<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416526
Report Date: 08/08/2022
Date Signed: 08/08/2022 03:14:48 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
05/17/2022 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220517130638
FACILITY NAME:JOHNSON FAMILY CHILD CAREFACILITY NUMBER:
197416526
ADMINISTRATOR:JOHNSON, MARILYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 839-2498
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:12CENSUS: 3DATE:
08/08/2022
UNANNOUNCEDTIME BEGAN:
02:43 PM
MET WITH:Marilyn Johnson, LicenseeTIME COMPLETED:
03:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1) Neglect/Lack of Supervision: Licensee does not supervise daycare children properly
2) Personal Rights: Licensee speaks inappropriately to daycare children
3) Food Service: Facility does not meet daycare children's dietary needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/08/2022 at 2:40 pm, Licensing Program Analyst (LPA) Silva Garibyan arrived at Johnson FCCH to deliver the findings of the complaint investigation. The complaint was received on 05/17/2022. LPA met with Marilyn Johnson, Licensee who guided the LPA on a tour of the facility. LPA explained the reason for the visit. Upon arrival LPA observed three children (including one infant) with licensee.
Based upon the evidence obtained through the course of investigation which include observations at the facility, interview with relevant parties there is insufficient evidence to support or disprove the above allegations. LPA determined the allegations are 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
An exit interview was conducted with Marilyn Johnson, in which this report was reviewed by LPA Garibyan. A copy of this report, a Notice of Site Visit (LIC 9213) and Appeal rights were issued to Marilyn Johnson, Licensee. The Licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022
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 1