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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493287
Report Date: 12/08/2020
Date Signed: 12/29/2020 02:55:06 PM



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
04/20/2020 and conducted by Evaluator Monique Ayala
COMPLAINT CONTROL NUMBER: 54-CC-20200420124059
FACILITY NAME:URIZAR FAMILY CHILD CAREFACILITY NUMBER:
197493287
ADMINISTRATOR:URIZAR, SANDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 815-5336
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY:14CENSUS: 1DATE:
12/08/2020
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Licensee, Sandra UrizarTIME COMPLETED:
04:42 PM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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On December 8, 2020 at 4:15 PM, Licensing Program Analyst (LPA) Monique Ayala conducted a tele-inspection for the facility noted above and met with Licensee, Sandra Urizar. LPA utilized Language Link (1-888-338-7394) for Spanish translating services from interpreter, Isai (ID #12396). The purpose of the tele-inspection was to provide the complaint investigation findings for the allegations noted above. Today’s tele-inspection was conducted via Zoom Meeting due to the corona virus disease 2019 (COVID-19) pandemic.

During the course of investigating the allegations, LPA Ayala conducted confidential interviews that revealed additional allegations, which were included in the investigation. LPA Ayala also conducted record reviews and had translating assistance from LPA Rita Ramos. LPA Ramos conducted follow-up interviews and obtained additional evidence such as pictures, text messages, audio recording and video recording.

The confidential interviews and supporting evidence revealed inconsistencies. The Licensee denied the allegations. LPA made several attempts to contact the complainant but was unsuccessful.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Monique AyalaTELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
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-20200420124059
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: URIZAR FAMILY CHILD CARE
FACILITY NUMBER: 197493287
VISIT DATE: 12/08/2020
NARRATIVE
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Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the child’s personal rights were violated; therefore, the complaint allegations are unsubstantiated.

Appeal rights were discussed with the Licensee. No deficiencies were cited. An exit interview was conducted, and a copy of the report will be provided to Licensee. Licensee stated that she will submit the original signed copy of this report to the Monterey Park South West Child Care Regional Office within five days of the date of the report.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Monique AyalaTELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2