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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493354
Report Date: 05/01/2020
Date Signed: 05/01/2020 04:24:31 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/25/2020 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200225090703
FACILITY NAME:KAUFMAN FAMILY CHILD CAREFACILITY NUMBER:
197493354
ADMINISTRATOR:KAUFMAN, ANITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 822-6181
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:12CENSUS: 7DATE:
05/01/2020
UNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Anita Kaufman, LicenseeTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Lack of Supervision-child was left at school for an extended amount of time
2. Personal Rights- Adult in home yells at children in care
3. Physical Abuse/Corporal Punishment-Adult in home hit child
4. Physical Abuse/Corporal Punishment-Adult in home inappropriately handled child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/01/2020 at 3:50pm , Licensing Program Analyst (LPA) Adrian Risher, conducted a complaint televisit via ZOOM regarding the above-mentioned allegation. LPA met with Anita Kaufman, Licensee. LPA explained the purpose of the inspection. LPA observed 7 children in care at the time of the televisit.

During the previous visit, LPA Risher conducted interviews with Licensee and staff regarding the above allegations. LPA observed the assistant arriving to the home with children that were picked up from school. LPA observed additional children dropped off at the home by the school bus. LPA aslo observed the Licensee and Staff interaction with the children in care.
Although the allegations may have happened or is valid, there is no preponderance of evidence to prove the above alledged violations did or did not occur, therefore the allegations are found to be unsubstantiated.

Exit interview was conducted and a copy of the report was provided via email.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Victor BautistaTELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2020
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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