198010334-1-13-2021-33-CC-CGAN-BYHRL5-20210223120630

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198010334
Report Date: 01/13/2021
Date Signed: 01/13/2021 04:12:37 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/17/2020 and conducted by Evaluator Lissete Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20200917112143

FACILITY NAME:	JUAREZ FAMILY CHILD CARE		FACILITY NUMBER:	198010334
ADMINISTRATOR:	JUAREZ, LAURA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 389-3008
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY:	14	CENSUS: 6	DATE:	01/13/2021
		UNANNOUNCED	TIME BEGAN:	03:20 PM
MET WITH:	Laura Juarez		TIME COMPLETED:	03:51 PM

ALLEGATION(S):

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Staff hit daycare child(ren)
Daycare child’s diaper(s) not changed in a timely manner

INVESTIGATION FINDINGS:

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At 3:20p.m. on January 13, 2021, Licensing Program Analyst (LPA) Lissete Gonzalez conducted a Complaint Inspection to conclude the investigation regarding the above complaint allegations. LPA contacted Licensee, Laura Juarez, via telephone due to COVID-19 precautionary measures. The call was transferred to FaceTime to complete the tele-inspection. Licensee, Laura Juarez, guided LPA on a virtual tour of the facility. There were six (06) children present.

The allegations state (1) Staff hit day care children and (2) Daycare child’s diaper(s) not changed in a timely manner. During the investigation, interviews were conducted with the reporting party, day-care staff, and witnesses. LPA obtained a copy of the children’s roster and reviewed additional documentation. Based on the evidence obtained during the investigation through interviews, observation, and review of records, there were no witness diclosures or evidence to support the above allegations. The allegations are found to be Unsubstantiated. Although the allegation may have happened or is valid there is not a preponderance
REPORT CONTINUES ON NEXT PAGE: 1 OF 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2021

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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Control Number 33-CC-20200917112143

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JUAREZ FAMILY CHILD CARE	FACILITY NUMBER: 198010334
	VISIT DATE: 01/13/2021

NARRATIVE

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of evidence to prove the alleged violations did or did not occur, therefore the allegation is Unsubstantiated.

Exit interview conducted with Licensee, Laura Juarez. Appeal Rights explained and provided. A copy the report (LIC 9099) and Appeal Rights (LIC 9058) were sent via Email to Licensee. An electronic read receipt confirms receipt of the reports. The Licensee was provided with the mailing address to the Monterey Park Regional Office (1000 Corporate Center Drive, Suite 200B, Monterey Park, CA 91754) and agrees to send a copy of the signed LIC 9099 reports by email to LPA and mail originals forms to the office.

REPORT CONTINUES ON NEXT PAGE: 2 OF 2

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Lissete Gonzalez	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2021

LIC9099 (FAS) - (06/04)

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