198011242-3-18-2021-54-CC-TCON-C2C39R-20210422180334

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011242
Report Date: 03/17/2021
Date Signed: 03/18/2021 05:24:36 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
01/22/2021 and conducted by Evaluator Randy Derraco

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20210122152857

FACILITY NAME:	ELEY FAMILY CHILD CARE		FACILITY NUMBER:	198011242
ADMINISTRATOR:	ELEY, TAMMY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 563-3767
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90059
CAPACITY:	14	CENSUS: 12	DATE:	03/17/2021
		UNANNOUNCED	TIME BEGAN:	02:35 PM
MET WITH:	Tammy Eley - Licensee		TIME COMPLETED:	03:18 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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Due to COVID – 19 and pre-cautionary measures, Licensing Program Analyst (LPA) Randy Derraco and Licensing Program Manager (LPM) Trevino Cochran conducted an unannounced tele-visit to concluded the investigation and deliver findings to Licensee Tammy Eley on 03/17/21 at 2:35PM. LPA observed 12 children in care and 1 adult assistant. The home was observed to be clean and in good repair.

Based on the results of the investigation, LPA was unable to confirm an adult in the day care violated the personal rights of a child in care. 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.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Tammy Eley.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2021

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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