197407893-11-16-2020-30-CC-SJSN-BVUTTH-20201130140042

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197407893
Report Date: 11/16/2020
Date Signed: 11/16/2020 03:43:13 PM

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
10/14/2020 and conducted by Evaluator Lisa Rios

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20201014125554

FACILITY NAME:	CHUNG FAMILY CHILD CARE		FACILITY NUMBER:	197407893
ADMINISTRATOR:	MAY LING CHUNG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 634-4829
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91304
CAPACITY:	14	CENSUS: 3	DATE:	11/16/2020
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Licensee		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff interacted with day-cared child in an inappropriate manner.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 11/16/2020 Licensing Program Analyst Lisa Rios conducted a tele-visit (due to Covid-19) to the Chung Family Child Care Home Home for the purpose of concluding the investigation on the above allegations and to deliver the findings. LPA Rios met with the Licensee and together discussed the investigation details.
Based on the interviews conducted during the investigation process and statements obtained during the investigation process, the allegations cannot be substantiated. Therefore 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.
There are no deficiencies noted or cited per California Code Regulation, TITLE 22, DIVISION 6, CHAPTER 1, Articles 1-7.
Exit interview was conducted with the facility administrator. A copy of this report was emailed to the licensee for signature due to Covid-19.

Unsubstantiated

Estimated Days of Completion: 30

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2020

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