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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419791
Report Date: 06/08/2023
Date Signed: 06/08/2023 01:11:48 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
03/13/2023 and conducted by Evaluator Justin Dorsey
COMPLAINT CONTROL NUMBER: 12-CC-20230313111025
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: DATE:
06/08/2023
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:TIME COMPLETED:
01:26 PM
ALLEGATION(S):
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Allegation #1:Child was locked outside the childcare home by an adult for an extended period of time.
Allegation #2:Licensee is not in the home for the required amount of time that the facility is providing care per day.
Allegation #3: Children are not adequately supervised while in care.
INVESTIGATION FINDINGS:
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On 06/08/23 Licensing Program Analyst (LPA) Justin Dorsey conducted an complaint investigation at the facility to deliver complaint investigation findings. Upon arrival LPA met with Licensee Adriana Giani. LPA observed 4 children in care with Licensee Giani and Staff #1.

During the course of the investigation LPA Dorsey interviewed, The Licensee, staff, complainant, and children. While investigating allegation #1 LPA Dorsey interviewed Staff #1 who claims that Child #1 was not locked outside but instead refused to come in when the other children were brought in the home due to it being cold and getting dark outside. According to interviews with Child #1 he did not come inside the home because he did not know what Staff #1 was saying due to a language barrier. Child #1 states that while they were outside they were sitting on a chair by the door, the child stated that they did not ask Staff #1 to come in the home but instead was scared to move from the chair due to the Licensees dog being in the vicinity. According to Staff #1 the child was in the backyard for around 20 minutes.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
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 4
Control Number 12-CC-20230313111025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: GIANI FAMILY CHILD CARE
FACILITY NUMBER: 197419791
VISIT DATE: 06/08/2023
NARRATIVE
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LPA Dorsey investigated Allegation #2, according to the Licensee and Staff #1 the licensee does leave the home in the morning and afternoon to conduct children drop-off and pick-ups. LPA Dorsey found through interviews with the licensee, Staff #1 and children that a qualified assistant is present when the licensee leaves the home.

In regard to allegation #3, LPA Dorsey found during an Interview with Child #2 that although there was no one with Child #1 outside Staff #1 would sometimes check on the child through the sliding glass door in the day care.

After observations and interviews with parties related to the allegations it was found that the allegations could not be collaborated. Therefore, the allegations have been found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility is not providing a safe and healthful environment, Therefore the above allegations are Unsubstantiated.

An exit interview was conducted, and a copy of this report was provided to Licensee Giani along with Notice of Site Visit and Appeal Rights.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
03/13/2023 and conducted by Evaluator Justin Dorsey
COMPLAINT CONTROL NUMBER: 12-CC-20230313111025

FACILITY NAME:GIANI FAMILY CHILD CAREFACILITY NUMBER:
197419791
ADMINISTRATOR:GIANI, ADRIANAFACILITY TYPE:
810
ADDRESS:12173 BUCKEYE AVETELEPHONE:
(818) 364-2228
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:14CENSUS: 4DATE:
06/08/2023
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Adriana GianiTIME COMPLETED:
01:26 PM
ALLEGATION(S):
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Pet in the home is not adequately supervised while around children in care
INVESTIGATION FINDINGS:
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On 06/08/23 Licensing Program Analyst (LPA) Justin Dorsey conducted a complaint investigation at the facility to deliver complaint investigation findings. LPA met with Licensee Adriana Giani, who allowed LPA to tour of the facility. Upon arrival LPA observed 4 children.

During this investigation, LPA Dorsey interviewed, the Licensee, staff, complainant, and children. According to interviews the Licensee, Staff #1 and children at the home it was found that Child #3 was scratched by the licensees dog while at the home. Based on information obtained, interviews with relevant complaint parties, licensee, parents and children the allegations are deemed SUBSTANTIATED and a citation will be issued. A finding of substantiated means that allegations were valid because the preponderance of the evidence standard has been met.

An exit interview was conducted, a copy of this report read out, notice of site visit and appeal rights was given to Licensee Giani.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 12-CC-20230313111025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: GIANI FAMILY CHILD CARE
FACILITY NUMBER: 197419791
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/16/2023
Section Cited
CCR
102423(a)(2)
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102423 Personal Rights (a)(2)
(a) Each child receiving services from a family child care home shall have certain rights...(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement is not met as evidenced by:
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Per Licensee she will send LPA Dorsey a written statement on how supervision will be provided when children are in the presence of the dog by POC due date 06/16/23
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Based on interview with the Licensee, Staff #1, and children, Child #1 was scratched by the Licensees dog in the home which poses a potential Health, Safety or Personal Rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4