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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198006228
Report Date: 04/19/2021
Date Signed: 04/23/2021 04:14:50 PM



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
03/09/2021 and conducted by Evaluator Dayna Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20210309162512
FACILITY NAME:HARBOR FAMILY CHILD CAREFACILITY NUMBER:
198006228
ADMINISTRATOR:HARBOR, YOLANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 728-1056
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:14CENSUS: 1DATE:
04/19/2021
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Yolanda Harbor, LicenseeTIME COMPLETED:
09:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child touched inappropriately while in care.
Adults living in home do not have background clearance.

INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
COVID 19 SOE, due to pandemic, LPA was unable to visit home in person. On April 19, 2021 at 8:30 a.m.; LPA Chambers conducted an unannounced inspection to deliver findings for the above allegations. LPA met with Yolanda Harbor, Licensee who assisted with the inspection. There was one child in care today.

During this investigation, LPA interviewed parents and licensee. There were no witnesses or disclosures regarding the above allegations.
Based on interviews conducted, the above allegations are unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore these allegations are unsubstantiated. Exit interview was conducted with Yolanda Harbor, Licensee, including, but not limited to Appeal Procedures, Site Visit,and Initial Appeal Rights.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2021
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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