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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493875
Report Date: 10/07/2021
Date Signed: 10/08/2021 09:56:20 AM



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
08/11/2021 and conducted by Evaluator Judy Laureano
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210811144748
FACILITY NAME:FULLER FAMILY CHILD CAREFACILITY NUMBER:
197493875
ADMINISTRATOR:FULLER, MARLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 505-9749
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:14CENSUS: 13DATE:
10/07/2021
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Marlo FullerTIME COMPLETED:
01:50 PM
ALLEGATION(S):
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9
Personal Rights: Staff member mishandled children in care.
INVESTIGATION FINDINGS:
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13
On 10/7/2021, Licensing Program Analysts (LPAs) Lillian Casillas and Judy Laureano conducted an unannounced complaint visit for the purpose of concluding the investigation regarding the allegations above. LPA met with Assistant, Adlean Fuller. Licensee, Marlo Fuller, arrived at approximately 1:00 p.m. LPA observed 13 children with 2 staff.

On 8/18/2021, LPAs Lillian Casillas and Judy Laureano conducted an unannounced 10-day complaint investigation. LPAs toured the facility with Licensee and obtained copies of the following documents: children’s roster (LIC9040), sign-in/sign-out sheets for 8/5-8/6/2021 and 8/18/2021, and staff schedule. LPAs interviewed Licensee and Child 1.

[CONTINUE ON PAGE 2]
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021
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 30-CC-20210811144748
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: FULLER FAMILY CHILD CARE
FACILITY NUMBER: 197493875
VISIT DATE: 10/07/2021
NARRATIVE
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PAGE 2

On 9/10/2021, LPA Casillas conducted an unannounced follow up complaint investigation. LPA met with Assistant, Chanta Rankin, and Assistant, Adlean Fuller. LPA interviewed both assistants and 7 children in care. LPA also obtained the following documents: sign in/out sheet for 9/10/2021 and the Daily Situation/Shift Report for 9/9/2021.

Based on the investigation, which included interviews with relevant parties and observation, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report along with the Notice of Site Visit and Appeal Rights were provided to Licensee.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2