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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417850
Report Date: 01/20/2023
Date Signed: 01/20/2023 02:56:29 PM

Unsubstantiated


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
10/25/2022 and conducted by Evaluator Doris Whitmore
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20221025131126
FACILITY NAME:CCRC HEAD START - CDI CANOGA PARKFACILITY NUMBER:
197417850
ADMINISTRATOR:ARMINE BAGUYMANFACILITY TYPE:
850
ADDRESS:7260 OWENSMOUTHTELEPHONE:
(818) 704-5207
CITY:CANOGA PARKSTATE: CAZIP CODE:
91303
CAPACITY:17CENSUS: 12DATE:
01/20/2023
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Sandra SuarezTIME COMPLETED:
02:55 PM
ALLEGATION(S):
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9
Allegation: Physical Plant
INVESTIGATION FINDINGS:
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 On 01/20/2023 at 1:50p.m. Licensing Program Analyst ( LPA) Doris Whitmore conducted an unannounced complaint visit for the purpose of delivering the findings of the investigation regarding the allegation above. LPA met with Sandra Suarez and observed 12children and 5 staff. at the time of visit.

On 11/01/2022, LPA Whitmore initiated the complaint investigation and met with the Director Sandra Suarez. LPA toured the facility indoors and outdoors, observing proper teacher/ child ratios with 13 children in care. LPA interviewed the Director, Staff and children obtained sign in sheets, personnel reports, cleaning schedule, daily schedules, health check repports, and supporting documentation pertaining to this investigation.
The Department conducted a full investigation, which included staff, interviews and interviews with relevant parties as well as a record review, including a review of documentation as related to the allegation. With the information obtained and interviews conducted the investigation did not provide sufficient evidence to substantiate the allegation of the facility not maintained clean and sanitary. Although the allegations
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023
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
Control Number 30-CC-20221025131126
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: CCRC HEAD START - CDI CANOGA PARK
FACILITY NUMBER: 197417850
VISIT DATE: 01/20/2023
NARRATIVE
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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 allegation is deemed unsubstantiated.
An exit interview was conducted, and a copy of this report, appeal rights, along with the Notice of Site Visit were provided to Sandra Suarez.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2