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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419791
Report Date: 05/09/2022
Date Signed: 05/09/2022 12:03:17 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/20/2022 and conducted by Evaluator Justin Dorsey
COMPLAINT CONTROL NUMBER: 12-CC-20220120095020
FACILITY NAME:GIANI FAMILY CHILD CAREFACILITY NUMBER:
197419791
ADMINISTRATOR:GIANI, ADRIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 364-2228
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:14CENSUS: 3DATE:
05/09/2022
UNANNOUNCEDTIME BEGAN:
11:36 AM
MET WITH:Adriana GianiTIME COMPLETED:
12:17 PM
ALLEGATION(S):
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9
Licensee did not prevent inappropriate behaviors with day care children
Adult in home makes inappropriate comments towards day care children
Licensee used inappropriate forms of pounishment for day care chidlren
Facility is out of ratio
Licensee allows children to watch Adult movie
INVESTIGATION FINDINGS:
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3
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On 05/09/22, Licensing Program Analyst (LPA) Justin Dorsey conducted an unannounced complaint inspection to deliver findings on the above allegations. Upon entry LPA met with licensee Adriana Giani. The Department of Social Services Community Care Licensing Investigation Branch conducted the investigation on the above allegations. During the visit LPA counted 3 children in care with Licensee and Assistant #1

During the course of investigation, Investigation Branch (IB) Investigator Christine Ferris conducted interviews with children and witnesses related to the complaint. Based on evidence obtained and interviews conducted, the allegations are deemed unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations did or did not occur.

An exit interview was conducted, a copy of this report, and a notice of site visit were provided to the Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2022
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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