197419908-8-5-2021-54-CC-TCON-C5LMA8-20210805092556

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419908
Report Date: 07/08/2021
Date Signed: 08/05/2021 09:08:31 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/02/2021 and conducted by Evaluator Denise Gibbs

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20210702164051

FACILITY NAME:	HALL FAMILY CHILD CARE		FACILITY NUMBER:	197419908
ADMINISTRATOR:	HALL, CUPID		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 819-2445
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90018
CAPACITY:	14	CENSUS: 8	DATE:	07/08/2021
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Cupid Hall, Licensee		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee not allowing children to leave facility with parent.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

THIS IS AN AMENDED REPORT TO UPDATE VIEWING STATUS
This was a complaint inspection conducted by Denise Gibbs, Licensing Program Analyst (LPA) on 7/8/2021 at 10:00 AM. Initial complaint inspection was conducted with licensee, Cupid Hall.

During this inspection the Licensee took LPA on a tour of the facility. There were eight children present upon arrival. Two children reside in the home and are over 10 years old, not counted in capacity. Also present was Staff #1 (S1) and Adult #1(A1).

LPA conducted interview with licensee. At the end of the investigation Child One(C1), Child Two(C2) and Adult Two(A2) came to the facility to be interviewed. Per interviews C2 was not at the daycare during incident. C2 arrived when the police were at facility and was dropped off with their mother. According to Licensee, C1 did not want to go with parent, that is why child would not go outside to parents car. C1 and C2 are licensee's grandchildren. According to the Crystal Stairs time sheets C1 and C2 were in daycare ---------------Page 1

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

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 54-CC-20210702164051

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HALL FAMILY CHILD CARE	FACILITY NUMBER: 197419908
	VISIT DATE: 07/08/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

from 12:35 AM to 7:31AM, dad dropped off C1 again at facility at 4:20PM due to mother missing the agreed upon pick up time. Per licensee she did not sign in C1 as a daycare child on the Crystal Stairs time sheet because they were in the home as a grandchild, not a daycare child. Per licensee, she did not keep child from going with parent, C1 refused to go outside, stating they did not want to go parent.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days.

Exit interview was conducted with Cupid Hall, Licensee, during which appeal rights were explained. This report along with a copy of the appeal rights was provided to licensee. -----------PAGE 2

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 07/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2