198007023-5-28-2021-54-CC-TCON-C3FW4M-20210528165745

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198007023
Report Date: 05/28/2021
Date Signed: 05/28/2021 02:52:05 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
03/08/2021 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20210308160706

FACILITY NAME:	GALVEZ FAMILY CHILD CARE		FACILITY NUMBER:	198007023
ADMINISTRATOR:	GALVEZ, CAROL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 229-2355
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	14	CENSUS: 8	DATE:	05/28/2021
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Carol Galvez, Licensee		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Personal Rights- Adult in the home sexually abused a child in care.

INVESTIGATION FINDINGS:

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Due to COVID-19 and precautionary measures, Licensing Program Analyst (LPA) T. Tran delivered this final finding of the above complaint allegation by use of via telephone with Licensee, Carol Galvez on 05/28/2021.

Based upon the evidence obtained during the course of the investigation through interviews, record review and observation, the evidence does not support, nor disprove the allegation of adult in the home sexually abused a child in care occurred at the facility. Therefore, the allegation have been determined unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with the licensee. This report along with a copy of the appeal rights was via emailed to licensee. Via email with a read receipt which will act as the licensee's signature.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2021

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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