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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416593
Report Date: 05/11/2021
Date Signed: 05/12/2021 08:19:29 AM



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
03/05/2021 and conducted by Evaluator Lourdes Castellanos
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210305085510
FACILITY NAME:REYES FAMILY CHILD CARE HOMEFACILITY NUMBER:
197416593
ADMINISTRATOR:REYES, AURORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 298-7883
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:14CENSUS: 6DATE:
05/11/2021
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Aurora ReyesTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Personal Right-Licensee's son hit child in care
INVESTIGATION FINDINGS:
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On 05/11/2021 at 3:30pm, Licensing Program Analyst (LPA) Lourdes Castellanos conducted an unannounced tele-inspection visit with licensee, Aurora Reyes. The visit was conducted through Tele-visit due to the current public health crisis, COVID-19. LPA advised licensee, the purpose of today’s tele-inspection is to deliver the findings from the complaint received at the El Segundo Child Care Regional Office on 03/05/21 regarding the allegation, Personal Rights: License son hit child in care. During the investigation, LPA Castellanos conducted interviews with the licensee, staff, and children.

The Licensee reported that Child 1 (C1) and Child 2 (C2) are taking distance Learning classes from 9-1pm. C2 is 6 years older than C1. When C2 finishes the distance learning class, C2 walks past C1’s seating area to get to his room. Licensee reported that this is when C1 and C2 play inappropriately by hitting each other as of form of play.

Continues - LIC 9099 C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lourdes CastellanosTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
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 3
Control Number 30-CC-20210305085510
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: REYES FAMILY CHILD CARE HOME
FACILITY NUMBER: 197416593
VISIT DATE: 05/11/2021
NARRATIVE
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Interviews with the children and staff revealed that children play inappropriately with each other by hitting one another. Based on LPAs observation and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California code of Regulations, Title 22, Division 12 & Chapter 1, Article 6), Type A-102417(a) are being cited on the attached LIC9099D.

Upon the receipt of this report, the report must be posted along with the Notice of Site Visit for 30 days for parents to view. Licensees must provide a copy of this report to the parents/guardians of children enrolled and to newly enrolled at the facility during the next 12 months. The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.

An exit interview was conducted with licensee Aurora Reyes. A copy of this report, appeal rights and a Notice of Site Visit were explained and are being emailed to licensee Aurora Reyes. LPA explained that a reply to the email shall be considered a substitute for the hard-copy signature.

SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lourdes CastellanosTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20210305085510
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: REYES FAMILY CHILD CARE HOME
FACILITY NUMBER: 197416593
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/11/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/13/2021
Section Cited
CCR
102417(a)
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The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence.
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Licensee will provide written statement acknowledging of how she will ensure adequate supervision at all times and will take action immediate to stop inappropriate play.


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Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.This standard was not met as evidenced by: statement of witnesses that the C1 and C2 engaged in inappropriate playing with each other. his is an immediate risk to the personal rights of children in care.
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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lourdes CastellanosTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3