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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492900
Report Date: 06/20/2019
Date Signed: 06/21/2019 11:52:03 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
04/03/2019 and conducted by Evaluator Veronica Wheatley
COMPLAINT CONTROL NUMBER: 30-CC-20190403161133
FACILITY NAME:MARTINEZ FAMILY CHILD CAREFACILITY NUMBER:
197492900
ADMINISTRATOR:MARTINEZ, JASMINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 427-0134
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY:14CENSUS: 7DATE:
06/20/2019
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jasmine MartinezTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained unexplained injuries while in care
Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst, V. Wheatley conducted an investigation regarding the above allegations. LPA met with licensee at 11am and observed 7 children in care. The children were observed supervised by the license. The licensee denies the allegations and states the child did not have any injuries in care. Licensee states she does not yell at the children.

LPA obtained the children's roster and interviewed witnesses and Child #3.

Based on information obtained and interviews conducted there is not a preponderance of evidence to substantiate the allegation, therefore the allegation is unsubstantiated. Meaning although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2019
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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