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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414248
Report Date: 10/11/2022
Date Signed: 10/11/2022 11:07:25 AM

Unsubstantiated


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
08/09/2022 and conducted by Evaluator Miriam Cohen
COMPLAINT CONTROL NUMBER: 30-CC-20220809092249

FACILITY NAME:CHAVEZ FAMILY CHILD CAREFACILITY NUMBER:
197414248
ADMINISTRATOR:CHAVEZ, MARIA & SUSANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 398-4910
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY:14CENSUS: 3DATE:
10/11/2022
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Maria Chavez, LicenseeTIME COMPLETED:
11:26 AM
ALLEGATION(S):
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Licensee is not providing a safe environment for the day care children
INVESTIGATION FINDINGS:
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On 10/11/2022 @ 9:45 AM, Licensing Program Analyst (LPA), Miriam Cohen met with the licensee, Maria Chavez, for the purpose of delivering the finding concerning the above allegation. LPA observed licensee and one assistant caring for three children. Based upon the following observations below, facts revealed that, there is not a preponderance of the evidence to support that the licensee committed the allegation:
Licensee is not providing a safe environment for the day care children.
A. Visual observation during initial visit on 08/11/2022 and delivery of finding visit today, 10/11/2022 ~ LPA observed children playing safely in the facility, indoor and outdoor. LPA did not observe any disturbance and/or police activities concerning the facility during both visits.
B. Consultation with management
Therefore, the following conclusion has been determined concerning the above allegation: UNSUBSTANTIATED - A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20220809092249
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: CHAVEZ FAMILY CHILD CARE
FACILITY NUMBER: 197414248
VISIT DATE: 10/11/2022
NARRATIVE
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An exit interview and a copy of this report were provided to Maria Chavez, licensee.

On 08/11/2022 @ 10:15 AM, Licensing Program Analyst (LPA) Miriam Cohen conducted an unannounced 10-day complaint visit and notified the licensee, Maria Chavez, concerning the above allegations. During the visit, LPA toured the facility and observed Maria Chavez providing care for two children (one infant and a preschooler). At 11:00 AM, Susana Chavez, co-licensee, arrived with her personal children ages 15 (male), 12 (male),12 (male), nine (female), and six (female).
LPA obtained copies of the following: Current children roster with Emergency ID.
LPA interviewed both licensees during today’s visit; however, further witnesses and documentation will be needed to conclude the investigation. An exit interview was conducted with the above items discussed with Susana Chavez. A copy of this report was provided to licensee.


SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3