198002408-10-20-2020-54-CC-KCHS-BV3S3R-20201105123133

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198002408
Report Date: 10/20/2020
Date Signed: 10/20/2020 11:13:11 AM

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
07/21/2020 and conducted by Evaluator Raul Navarro

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20200721160541

FACILITY NAME:	LEWIS, SONIA C. FAMILY DAY CARE		FACILITY NUMBER:	198002408
ADMINISTRATOR:	LEWIS, SONIA CALUNSOD		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 549-9809
CITY:	CARSON	STATE: CA	ZIP CODE:	90745
CAPACITY:	14	CENSUS: 5	DATE:	10/20/2020
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Sonia C. Lewis		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Day-care is infested with bed bugs.
Licensee does not provide appropriate napping accommodations.
Children are isolated while in care.
Licensee does not isolate sick children.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced complaint inspection on today's date. LPA met with Licensee Sonia C. Lewis who guided LPA on a tour of the facility. There was total of five children present during today's inspection.

During the course of the investigation LPA Navarro conducted interviews with the Licensee, Parents, Staff, and children. LPA Navarro also took pictures of the facility and collected a children's roster. Reporting Party stated that the facility is infested with bed bugs, licensee does not provide appropriate napping accommodations, children are isolated while in care, and licensee does not isolate sick children. LPA Navarro interviewed the Licensee and staff who denied the allegations. LPA Navarro interviewed day-care children and parents, there were not corroborating statements made. Reporting party was not available for interview.

*Report continues on the next page*

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2020

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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Control Number 54-CC-20200721160541

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: LEWIS, SONIA C. FAMILY DAY CARE	FACILITY NUMBER: 198002408
	VISIT DATE: 10/20/2020

NARRATIVE

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Based on conflicting statements made by the Reporting Party and the parties interviewed, the LPA was unable to determine whether the allegations actually occurred. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegations are unsubstantiated.

Exit interview was conducted with Licensee Sonia C. Lewis. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms. A "Notice of Site Visit" and copy of the report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2020

LIC9099 (FAS) - (06/04)

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