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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197409069
Report Date: 02/24/2023
Date Signed: 02/24/2023 11:27:10 AM

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
11/29/2022 and conducted by Evaluator Jillinda Chandler
COMPLAINT CONTROL NUMBER: 58-CC-20221129121609
FACILITY NAME:DAVIDS FAMILY CHILD CAREFACILITY NUMBER:
197409069
ADMINISTRATOR:JILDA J. DAVIDSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 648-8059
CITY:ENCINOSTATE: CAZIP CODE:
91316
CAPACITY:14CENSUS: 10DATE:
02/24/2023
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Jilda Davids - licenseeTIME COMPLETED:
11:29 AM
ALLEGATION(S):
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1. Licensee operated beyond the terms of the license.

2. Day-care children are left in a car seat for a long period of time.

3. Licensee not meeting the needs of the children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Jillinda Chandler, conducted an unannounced visit at the Davids Family Child Care Home, on 02/24/2023 for the purpose of delivering findings for Complaint Control Number: 58-CC-20221129121609 Complaint investigation was conducted by LPA, Shandra Powell. During the investigation no disclosures were made regarding the above allegations. Based upon the evidence obtained during this investigation including interviews, file review and documentation received the above allegations have been UNSUBSTANTIATED: Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is Unsubstantiated.
Exit interview was conducted with Licensee. The licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023
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
Control Number 58-CC-20221129121609
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: DAVIDS FAMILY CHILD CARE
FACILITY NUMBER: 197409069
VISIT DATE: 02/24/2023
NARRATIVE
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The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2