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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197407189
Report Date: 08/12/2025
Date Signed: 08/12/2025 03:30:14 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
05/23/2025 and conducted by Evaluator Elicia Calvillo
COMPLAINT CONTROL NUMBER: 58-CC-20250523094505
FACILITY NAME:GRAY FAMILY CHILD CAREFACILITY NUMBER:
197407189
ADMINISTRATOR:GRAY SHELLY LYNNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 892-0688
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:14CENSUS: 11DATE:
08/12/2025
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:Shelly Gray, LicenseeTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Licensee handled children in care in a rough manner
Licensee forced child to drink liquids
Licensee spoke inappropriately to children in care
Licensee used unusual form of discipline towards children in care
INVESTIGATION FINDINGS:
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On 08/12/2025 at 02:10 PM, Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced complaint investigation on the above-mentioned allegations to deliver findings. LPA identified self and met with Shelly Gray, Licensee who guided analyst on a tour of the inside and outside of the facility. LPA observed 11 Children and 1 staff at the facility upon arrival.

Throughout the course of the investigation, LPA Calvillo obtained the Child Care Facility Roster, interviewed Licensee, interviewed staff, interviewed parents, interviewed children, and obtained copies of other pertinent documents..

During today’s visit, LPA addressed the allegations per Reporting Party that Licensee handled children in care in a rough manner, Licensee forced child to drink liquids, Licensee spoke inappropriately to children in care, and Licensee used unusual form of discipline towards children in care.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025
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 58-CC-20250523094505
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GRAY FAMILY CHILD CARE
FACILITY NUMBER: 197407189
VISIT DATE: 08/12/2025
NARRATIVE
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Licensee disclosed that the Personal Rights of children are provided for children on a daily basis, that when in care, no children were handled in a rough manner, no children were forced to drink liquids, no children where spoken to inappropriately, and no unusual forms of discipline towards children occurred.

When interviewing staff, staff did not make any disclosures regarding the allegations listed above.

When interviewing parents, parents did not make any disclosures regarding the allegations listed above.

When interviewing children, children did not make any disclosures regarding the allegations listed above.

Based on LPA’s observations, interviews which were conducted, and record review, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Shelly Gray, Licensee including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2025
LIC9099 (FAS) - (06/04)
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