197409619-9-3-2019-30-CC-MRUZ-BFVTLN-20190910144947

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197409619
Report Date: 08/30/2019
Date Signed: 09/03/2019 09:03:27 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
06/11/2019 and conducted by Evaluator Silva Garibyan

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20190611093507

FACILITY NAME:	ACOSTA FAMILY CHILD CARE		FACILITY NUMBER:	197409619
ADMINISTRATOR:	ACOSTA, MARIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 506-0818
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91606
CAPACITY:	14	CENSUS: 7	DATE:	08/30/2019
		UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Maria Acosta		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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1) Licensee failed to address daycare children's diapering needs
2) Licensee hits day care children

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Silva Garibyan conducted a visit to the facility for the purpose of delivering the findings on the above allegations. LPA met with . director. LPA Maria Acosta, licensee. Garibyan toured the facility with the licensee, at 11:20 a.m. on 08/30/2019. There were 7 children ( including one infant) and two assistants present at the time of the visit.
Based upon the evidence obtained through the course of reviewing documentations and interviews, there is insufficient evidence to support or disprove that Licensee failed to address daycare children's diapering needs
and Licensee hits day care children. Therefore, this allegation has been determined 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 alleged violation occurred.
An exit interview was conducted and a copy of this report was provided..

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019

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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