198018431-1-24-2020-33-CC-CGUA-BNHRNY-20200409131104

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198018431
Report Date: 01/24/2020
Date Signed: 01/24/2020 03:48:40 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
01/15/2020 and conducted by Evaluator Cynthia Reyes

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20200115125658

FACILITY NAME:	CAO & CHIANG FAMILY CHILD CARE		FACILITY NUMBER:	198018431
ADMINISTRATOR:	CAO,LING YAN & CHIANG,BOB		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 513-0168
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	14	CENSUS: 11	DATE:	01/24/2020
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Yan Ling Cao & Bob Chiang		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Food Service:
Day care children are not adequately fed

INVESTIGATION FINDINGS:

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

Licensing Program Analysts (LPAs) Cynthia Reyes, and Thelma Razo, arrived unannounced at the facility for the purpose of conducting a complaint inspection regarding the allegation listed above. LPA met with Yan Ling Cao & Bob Chiang.

Complaint states that the facility does not give the children milk or if they do it is expired and the facility gives the children food that is not part of the food program list of proper meals. Per LPA interviews, own observation, and documents reviewed and received it was determined the complaint is unsubstantiated. Complainant states those issues occurred a few years ago and per LPA own observation children were given Non expired milk on this date as part of their lunch and LPA was given a copy of the menu they provide to the food program for this month. LPA did observe different food in the refrigerator and freezer that are not allowed and licensee stated that it is her families own food and not for the day care. Licensee states has never given expired milk or unhealty food. LPA consulted and advised the licensee to separate and identify the food for the day care children from her families own food.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

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-20200115125658

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: CAO & CHIANG FAMILY CHILD CARE	FACILITY NUMBER: 198018431
	VISIT DATE: 01/24/2020

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

Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is Unsubstantiated. Due to conflicting information received, LPAs are unable to determine if the above allegation is valid.

The 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.

Exit interview conducted with the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights (LIC 9058 01/16) was provided. The Licensee’s signature on this report acknowledges receipt of rights.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 2