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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197411822
Report Date: 11/03/2022
Date Signed: 11/07/2022 11:52:51 AM

Substantiated


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
10/26/2022 and conducted by Evaluator Antonio Almanza
COMPLAINT CONTROL NUMBER: 58-CC-20221026151105
FACILITY NAME:PADILLA FAMILY CHILD CAREFACILITY NUMBER:
197411822
ADMINISTRATOR:PADILLA, SONIA I.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 290-5366
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY:14CENSUS: 7DATE:
11/03/2022
UNANNOUNCEDTIME BEGAN:
08:37 AM
MET WITH:Licensee Sonia PadillaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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9
Personal Rights - Licensee does not inspect children for illness.
INVESTIGATION FINDINGS:
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On 11/03/2022 at 8:37 a.m., Antonio Almanza, Licensing Program Analyst (LPA), conducted an unannounced site visit for the purpose of Investigating Complaint Allegation received on 10/26/22. LPA met with Licensee Sonia Padilla and Assistant Villma Avila, and explained the purpose of the visit. During today’s visit there are 2 Adults and 7 Children in care. Assistant guided LPA on a tour of the facility and assisted LPA during the visit. Risk Assessment was completed prior to conducting visit.

During today’s visit LPA Almanza made observations regarding the aforementioned allegation.

According to the allegations the licensee does not check any of the children for signs of illness and all the ill children are allowed to stay in the facility.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
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 5
Control Number 58-CC-20221026151105
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: PADILLA FAMILY CHILD CARE
FACILITY NUMBER: 197411822
VISIT DATE: 11/03/2022
NARRATIVE
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At 8:49 AM LPA observed Child 6 get dropped off by the parent, the parent walked in, sat the child on the couch next to the Licensee, and the licensee did not conduct a wellness check. At 8:53 AM, LPA observed Child 7 get dropped off at the door by the parent and the licensee did not conduct a wellness check of the child. LPA observed all 7 children in care with runny noses.

After considering available information, facility is not conducting wellness checks and are allowing children into the facility that are sick. Children are not being assessed for potential illnesses such as Covid-19, RSV, or Flue; which can lead to an outbreak and or have severe health consequences to children in care.

Based on LPAs observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California code of Regulations, Title 22, Division 12 & Chapter 1, are being cited on the attached LIC9099D.

During today’s visit ONE Type A violation is being issued:


1. 102423 (a)(2) Personal Rights- To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

*** A copy of this report must be provided to the authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months. The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of this Report (LI9099s/9099D), Appeal Rights (LIC9058), and Notice of Site Visit were reviewed and provided to the Licensee Sonia Padilla and Assistant Villma Avila.

SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 58-CC-20221026151105
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: PADILLA FAMILY CHILD CARE
FACILITY NUMBER: 197411822
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/04/2022
Section Cited
CCR
102423(a)(2)
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1. 102423(a)(2) Personal Rights- To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
This Requirement is not met as evidenced by:
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Licensee will write statement and start to conduct wellness checks and have parents keep children when they have any symptoms associated to Covid, RSV or Flue that may be contages to other children in care.
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Based on observation, LPA did not observed the Licensee conduct wellnes check of child 6 & 7 and 7 children in care have runny noses, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Licensee will provide wriiten statement by 11/04/22
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5
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
10/26/2022 and conducted by Evaluator Antonio Almanza
COMPLAINT CONTROL NUMBER: 58-CC-20221026151105

FACILITY NAME:PADILLA FAMILY CHILD CAREFACILITY NUMBER:
197411822
ADMINISTRATOR:PADILLA, SONIA I.FACILITY TYPE:
810
ADDRESS:3545 POTOMAC AVENUETELEPHONE:
(323) 290-5366
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY:14CENSUS: 7DATE:
11/03/2022
UNANNOUNCEDTIME BEGAN:
08:37 AM
MET WITH:Licensee Sonia PadillaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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9
Physical Plant - Facility is not kept clean.
INVESTIGATION FINDINGS:
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On 11/03/2022 at 8:37 a.m., Antonio Almanza, Licensing Program Analyst (LPA), conducted an unannounced site visit for the purpose of Investigating Complaint Allegation received on 10/26/22. LPA met with Licensee Sonia Padilla and Assistant, and explained the purpose of the visit. During today’s visit there are 2 Adults and 7 Children in care. Assistant guided LPA on a tour of the facility and assisted LPA during the visit. Risk Assessment was completed prior to conducting visit.

During today’s visit LPA Almanza made observations regarding the aforementioned allegation.

According to the allegations the licensee does not clean her home; the carper and the furniture are very dirty.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 58-CC-20221026151105
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: PADILLA FAMILY CHILD CARE
FACILITY NUMBER: 197411822
VISIT DATE: 11/03/2022
NARRATIVE
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During todays visit, LPA observed the living room, dinning room and back room that is used for children in care. LPA observed this areas to be clean, orderly and free of any unpleasant odors. LPA did not observe the areas to be dirty or with clutter. LPA observed a back room that did not have an unpleasant odor with a carpet that does not appear to be soiled.

Based on the information obtained from the Reporting Party and LPAs observations, LPA is unable to corroborate the allegation, Facility is not kept clean. Therefore, the allegation is 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 allegation occurred.

A copy of this report, Notice of Site Visit, and Appeal Rights were explained and provided to Licensee Sonia Padilla and Assistant.

SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3057
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5