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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197407231
Report Date: 10/23/2020
Date Signed: 10/23/2020 08:37:42 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
07/29/2020 and conducted by Evaluator Ericka Hill
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200729155958
FACILITY NAME:GALLEGOS FAMILY CHILD CAREFACILITY NUMBER:
197407231
ADMINISTRATOR:GALLEGOS, VERONICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 626-9104
CITY:WINNETKASTATE: CAZIP CODE:
91306
CAPACITY:14CENSUS: 0DATE:
10/23/2020
UNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Veronica Gallegos - LicenseeTIME COMPLETED:
08:31 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee failed to supervise children, resulting in inappropriate toughing while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/22/2020 at 8:30am Licensing Program Analyst (LPA) Ericka Hill called Licensee, Veronica Gallegos and informed her that the purpose of the call was to deliver the findings regarding the above allegation.

Interviews were conducted with the licensee and pertinent individuals, records were obtained, and documents were recieved by the Department. The incident, disclosed by C1, occurred 12 years ago but no allegations were found to be reported to any local reporting agencies.
Due to the lack of sufficient evidence and based on the length of time of when the alleged personal rights occurred the investigative findings were found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of this report (LIC9099) and a Notice of Site visit was provided to Veronica Gallegos via email. LPA Hill requested Veronica to sign and email the LIC9099 back to LPA Hill.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Ericka HillTELEPHONE: (424) 301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2020
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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