198016880-12-1-2021-33-CC-CGUA-CBA2C6-20220202161609

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198016880
Report Date: 11/24/2021
Date Signed: 12/01/2021 12:12:01 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
11/19/2021 and conducted by Evaluator Judy Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20211119153249

FACILITY NAME:	UGALDE FAMILY CHILD CARE		FACILITY NUMBER:	198016880
ADMINISTRATOR:	UGALDE, ANDREA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 284-2888
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90057
CAPACITY:	14	CENSUS: 5	DATE:	11/24/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Andrea Ugalde		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Licensee refused to relinquish children’s items to child's authorized representative.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Judy Mora conducted a complaint inspection to investigate the above complaint allegation. LPA met with Licensee, Andrea Ugalde, who guided LPA on a tour of the home at approximately 9:15 AM. The Licensee's father, Alfredo Ugalde, was present in the home. There were 5 children present in the home.

During the course of this investigation LPA obtained a copy of text messages and a copy of the facility contract. Although the allegation may have happened or is valid there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

A notice of site visit was provided and must remain posted for 30 days.

Exit interview conducted with Andrea Ugalde, Licensee. Appeal Rights explained and provided to the licensee during this visit.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy Mora	TELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:	DATE: 11/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/24/2021

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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