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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198005588
Report Date: 01/05/2023
Date Signed: 02/27/2023 09:26:22 AM

Substantiated


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
11/14/2022 and conducted by Evaluator Randy Derraco
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20221114093750
FACILITY NAME:ALBA FAMILY CHILD CAREFACILITY NUMBER:
198005588
ADMINISTRATOR:ALBA, LUZ AND VANESSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 260-5793
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 3DATE:
01/05/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Co-Licensee - Vanessa AlbaTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Uncleared adult lives in the home
INVESTIGATION FINDINGS:
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*This document is being amended due to a change in complaint finding

Licensing Program Analyst (LPA) R.Derraco conducted an unannounced complaint inspection to the above mentioned facility on 01/04/23. LPA arrived at the facility at 9:30 AM and met with Co-Licensee, Vanessa Alba, who guided analyst on tour of the facility. LPA observed one adult and 3 children in care. The home was observed to be clean and in good repair.

The purpose of this visit is to deliver complaint findings. During the investigation, LPA conducted interviews, reviewed documents and made observations. On 10/26/22 LPA issued a citation under California Code of Regulation (CCR) section 102370(d)(1) indicating that two adults were living in the home and did not obtain a California clearance or criminal record exemption. Based on LPA’s observations and interviews which were conducted and record review, the preponderance of evidence standard has been
(page 1 of 2)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023
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-20221114093750
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: ALBA FAMILY CHILD CARE
FACILITY NUMBER: 198005588
VISIT DATE: 01/05/2023
NARRATIVE
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met, therefore the above allegation is found to be SUBSTANTIATED. No additional citation will be issued.

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 Vanessa Alba.

(page 2 of 3)
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2