197493287-5-8-2024-54-CC-DGIS-D5BKYV-20240516081944

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197493287
Report Date: 05/08/2024
Date Signed: 05/08/2024 12:38:28 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
03/21/2024 and conducted by Evaluator Katrina Chicote

COMPLAINT CONTROL NUMBER: 54-CC-20240321163317

FACILITY NAME:	URIZAR FAMILY CHILD CARE		FACILITY NUMBER:	197493287
ADMINISTRATOR:	URIZAR, SANDRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 815-5336
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90062
CAPACITY:	14	CENSUS: 7	DATE:	05/08/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Sandra Urizar, Licensee		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Medication - Licensee dispensed medication to child without child's authorized representative permission

INVESTIGATION FINDINGS:

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On 05/08/2024 at 9:30 AM, Licensing Program Analysts (LPAs) Katrina Chicote and Claudia Kam arrived at the above facility to conduct Unannounced Complaint Inspection for the purpose of delivering findings to the above allegation. LPAs announced purpose of inspection and met with Licensee, Sandra Urizar, who granted entry to facility. LPAs observed seven children with three adults present. All adults present have criminal record clearance at time of inspection. LPAs singularly toured facility both indoors and outdoors, including off limits areas.

During the course of this investigation, LPAs conducted interviews of pertinent individuals, (staff, parents, and children), reviewed documents, and made observations. Interviews conducted did not provide corroborating information in regards to the above allegation. LPAs observed facility both indoors and outdoors, including off limit areas. LPAs observation did not observe any medicines for children at time of inspections and Licensee states she does not administer medicines to children without parent permission.
Report Continues - Page 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

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 54-CC-20240321163317

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: URIZAR FAMILY CHILD CARE	FACILITY NUMBER: 197493287
	VISIT DATE: 05/08/2024

NARRATIVE

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This Agency has investigated the above complaint and found that although the allegation may have happened or is valid; based on observations and interviews there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegations are deemed UNSUBSTANTIATED.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 05/08/2024.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Licensee, Sandra Urizar.

Report Ends - Page 2 of 2

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024

LIC9099 (FAS) - (06/04)

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