17DATE:
10/02/2019
UNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:Aura OsoyTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Staff pinched child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/02/19 at 10:57 A.M. Licensing Program Analyst (LPA) Isabel Ortega arrived at the above facility to conduct a complaint investigation related to the allegations above. LPA disclosed the purpose of the investigation and was granted entry into the facility by Aura Osoy. Upon arrival, LPA verified a census of 17 children in care.

This agency has investigated the complaint alleging staff pinched child in care. We have found that the complaint was unsubstantiated. 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 the allegation is unsubstantiated.

Exit interview was conducted with Aura Osoy which came to facility, copy of this report, notice of site visit, and appeal rights were provided.



Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Isabel OrtegaTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 10/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2019
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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