197409652-11-21-2019-30-CC-SJSN-BJQ2GB-20191209162250

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197409652
Report Date: 11/21/2019
Date Signed: 11/21/2019 02:30:59 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
09/11/2019 and conducted by Evaluator Veronica Wheatley

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20190911154755

FACILITY NAME:	SMITH FAMILY CHILD CARE		FACILITY NUMBER:	197409652
ADMINISTRATOR:	SMITH, ANYETTA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 532-6052
CITY:	GARDENA	STATE: CA	ZIP CODE:	90247
CAPACITY:	14	CENSUS: 8	DATE:	11/21/2019
		UNANNOUNCED	TIME BEGAN:	12:55 PM
MET WITH:	Anyetta Smith		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Lack of Supervison - Child was injured in care by another child in care.
Personal Rights - Adult in home demonstrated inappropriate form of discipline towards child in care.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Veronica Wheatley and Ericka Hill conducted an inspection regarding the above allegations. LPAs met with the licensee at 12:55PM. LPA's interviewed the licensee, licensee's assistant (Staff #1) and Child #3. LPA V. Wheatley previously interviewed the complainant and Staff #1.

Based on the observations, information obtained and interviews which were conducted, there is not a preponderance of evidence to substantiate the allegation for lack of care and supervision or personal rights therefore the allegation is unsubstantiated. Child #1 was bitten by Child #2 however the facility is not being cited for care and supervision. There were two adults, Staff #1 and Staff 2, supervising the children. The unsubstantiated finding 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.

Exit interview. A copy of this report was provided to the licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 11/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019

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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