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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418634
Report Date: 08/07/2019
Date Signed: 08/08/2019 12:50:24 PM



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
05/10/2019 and conducted by Evaluator Christopher Garlington
COMPLAINT CONTROL NUMBER: 30-CC-20190510164956
FACILITY NAME:DAVIS FAMILY CHILD CAREFACILITY NUMBER:
197418634
ADMINISTRATOR:DAVIS, KEENANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 772-1381
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY:14CENSUS: 11DATE:
08/07/2019
UNANNOUNCEDTIME BEGAN:
12:32 PM
MET WITH:Keenan DavisTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee hit child resulting in bruising
Licensee did not allow child to nap
Licensee did not offer child food
Lack of supervision resulting in children injuring other children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Christopher Garlington conducted an unannounced initial Complaint Investigation at the facility and met with Keenan Davis, licensee. Eleven children were in care, including 2 infants. Aides 1 and 2 were present providing care, both are fingerprint cleared and associated to the facility.

LPA interviewed Licensee, Aide 1, Aide 2, Child 1, Child 2, and Child 3. Licensee also provided screenshots of past texting conversations with Reporting Party.

Based on the interviews conducted and evidence obtained LPA has determined the finding to be Unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated has been made although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
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
Control Number 30-CC-20190510164956
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: DAVIS FAMILY CHILD CARE
FACILITY NUMBER: 197418634
VISIT DATE: 08/07/2019
NARRATIVE
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LPA discussed in depth Safe Sleep practices and provided the following websites for review by the Licensee:
Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials

19-02 CCP Safe Sleep Awareness Campaign

AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx

NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative

SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2