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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198004921
Report Date: 12/06/2023
Date Signed: 12/06/2023 11:22:42 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
09/06/2023 and conducted by Evaluator Randy Derraco
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230906125127
FACILITY NAME:GONZALEZ FAMILY CHILD CAREFACILITY NUMBER:
198004921
ADMINISTRATOR:GONZALEZ, DORAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 428-6418
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 5DATE:
12/06/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Licensee - Dora GonzalezTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Daycare child was sexually abused while in care - Personal Rights
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Randy Derraco conducted an unannounced complaint inspection to the above mentioned facility on 12/06/23. LPA arrived at the facility at 9:30 AM and was met by licensee, Dora Gonzalez, who guided analyst on a tour of the facility. LPA observed 1 assistant and 5 children in care upon arrival. The home was observed to be clean and free of defects. The purpose of this visit is to deliver finds to the above mentioned allegation.

During the course of the investigation, LPA conducted interviews, gathered and reviewed documents, and made observations. Individuals interviewed were unable to corroborate that daycare child was sexually abused while in care. Individuals interviewed state that S1 or S2 handle the infants in care. S1 and S2 both state that infants are changed on the infant changing station located in the daycare area's activity space. C1, C2 and C3 state that C4 and C5 help licensee and the assistant however they do not help with the infants when it comes to diapering. Reporting party states that C6 was seen by a doctor however he did not
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023
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 54-CC-20230906125127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GONZALEZ FAMILY CHILD CARE
FACILITY NUMBER: 198004921
VISIT DATE: 12/06/2023
NARRATIVE
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report any suspicious findings during his examination.

Although the allegation 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 allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Dora Gonzalez.

SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023
LIC9099 (FAS) - (06/04)
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