198019446-8-6-2019-33-CC-BVON-BFYAC5-20190913000546

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019446
Report Date: 08/06/2019
Date Signed: 08/06/2019 01:17:28 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
06/13/2019 and conducted by Evaluator Rita Ramos

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20190613161936

FACILITY NAME:	CUERVO & ESCAMILLA FAMILY CHILD CARE		FACILITY NUMBER:	198019446
ADMINISTRATOR:	G. CUERVO & L. ESCAMILLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 397-4038
CITY:	MONTEBELLO	STATE: CA	ZIP CODE:	90640
CAPACITY:	14	CENSUS: 11	DATE:	08/06/2019
		UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Valentina Lorena Escamilla, Licensee		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Licensee is absent from the home more than 20 percent of the time.
Child sustained an injury while in care

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Rita Ramos and Alicia Mooberry conducted an unannounced complaint inspection to investigate the above allegations. LPAs met with Valentina Lorena Escamilla, Licensee, who guided analysts on a tour of the facility. Also present during the inspection was co-licensee Guillermo Cuervo and Assistant, Gabriela Diosdado. There were 11 children present upon arrival.

During the investigation LPAs obtained a copy of the facility roster, interviewed children, interviewed staff, and obtained copies of supporting documentation.

Information provided by the reporting party indicates that the Licensee is absent more than 20% percent of the time and that Child #1 sustained a serious injury while in care.

Licensee states that they are only absent when they have to pick up children from school or they have to go to the market to pick up food or snacks and that no child under their care has sustained a serious injury. --Pg 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019

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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Control Number 33-CC-20190613161936

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: CUERVO & ESCAMILLA FAMILY CHILD CARE	FACILITY NUMBER: 198019446
	VISIT DATE: 08/06/2019

NARRATIVE

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Staff interviewed stated that the Licensee is only out 20 to 30 minutes when picking up children from school or when Licensee has to go to the market. Staff interviewed also stated that no child in care has sustained a serious injury at the facility.

Parent #1 disclosed that they see Licensee when picking up their child. Parent #2 disclosed that they see the Licensee in the mornings and afternoons. Parent #3, #4, #5, #6, and #7 were contacted but to no avail. Parent #1 who is the parent of Child #1 stated that Child #1 is active and is not sure as to whether the injury occurred at home or at child care but has no concerns in regards to Child #1’s care at the facility.

Child #2 disclosed that the Licensee leaves the facility but comes back with Child #5, #6, and #7 because Licensee picks the children up from school. Child #3 disclosed that the Licensee leaves to pick up children from school and comes back with Child #2 and #6 and sometimes comes back with treats. Child #4 disclosed that the Licensee is present all the time. Children interviewed made no disclosures in regards to Child #1 or any other child sustaining a serious injury at the facility.

Although the allegations 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 allegations are unsubstantiated.

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 was conducted with Valentina Lorena Escamilla, Licensee, and Guillermo Cuervo, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2019

LIC9099 (FAS) - (06/04)

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