198011075-5-24-2021-33-CC-CGUA-C4UNEY-20210712102444

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011075
Report Date: 05/24/2021
Date Signed: 05/24/2021 04:04:05 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 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
05/17/2021 and conducted by Evaluator Alanna Gontarek

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20210517111042

FACILITY NAME:	JOHNSON & FLORES FAMILY CHILD CARE		FACILITY NUMBER:	198011075
ADMINISTRATOR:	JOHNSON, S & FLORES, M		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 964-4895
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	14	CENSUS: 6	DATE:	05/24/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Sara Johnson		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Licensee showered child outside with a water hose

INVESTIGATION FINDINGS:

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On this date, Licensing Program Analyst (LPA) Alanna Gontarek conducted an unannounced Complaint Inspection for the above allegation. LPA met with Licensee Sara Johnson who gave LPA a tour of the indoors and outdoors of the facility. Upon arrival, LPA observed 4 daycare children, two staff (including Licensee), Licensee's daughter and daughter's friend, and two adult sons. All Adults in the home are fingerprint cleared. LPA observed all children and staff wearing face masks due to COVID-19.

Investigation was conducted and completed by LPA Alanna Gontarek. LPA conducted interviews with Licensee, Licensee's assistant, and children. LPA used language services agent #13106 via telephone to translate to Licensee's Assistant in Spanish and obtained documentation. Per complainant, "the licensee showered a 3-year-old girl with a water hose outside in the front yard."

During this investigation, interviews were conducted with staff and children. Documentation gathered
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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

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-20210517111042

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: JOHNSON & FLORES FAMILY CHILD CARE	FACILITY NUMBER: 198011075
	VISIT DATE: 05/24/2021

NARRATIVE

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includes a current children's roster, Flores Family Child Care Contract, Licensee’s declaration, Child #1's authorized representatives correspondence via text message and letter, and pictures were taken.
At 10:51 a.m., LPA observed the outdoor camp shower to have a covering surrounding the entire shower and hose, allowing for full privacy, and is located in the backyard. Per Licensee, due to COVID-19 preventative measures, and for sanitary purposes, Child #1 was bathed in the outdoor covered shower with warm water and a little soap on the hands. Per Licensee, she was given verbal approval by Child # 1's authorized representative via telephone to use the outdoor covered camp shower. In the Complaint allegation details, received by the department, Complainant does not mention giving the Licensee permission to bathe the child outside.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
Exit interview conducted with Licensee Sara Johnson. A copy of this report was provided.
A "Notice of Site Visit" and copy of the report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.

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SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna Gontarek	TELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2021

LIC9099 (FAS) - (06/04)

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