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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415684
Report Date: 10/04/2021
Date Signed: 10/04/2021 02:28:06 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
09/30/2021 and conducted by Evaluator Margarit Sislyan
COMPLAINT CONTROL NUMBER: 30-CC-20210930111022
FACILITY NAME:MENDEZ FAMILY CHILD CAREFACILITY NUMBER:
197415684
ADMINISTRATOR:MENDEZ, CLAUDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 815-8535
CITY:NORTHRIDGESTATE: CAZIP CODE:
91325
CAPACITY:14CENSUS: 7DATE:
10/04/2021
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Claudia MendezTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Food Services - Food served to day care children is of poor quality.
Physical Plant - Day care home is not kept clean.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Margarit Sislyan, Licensing Program Analyst (LPA) arrived at the facility to conduct a complaint investigation visit. LPA met with Claudia Mendez, Licensee.
LPA toured the facility and observed there were 7 children were present a home along with licensee and her helper .LPA observed the facility was clean and in compliance.

During the investigation LPA interviewed parties and reviewed documents relevant to the above allegation.
Based on investigation conducted and preponderance of evidence the above allegations are 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.

Exit interview
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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