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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415896
Report Date: 11/08/2019
Date Signed: 11/08/2019 02:06:57 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
09/10/2019 and conducted by Evaluator Denise Miranda
COMPLAINT CONTROL NUMBER: 30-CC-20190910152114
FACILITY NAME:ARTADI FAMILY CHILD CAREFACILITY NUMBER:
197415896
ADMINISTRATOR:ARTADI, ELOISEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 832-7347
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:14CENSUS: 6DATE:
11/08/2019
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Eloise Artadi, LIcensee and Two assistants TIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Licensee administered an oinment without the child's authorized representatives consent.
INVESTIGATION FINDINGS:
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On 11/8/2019 at 12:40pm, Licensing Program Analyst (LPAs) Denise Miranda arrived at Artadi Family Child Care located at 2542 S. Bundy Blvd, Los Angeles, 90064, for the purpose of investigating the above-mentioned allegation. Upon arrival, LPA was greeted by Eloise Artadi, licensee, and two Licensee’s assistants. LPA observed 6 (which 2 were infants) children in care. LPA verified that all adults present in the home have obtained criminal record clearances and are associated to the facility.

LPA obtained copy of roster and Identification and emergency information forms.
Based on LPA's interviews and other information obtained through the course of the investigation, the allegation that Licensee administered an ointment without the child's authorized representatives’ consent was substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
The facility is issued a Type B citation today, 11/4/2019 (See LIC 9099-D for deficiency cited). An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit were provided to Eloise Artadi, licensee.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
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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Control Number 30-CC-20190910152114
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: ARTADI FAMILY CHILD CARE
FACILITY NUMBER: 197415896
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/08/2019
Section Cited
CCR
102423(a)(4)
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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: .....medication or aids to physical functioning. This requirement is not met as evidenced by: on 11/9/2019 licensee

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Licensee provided a declaration that she understand per title 22 and H&S, that she will not apply any medication without have parents consent.
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confirmed that licensee applied her own ointment without parents consent.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2019
LIC9099 (FAS) - (06/04)
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