<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197413350
Report Date: 08/15/2019
Date Signed: 08/15/2019 01:10:11 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
06/03/2019 and conducted by Evaluator Martha J Vasquez
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190603170655
FACILITY NAME:MARTINEZ FAMILY CHILD CAREFACILITY NUMBER:
197413350
ADMINISTRATOR:MARTINEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 703-7367
CITY:CANOGA PARKSTATE: CAZIP CODE:
91303
CAPACITY:14CENSUS: 10DATE:
08/15/2019
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Maria Martinez, LicenseeTIME COMPLETED:
01:29 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
License: Uncleared adults residing in licensee home.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Martha Vasquez conducted a complaint investigation inspection to the aforementioned facility for the purposes of interviewing the licensee, staff, children, other relevant parties, and to deliver the findings. Upon arrival, LPA met with Maria Martinez, Licensee. LPA toured the facility indoors and outdoors upon her arrival to the facility and observed 8 children in care; 1 of whom was an infant. Shortly after, 2 school-age children arrived at the facility. Also present at the facility was the licensee's assistant/daughter.

This agency has investigated the complaint alleging: License: Uncleared adults residing in licensee home. Based upon the evidence obtained through the course of investigation which include facility observations, records reviewed, and interviews with relevant parties. We have concluded there is not a preponderance of the evidence to prove that the alleged violation occurred. 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 completed and a copy of this report was provided to Maria Martinez, Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Martha J VasquezTELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
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 1