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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197411153
Report Date: 10/25/2021
Date Signed: 10/25/2021 12:12:25 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
08/04/2021 and conducted by Evaluator Laticia S Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210804152601
FACILITY NAME:JOHNSON FAMILY CHILD CAREFACILITY NUMBER:
197411153
ADMINISTRATOR:JOHNSON, LA TRICIA D.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 753-4453
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:14CENSUS: 3DATE:
10/25/2021
UNANNOUNCEDTIME BEGAN:
10:39 AM
MET WITH:La Trisha JohnsonTIME COMPLETED:
12:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is not present the required amount of time that care is provided
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On at 10/25/2021 Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced visit to Johnson Family Child Care. LPA met with La Trisha Johnson (licensee). LPA advised licensee the reason for the visit today is to deliver the findings of the complaint received on 08/04/2021regarding the allegations referenced above. LPA observed 3 children and 1 adult.

During the investigation of Allegation 1 revealed, there is not enough evidence to support nor deny that the allegation occurred. LPA interviewed parents and licensee and was unable to confirm that Licensee is not present the required amount of time that care is provided therefore the allegation is unsubstantiated.

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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021
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 30-CC-20210804152601
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: JOHNSON FAMILY CHILD CARE
FACILITY NUMBER: 197411153
VISIT DATE: 10/25/2021
NARRATIVE
1
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5
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7
8
9
10
11
12
13
14
15
16
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19
20
21
22
23
24
25
26
27
28
29
30
31
32
An exit interview was conducted with the Licensee, La Trisha Johnson, in which this report was read to her. LPA provided licensee with a copy of this report, a Notice of Site Visit (LIC 9213) and Appeal rights.

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.

SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2