197417799-7-9-2019-54-CC-TCON-BEELKD-20190725084924

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197417799
Report Date: 07/09/2019
Date Signed: 07/09/2019 01:29:28 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/17/2019 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190517091941

FACILITY NAME:	LEWIS FAMILY CHILD CARE		FACILITY NUMBER:	197417799
ADMINISTRATOR:	LEWIS, LA SHONDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 638-7151
CITY:	COMPTON	STATE: CA	ZIP CODE:	90222
CAPACITY:	14	CENSUS: 5	DATE:	07/09/2019
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Licensee		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights- While in care, child had a minor scratch on his face.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Tiffanie Tran arrived at the above facility to conduct an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the aformentioned allegation. About 12:45 PM, LPA met with Licensee with five children in care.
Based upon the evidence obtained during the course of the investigation through interviews, observation, and record reviews the evidence does not support, nor disprove the above allegation of licensee scratched child's face with her finger nail occurred at the facility. Per licensee stated, while in care child had fallen and hit his face on the concret area. Child sustained a minor scratch no medical required and parent was informed promtly. Therefore, the allegations have been determined unsubstantiated. 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 alleged violation occurred. The copy of this report was explained and issued to licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 07/09/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019

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 2