197493650-11-20-2020-54-CC-BVON-BWYMMV-20210105084431

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197493650
Report Date: 11/19/2020
Date Signed: 11/20/2020 02:24:19 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
03/06/2020 and conducted by Evaluator Alicia Mooberry

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20200306162028

FACILITY NAME:	SALGADO FAMILY CHILD CARE		FACILITY NUMBER:	197493650
ADMINISTRATOR:	SALGADO, FLORENTINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 774-7994
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY:	14	CENSUS: 9	DATE:	11/19/2020
		UNANNOUNCED	TIME BEGAN:	12:57 PM
MET WITH:	Florentina Salgado, Licensee		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Day care child sustained unexplained injury while in care

INVESTIGATION FINDINGS:

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**Due to COVID-19 and precautionary measures this inspection was conducted via video conference.
Licensing Program Analyst (LPA) Alicia Mooberry conducted a complaint inspection in Spanish on 11/19/20 at 10:00 AM. The purpose of the tele-inspection was to deliver the findings for the above allegation. LPA Mooberry discussed the purpose of the inspection with Florentina Salgado, Licensee. Licensee provided video tour of facility, there were 9 children and 2 assistants present during the inspection.

During the course of investigation LPA conducted interviews with licensee, staff, parents, and documentation was collected.

Reporting party indicated that a child had sustained unexplained injury while in care. Licensee disclosed that Child #3, Child #4 and Child #7 have bitten and/or scratched other children on more than one ocassion. Due to repeated incidents that have occurred, Licensee states that they sought out assistance from an outside agency to help children with biting and scratching behavior. -------- Page 1 of 2

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020

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 5

Control Number 54-CC-20200306162028

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: SALGADO FAMILY CHILD CARE	FACILITY NUMBER: 197493650
	VISIT DATE: 11/19/2020

NARRATIVE

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Parents #1 and #4 disclosed that Child#1 and Child#2 have been bitten more than once at the facility. Children were not interviewed due to age and inability to articulate words or sentences.

Based on interviews conducted and disclosures made, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, 102423(a)(2) Personal Rights, is being cited on the attached LIC 9099D

Exit interview was conducted through video conference with Florentina Salgado, Licensee, including, but not limited to Appeal Procedures and Agency's Consultative Role. A copy of this report will be sent to licensee's email and a read receipt will serve as signature.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. ---- Page 2 of 2

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 54-CC-20200306162028

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: SALGADO FAMILY CHILD CARE	FACILITY NUMBER: 197493650
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/19/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/27/2020 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	Personal Rights- Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee...These rights include, but are not limited to...To receive safe, healthful, and comfortable accommodations. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Per licensee, she will work with staff to ensure children with behavior needs are supervised. Licensee will create a written behavior plan for children in need and provide plan to CCL by POC due date. Per licensee, she will continue to the seek outside behavior resource providers.
	8 9 10 11 12 13 14	Disclosures made by Parent #1 and #4, and Licensee that children have repeatedly sustained or caused injuries while in the facility. Due to Licensee currently working with an outside agency source to assist, this poses a potential risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020

LIC9099 (FAS) - (06/04)

Page: 3 of 5

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
03/06/2020 and conducted by Evaluator Alicia Mooberry

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20200306162028

FACILITY NAME:	SALGADO FAMILY CHILD CARE		FACILITY NUMBER:	197493650
ADMINISTRATOR:	SALGADO, FLORENTINA		FACILITY TYPE:	810
ADDRESS:	12014 MCKINLEY AVE		TELEPHONE:	(323) 774-7994
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY:	14	CENSUS: 9	DATE:	11/19/2020
		UNANNOUNCED	TIME BEGAN:	12:57 PM
MET WITH:	Florentina Salgado		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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9

Day care provider pushed day care child

INVESTIGATION FINDINGS:

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13

**Due to COVID-19 and precautionary measures this inspection was conducted via video conference.
Licensing Program Analyst (LPA) Alicia Mooberry conducted a complaint inspection on 11/19/20. The purpose of the tele-inspection was to deliver the findings for the above allegation. LPA Mooberry discussed the purpose of the inspection with Florentina Salgado, Licensee. Licensee provided video tour of facility, there were 9 children present during the inspection.
During the course of investigation LPA conducted interviews with licensee, staff, parents, children and documentation was collected.
Reporting party (RP) indicated that day care provider pushed a day care child. RP party stated she did not witness above allegation but received information from third party. Licensee states that she does not pushed children in care. Parents interviewed made no discluses. Children interviewed made no disclusures.

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 the allegation is unsubstantiated. -----Page 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 54-CC-20200306162028

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: SALGADO FAMILY CHILD CARE	FACILITY NUMBER: 197493650
	VISIT DATE: 11/19/2020

NARRATIVE

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Exit interview was conducted with Florentina Salgado, Licensee, including, but not limited to Appeal Procedures and Agency's Consultative Role.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 11/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2020

LIC9099 (FAS) - (06/04)

Page: 5 of 5