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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197407790
Report Date: 07/28/2022
Date Signed: 07/28/2022 01:48:17 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
05/02/2022 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220502171452
FACILITY NAME:VASQUEZ FAMILY CHILD CAREFACILITY NUMBER:
197407790
ADMINISTRATOR:VASQUEZ, LIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 220-7568
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:14CENSUS: 5DATE:
07/28/2022
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Liz Vasquez, LicenseeTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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1)Physical Plant: Facility bathroom is dirty.
2) Physical Plant: Facility is unsanitary.
3) Personal Rights: Adult smoking marijuana in the home.
INVESTIGATION FINDINGS:
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On 07/28/2022 at 12:50 pm, Licensing Program Analyst (LPA) Silva Garibyan arrived at Vasquez FCCH to deliver the findings of the complaint investigated by LPA Laticia Thompson. The complaint was received on 05/02/2022. LPA met with Liz Vasquez who guided the LPA on a tour of the facility. LPA explained the reason for the visit. Upon arrival LPA observed five children (including one infant) with two staff members.
Based on LPA’s observation of the facility and interviews conducted with witness one through four, whom stated the facility is clean and the witness has not experienced any unusual smells or aroma at the facility there was not enough evidence found to prove that the allegations referenced above occurred. LPA determined the allegations are 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 allegation occurred
An exit interview was conducted with Liz Vasquez, in which this report was reviewed by LPA Garibyan. A copy of this report, a Notice of Site Visit (LIC 9213) and Appeal rights were issued to the Liz Vasquez.
The Licensee was advised that the Notice of Site Visit and a copy of this report must be posted at the entrance of the facility for a period of 30 days
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
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 4
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
05/02/2022 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220502171452

FACILITY NAME:VASQUEZ FAMILY CHILD CAREFACILITY NUMBER:
197407790
ADMINISTRATOR:VASQUEZ, LIZFACILITY TYPE:
810
ADDRESS:19410 VANOWEN STREETTELEPHONE:
(818) 220-7568
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:14CENSUS: 5DATE:
07/28/2022
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Liz Vasquez, LicenseeTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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1) Physical Plant: Facility is hazardous
2) License: Facility operating out of ratio
INVESTIGATION FINDINGS:
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Based on LPA’s unannounced visit conducted on 05/10/2022, LPA observed Licensee caring for 4 infants and 3 children without an assistant which caused the facility to be out of ratio. LPA observed a sharp knife on the kitchen counter and in the kitchen sink accessible to children which caused the facility to be hazardous. The facility was issued a Type A deficiency on 05/10/2022.
Based on the preponderance of evidence standard has been met, therefore the following allegations is found to be SUBSTANTIATED. California code of Regulations (Title 22, Division chapter number are being cited on the Facility Evaluation Report LIC 9099D)
A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
The Licensee was advised that the Notice of Site Visit and a copy of this report must be posted at the entrance of the facility for a period of 30 days.
**In addition; A copy of this report must be provided to the authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 30-CC-20220502171452
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: VASQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197407790
VISIT DATE: 07/28/2022
NARRATIVE
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The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 30-CC-20220502171452
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: VASQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197407790
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/28/2022
Section Cited
CCR
102416.5(e)
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Staffing Ratio and Capacity (e)if no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home This requirement was not met as evidence by
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During today's visit, Licensee was in compliance.
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Based on LPA’s observation of licensee caring for 4 infants and 3 children without an assistant, which poses an immediate Health & Safety risk to children
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4