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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415262
Report Date: 04/26/2022
Date Signed: 04/26/2022 12:20:22 PM

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
02/03/2022 and conducted by Evaluator Antonio Almanza
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220203100320
FACILITY NAME:BONILLA FAMILY CHILD CAREFACILITY NUMBER:
197415262
ADMINISTRATOR:BONILLA, MAYRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 491-3296
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:14CENSUS: 10DATE:
04/26/2022
UNANNOUNCEDTIME BEGAN:
11:36 AM
MET WITH:Licensee: MAYRA BONILLATIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Allegation: Staff hit day care child.
INVESTIGATION FINDINGS:
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On 04/26/2022 at 11:39 a.m., Antonio Almanza, Licensing Program Analyst (LPA), conducted an unannounced site visit for the purpose of delivering finding for complaint received on 02/03/2022. LPA met with MAYRA BONILLA, Licensee, and explained the purpose of the visit. During todays visit there are 2 adults and 10 children in care.

During the course of the investigation, LPA Antonio Almanza conducted interviews and made observations regarding Allegation, Staff hit day care child.

Eight children that were interviewed are reporting that they are happy and like being at the family child care home. Children are reporting that they like the staff and are not reporting any issues or concern. Facility staff reported that they have never hit or seen another staff hit a child in care.

pg 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
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 2
Control Number 30-CC-20220203100320
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: BONILLA FAMILY CHILD CARE
FACILITY NUMBER: 197415262
VISIT DATE: 04/26/2022
NARRATIVE
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Based on all available information, LPA was unable to corroborate that the Allegation, Staff hit day care child did or did not happen. 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 the Licensee Mayra Bonilla.










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SUPERVISOR'S NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Antonio AlmanzaTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2