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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018861
Report Date: 08/07/2023
Date Signed: 08/07/2023 04:14:23 PM

Substantiated


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
07/11/2023 and conducted by Evaluator Raul Navarro
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230711132411
FACILITY NAME:ANDRADE & CRUZ FAMILY CHILD CAREFACILITY NUMBER:
198018861
ADMINISTRATOR:A., CLAUDIA & C., HUMBERTOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 519-6817
CITY:HAWAIIAN GARDENSSTATE: CAZIP CODE:
90716
CAPACITY:14CENSUS: 7DATE:
08/07/2023
UNANNOUNCEDTIME BEGAN:
03:13 PM
MET WITH:Claudia AndradeTIME COMPLETED:
04:20 PM
ALLEGATION(S):
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Licensee inappropriately touched day care child.
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Regional Manager (RM) Sharon Greene and Licensing Program Analyst (LPA) Raul Navarro for the purpose of delivering findings of the above allegation. Upon arrival, LPA and RM met with Claudia Andrade who guided RM and LPA on a tour of the facility. There were two adults supervising seven children during today's inspection.

During the course of the investigation conducted by Investigation Branch (IB) it was concluded that on or about August 2022, on more than one occasion, Licensee inappropriately touched Child #1. It was also determined Licensee engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility, or the people of the State of California. The above conclusion has resulted in an enhanced civil penalty being accessed during todays inspection in the amount of $2,000.00. Based on IB investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations is being cited on the attached LIC 9099D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2023
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 3
Control Number 54-CC-20230711132411
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: ANDRADE & CRUZ FAMILY CHILD CARE
FACILITY NUMBER: 198018861
VISIT DATE: 08/07/2023
NARRATIVE
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The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted during the hours of operation for 30 consecutive days. Failure to maintain posting as required will result in a $100. 00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child's file, acknowledging receipt.

Exit interview was conducted with Licensee Claudia Andrade. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms. The plan of corrections (POC) was discussed with the Licensee. The deficiencies that are being cited need to be cleared to protect the children's health & safety and personal rights.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20230711132411
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: ANDRADE & CRUZ FAMILY CHILD CARE
FACILITY NUMBER: 198018861
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/08/2023
Section Cited
CCR
102423(a)(1)
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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged... These rights include, but are not limited to, the following:(1) To be treated with dignity in his/her personal relationship with staff and other persons. This requirement was not
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Licensee plans to appeal.
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met as evidenced by on or about August 2022 on more than one occasion, Licensee inappropriately touched Child #1. This is an immediate risk to the health and safety of children in care.
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Type A
08/08/2023
Section Cited
CCR
102402(a)(3)
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(a) The Department shall have the authority to suspend or revoke any license for the following reasons: (3) Conduct in the operation or maintenance of a family day care home which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the
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Licensee plans to appeal.
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facility or the people of the State of California. This requirement was not met as evidenced by Licensee engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility. This is an immediate risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3