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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417027
Report Date: 10/18/2019
Date Signed: 10/18/2019 11:12:00 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
08/01/2019 and conducted by Evaluator Jesse Sims
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20190801163650
FACILITY NAME:ALGOSO FAMILY CHILD CAREFACILITY NUMBER:
197417027
ADMINISTRATOR:ALGOSO, CARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 263-7430
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:14CENSUS: 1DATE:
10/18/2019
UNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Carmen AlgosoTIME COMPLETED:
11:25 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Adult in home conduct poses a threat to day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/18/19 10:01 A.M., Licensing Program Analysts (LPAs), Isabel Ortega and Jesse Sims arrived at the above facility for the purpose of conducting a complaint investigation related to the above allegation. LPAs disclosed the purpose of the visit and were granted entry into the facility and observed 1 child in care.
During the course of the investigation, LPAs obtained copies of roster, completed file reviews, conducted interviews with children, staff and parent. Based on conducted interviews and after reviewing all pertinent information related to the complaint, and completing an additional facility inspection of all rooms it was determined there were no witnesses or reports to substantiate adult's conduct in home poses a threat to day care children. Additionally, according to Licensee the alleged adult is no longer in the home.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the aforementioned allegation is unsubstantiated.

An exit interview was conducted, a copy of this report, notice of site visit, and appeal rights were provided to licensee Carmen Algoso.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Jesse SimsTELEPHONE: (661) 369-2168
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019
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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