198011744-5-18-2020-33-CC-CGAN-BQFV3K-20200610160452

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011744
Report Date: 05/18/2020
Date Signed: 05/18/2020 11:08:22 AM

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
03/23/2020 and conducted by Evaluator Ariel Cazares

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20200323134157

FACILITY NAME:	OLIVARES FAMILY DAY CARE		FACILITY NUMBER:	198011744
ADMINISTRATOR:	OLIVARES, FRANCISCA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 304-1053
CITY:	PASADENA	STATE: CA	ZIP CODE:	91106
CAPACITY:	14	CENSUS: 5	DATE:	05/18/2020
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Fracisca Olivares		TIME COMPLETED:	10:47 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee is operating overcapacity

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Ariel Cazares contacted the facility via telephone at 10:40am to deliver complaint investigation findings due to COVID-19 and precautionary measures. LPA Ariel Cazares identified herself and discussed the purpose of the call with Licensee, Francisa Olivares. This telephone call was conducted in Spanish due to licensee primarily language being Spanish via FaceTime. LPA requested a tour of the facility and observed 5 children.

The allegation states that licensee is operating overcapacity. During this investigation, Licensing staff obtained Options for Learning sign-in sheets for March 2020, facility children roster, and conducted (2) staff interviews. Based on the information obtained from the interviews conducted and documents at this time there is not enough evidence to support the above allegations. Therefore, 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, the above allegations are deemed unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 4

Control Number 33-CC-20200323134157

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: OLIVARES FAMILY DAY CARE	FACILITY NUMBER: 198011744
	VISIT DATE: 05/18/2020

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

An exit phone interview was conducted with Francisa Olivares and a copy of this report was signed by LPA Ariel Cazares. This report along with their appeal rights (LIC 9058) will be sent via email to francisadaycare@sbcglobal.net who agrees to sign and date the report. This report was sent via email and an electronic read receipt confirms receiving the report. The facility representative was provided with the mailing address for the Monterey Park Regional office and agrees to send the original report by mail.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Ariel Cazares	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 4