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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415454
Report Date: 11/23/2021
Date Signed: 11/23/2021 12:00:42 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/11/2021 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20210811131801
FACILITY NAME:RIVERA FAMILY CHILD CAREFACILITY NUMBER:
197415454
ADMINISTRATOR:RIVERA, ROSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 293-4839
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY:14CENSUS: 3DATE:
11/23/2021
UNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Rosa Rivera, LicenseeTIME COMPLETED:
12:04 PM
ALLEGATION(S):
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Conduct of adult in the home poses a risk to children in care
INVESTIGATION FINDINGS:
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 Inspection conducted in Spanish
This complaint inspection was conducted by Licensing Program Analyst (LPA) Alicia Mooberry. LPA arrived at the facility to deliver the findings to the complaint investigation. LPA met with Licensee, Rosa Rivera, there were a total of 3 children during today's inspection. Also present is Aubrey Lovo, Licensee's adult son and assistant. All adults livign in the home have obtained a background clearance.

During the course of the investigation Alicia Mooberry LPA interviewed Children, parents and staff. Child#1 and Child#2. Adult #1, Adult #2, and Parents #1, #2, #3 made no disclosures to support the allegation.
The Licensee states that the children are always supervised and cared for.

Based on interviews conducted the department is unable to determine if the allegation occured. Therefore, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur,..
Report continues on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
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 54-CC-20210811131801
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RIVERA FAMILY CHILD CARE
FACILITY NUMBER: 197415454
VISIT DATE: 11/23/2021
NARRATIVE
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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.
Exit interview conducted with Licensee Rosa Rivera. Appeal rights were given and explained.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 11/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/23/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2