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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018224
Report Date: 06/04/2019
Date Signed: 06/04/2019 03:37:33 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
05/15/2019 and conducted by Evaluator Jacqueline Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190515161115
FACILITY NAME:SMITH FAMILY CHILD CAREFACILITY NUMBER:
198018224
ADMINISTRATOR:SMITH, HARRIETFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 756-3332
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY:14CENSUS: 9DATE:
06/04/2019
UNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Harriet Smith, LicenseeTIME COMPLETED:
03:50 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee failed to address daycare child’s diapering needs
Licensee using inappropriate place for time out
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jacqueline Martinez conducted an unannounced complaint inspection to the family child care home above. LPA met with Licensee, Harriet Smith to follow up on a complaint inspection that was initially conducted on 5/24/19. A complaint was received on 5/15/19 that alleges that Licensee failed to address daycare child's diapering needs and that Licensee is using an inappropriate place for time out. During this inspection there were nine children present and two Staff members including the Licensee.

During the course of the investigation interviews were conducted with Licensee, Staff #2 and five children. LPA obtained copies of the children’s roster and reviewed the childrens files. Based on the collected information, LPA has deemed that there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated.

An Exit interview was conducted with the Harriet Smith, Licensee. Notice of Site Visit was provided.
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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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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