197493173-3-5-2024-12-CC-LKIG-D3AS86-20240312133834

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197493173
Report Date: 03/05/2024
Date Signed: 03/05/2024 02:53:43 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 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
01/04/2024 and conducted by Evaluator Mayra Rivera

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20240104142426

FACILITY NAME:	TERRAZAS AND RUIZ FAMILY CHILD CARE		FACILITY NUMBER:	197493173
ADMINISTRATOR:	TERRAZAS, A & RUIZ, F		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 641-3900
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	14	CENSUS: 3	DATE:	03/05/2024
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Florita Ruiz, Licensee		TIME COMPLETED:	03:27 PM

ALLEGATION(S):

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Licensee does not ensure adequate safety and comfort is provided for children in care
Licensee does not ensure adequate care and supervision is provided to children in care

INVESTIGATION FINDINGS:

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On Tuesday, March 5, 2024, at 1:20 p.m., Licensing Program Analyst (LPA), Mayra Rivera conducted an unannounced complaint inspection regarding, licensee does not ensure adequate safety and comfort is provided for children in care and licensee does not ensure adequate care and supervision is provided to children in care. LPA observed 3 children present getting ready for a nap and with the assistant present. LPA observed to be within ratio.

During the course of this investigation, Licensing Program Analyst Mayra Rivera conducted confidential interviews and reviewed documentation. During the interviews it was disclosed the services provided at the facility are good, no concerns with the quality of care and children have not mentioned any concerns with the quality of care. Two interviews stated that their child has been scratched while in care and one stated was notified about the scratches. Documentation revealed parents are notified when an incident occurs. LPA observed a mini split AC unit in the daycare room and three ceiling fans. The assistant present with the children has a background clearance and current Pediatric First Aid/CPR certification.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lady King	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (661) 603-1090
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024

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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Control Number 12-CC-20240104142426

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: TERRAZAS AND RUIZ FAMILY CHILD CARE	FACILITY NUMBER: 197493173
	VISIT DATE: 03/05/2024

NARRATIVE

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This agency has investigated the complaint. At this time, it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated. No deficiency given at this time.

Exit interview was conducted with licensee Florita Ruiz. The licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Lady King	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Mayra Rivera	TELEPHONE: (661) 603-1090
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024

LIC9099 (FAS) - (06/04)

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