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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493650
Report Date: 12/11/2019
Date Signed: 12/11/2019 02:23:40 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
11/14/2019 and conducted by Evaluator Timothy Fields
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20191114150220
FACILITY NAME:SALGADO FAMILY CHILD CAREFACILITY NUMBER:
197493650
ADMINISTRATOR:SALGADO, FLORENTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 774-7994
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:14CENSUS: 4DATE:
12/11/2019
UNANNOUNCEDTIME BEGAN:
12:04 PM
MET WITH:Florentina TIME COMPLETED:
01:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Daycare has a lice infestation.
Licensee is absent more than twenty percent of hours of operation.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
A Complaint investigation was conducted by Licensing Program Analyst (LPA) Timothy Fields for the purpose of investigating the above allegations. During the course of the investigation LPA learned there were two siblings in care who contracted lice outside of the home. Based on interviews three additional children in care were found to have contracted lice as well. Licensee states she has washed all linen and toys used by children in care. The home was also sanitized. Per licensee there are no children currently in care with lice and the last case of lice was approximately one month ago.

Based on interviews conducted licensee and/or her assistants are present in the home during operating hours. Per licensee, time spent outside of the day care is when children are picked up from school or when running occasional errands. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. Exit interview conducted with licensee. Appeal Rights provided and explained. Notice of Site Visit must be posted for (30) days. Failure to do so may result in a $100.00 civil penalty.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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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