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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198005392
Report Date: 05/14/2020
Date Signed: 05/14/2020 11:59:33 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
01/23/2020 and conducted by Evaluator Raul Navarro
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20200123165745
FACILITY NAME:ST. TIMOTHY LUTHERAN INFANT CENTERFACILITY NUMBER:
198005392
ADMINISTRATOR:VELIA GUERRAFACILITY TYPE:
830
ADDRESS:4645 WOODRUFF AVENUETELEPHONE:
(562) 421-8441
CITY:LAKEWOODSTATE: CAZIP CODE:
90713
CAPACITY:24CENSUS: 0DATE:
05/14/2020
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Velia GuerraTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility is out of ratio.
INVESTIGATION FINDINGS:
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THIS IS AN AMENDED REPORT TO REFLECT A CHANGE IN THE FINDINGS
This complaint inspection was conducted by Licensing Program Analyst (LPA) Raul Navarro. Due to COVID-19 and precautionary measures, this inspection was conducted via teleconference to deliver the findings to the complaint investigation. The teleconference was conducted via FaceTime with Director Velia Guerra. There were no children present during inspection. Facility is closed as a precautionary measure due to COVID-19.

During the course of the investigation, LPA Navarro conducted interviews with the Complainant, facility staff, and parents. Children were not interviewed due to children being non-verbal. There were no corroborating statements made during the interviews by the staff and parents. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.
*Report continues*
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2020
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 2
Control Number 54-CC-20200123165745
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: ST. TIMOTHY LUTHERAN INFANT CENTER
FACILITY NUMBER: 198005392
VISIT DATE: 05/14/2020
NARRATIVE
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Exit interview was conducted with Velia Guerra, via teleconference, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the Licensee via email with a read receipt to confirm receipt of the report and appeal rights.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2