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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198016465
Report Date: 08/15/2019
Date Signed: 08/15/2019 11:06:55 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 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
06/06/2019 and conducted by Evaluator Ariel Almazan
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20190606092811
FACILITY NAME:CARDENAS FAMILY CHILD CAREFACILITY NUMBER:
198016465
ADMINISTRATOR:CARDENAS, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 569-6474
CITY:LOS ANGELESSTATE: CAZIP CODE:
90002
CAPACITY:14CENSUS: 8DATE:
08/15/2019
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Edwin CardenasTIME COMPLETED:
10:34 AM
ALLEGATION(S):
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9
License:
Daycare is operating over capacity.
Daycare is operating out of ratio.
INVESTIGATION FINDINGS:
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An unannounced complaint inspection was made on this day by Licensing Program Analyst (LPA) Ariel Cazares to the licensed day care. LPA met with Assistant Edwin Cardenas to discuss the above allegation, as Licensee was not present at the time. LPA observed 8 children and a total of 3 staff in the home.

An investigation was conducted and completed by LPA Ariel Cazares. LPA conducted interviews with complainant, staff, and children. Per complainant, they observed the facility with 13 children in care and observed 5 additional children entering the home from the park as they were leaving the facility. This would bring the census to 18 with a total of 3 staff.

LPA conducted interviews with staff and licensee. There were no disclosures from any staff that the facility operates overcapacity or out of ratio. LPA reviewed roster, files, and a food program list via licensee's tablet that showed facility claimed 14 children's meals on the date (6/5/19) the alleged overcapacity occurred. LPA observed on the food program list that up to 14 children are claimed at one time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
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 54-CC-20190606092811
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CARDENAS FAMILY CHILD CARE
FACILITY NUMBER: 198016465
VISIT DATE: 08/15/2019
NARRATIVE
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Although complainant accounts that they observed the facility overcapacity, there is evidence that contradicts that. Due to the evidence gathered LPA could not make a determination that the facility operated overcapacity and out of ratio. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

No violations were cited at this inspection.

Exit interview conducted with Assistant Edwin Cardenas. 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.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4