197419067-7-3-2019-12-CC-MRAN-BEKW5P-20190730165928

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419067
Report Date: 07/03/2019
Date Signed: 07/03/2019 04:09:50 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/11/2019 and conducted by Evaluator Brianna Reynoso

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20190611141050

FACILITY NAME:	ROSAZZA FAMILY CHILD CARE		FACILITY NUMBER:	197419067
ADMINISTRATOR:	ROSAZZA, LESLIE Y		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 673-5454
CITY:	SAUGUS	STATE: CA	ZIP CODE:	91350
CAPACITY:	14	CENSUS: 9	DATE:	07/03/2019
		UNANNOUNCED	TIME BEGAN:	02:20 PM
MET WITH:	Leslie Rosazza		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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- Facility staff pulled day care child's ears.
- Facility staff forced day care children to eat.
- Facility staff make inappropriate comments to day care children.

INVESTIGATION FINDINGS:

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On 7/3/2019, Licensing Program Analyst (LPA), Brianna Reynoso arrived at the above facility for the purpose of conducting a complaint investigation related to the above allegation. LPA disclosed the purpose of the visit and was granted entry into the home.

During today's investigation, LPA conducted interviews with Child 7, Staff 2, and the licensee. After conducting interviews and reviewing all pertinent information related to the complaint, LPA was unable to obtain consistent information regarding the allegations.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the aforementioned allegations are unsubstantiated.

An exit interview was conducted, a copy of this report, notice of site visit, and appeal rights were provided to licensee, Leslie Rosazza.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Brianna Reynoso	TELEPHONE: (661) 568-8179
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019

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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