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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416878
Report Date: 08/18/2021
Date Signed: 08/20/2021 10:27:31 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
05/27/2021 and conducted by Evaluator Lisa Clayton
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210527164133
FACILITY NAME:MINWALLA FAMILY CHILD CAREFACILITY NUMBER:
197416878
ADMINISTRATOR:MINWALLA, SHAMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 801-8155
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY:14CENSUS: 10DATE:
08/18/2021
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Shama Minwalla, LicenseeTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
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5
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7
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9
Personal Rights: Licensee made inappropriate comments towards day care child
Reporting Requirements: Licensee did not notify day care child's authorized representative of child being sick
Personal Rights: Licensee is discussing day care child's confidential information in the presence of others
Personal Rights: Licensee denied day care child's authorized representative from entering facility
Personal Rights: Licensee is not providing day care child's authorized representative with enrollment information
Personal Rights: Licensee did not make sure day care child had adequate food
INVESTIGATION FINDINGS:
1
2
3
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5
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7
8
9
10
11
12
13
On August 08/18/2021, LPA Clayton conducted an unnanounced visit to deliver the findings of the above allegations. LPA toured the home for Health & Safety inspection. Present was licensee and 10 children in care.
During the investigation, LPA conducted interviews with licensee, staff, and parents of children in care. LPA observed licensee's interactions with parents and children in care, both beinbg handled appropriately. Interviews with parents revealed they have no concerns regarding the facility. Some parents stated their children have been attending the facility for 2 years or more as well as their siblings , and that they are happy with the care provided to their children by licensee and staff.
Based on LPAs observations and interviews which were conducted and record review(s), the above allegation(s) is found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lisa ClaytonTELEPHONE: (424) 301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2021
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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