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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417598
Report Date: 09/03/2024
Date Signed: 09/04/2024 08:35:29 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
06/21/2024 and conducted by Evaluator Ranita Richmond
COMPLAINT CONTROL NUMBER: 30-CC-20240621123936
FACILITY NAME:GOMEZ FAMILY CHILD CAREFACILITY NUMBER:
197417598
ADMINISTRATOR:GOMEZ, BEATRIZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 834-0654
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY:14CENSUS: 2DATE:
09/03/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Beatriz GomezTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
neglect/lack of supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/03/2024, LPA Ranita Richmond conducted an unannounced visit to deliver the findings on the above allegations. LPA Richmond was greeted by Licensee Beatriz Gomez. LPA Richmond toured the home inside and outside for Health & Safety inspection. LPA Richmond observed 2 children being supervised and cared for by licensee.

Based on observation, records review, and interviews, there is no evidence to show that there was neglect/ lack of supervision. Therefore, the above allegation 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.

Per Title 22 Regulations and Health and Safety Codes, no citations were issued.
An exit interview was conducted, a copy of this report was read and provided to Licensee Beatriz Gomez.
Notice of Site Visit was provided and required to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Ranita RichmondTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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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