198011890-11-4-2020-33-CC-CGUA-BVG24J-20201117160401

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011890
Report Date: 11/04/2020
Date Signed: 11/04/2020 03:16:21 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
06/01/2020 and conducted by Evaluator Fabiola Vasquez

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20200601143051

FACILITY NAME:	VAZQUEZ FAMILY CHILD CARE		FACILITY NUMBER:	198011890
ADMINISTRATOR:	VAZQUEZ, MARTHA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 812-9614
CITY:	AZUSA	STATE: CA	ZIP CODE:	91702
CAPACITY:	14	CENSUS: 3	DATE:	11/04/2020
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Martha Vazquez, Licensee		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee leaves daycare children unattended while in care.
Daycare children are not allowed to use the restroom.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Fabiola Vasquez contacted the facility on 11/04/20 via telephone due to COVID-19 and precautionary measures. LPA spoke with Martha Vazquez, Licensee. LPA stated the purpose of the contact is to provide the findings for the above allegations.

Census: 3 Staff: 1

Pertaining to the allegation that, Licensee leaves daycare children unattended while in care, during the interviews conducted with children, parents, and staff there were no disclosures made that children are left unattended while in care. Disclosures were made that Licensee is cooking or taking calls and when she is finished, she comes back. Licensee is in the facility.

*Report continues on the next page*

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2020

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 2

Control Number 33-CC-20200601143051

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: VAZQUEZ FAMILY CHILD CARE	FACILITY NUMBER: 198011890
	VISIT DATE: 11/04/2020

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

This agency has investigated the complaint alleging there was a violation of Title 22, Division 12, Chapter 1 Article 06, Section 102417 (a) Operation of a Family Child Care Home. The complaint alleged that Licensee leaves day-care children unattended while in care. Based upon the interviews and documentation as presented above, the allegation has been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Pertaining to the allegation that, Day-care children are not allowed to use the restroom, during the interviews conducted with children, parents, and staff there were no disclosures made that limited or prohibited children from using the restroom. Disclosures were made that children use the restroom one at a time and children have not had any wet accidents.

This agency has investigated the complaint alleging there was a violation of Title 22, Division 12 Chapter 1

Article 06, Section 101223(a)(4) Personal rights. The complaint alleged that Day-care children are not allowed to use the restroom. Based upon the interviews and documentation as presented above, the allegation has been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No citations are being issued for the allegations listed above.

An exit phone interview was conducted with Martha Vazquez, Licensee. Appeal Rights were verbally explained. A copy of this report has been signed by LPA Vasquez. This report along with Appeal Rights (LIC 9058) will be via e-mailed to Licensee, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature.

*Report ends*

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Fabiola Vasquez	TELEPHONE: (626) 361-1267
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 2