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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019679
Report Date: 05/28/2019
Date Signed: 07/22/2019 04:09:05 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
03/21/2019 and conducted by Evaluator Karen Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190321145810
FACILITY NAME:ANDRADE FAMILY CHILD CAREFACILITY NUMBER:
198019679
ADMINISTRATOR:ESTELA ANDRADEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 421-1662
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY:14CENSUS: 5DATE:
05/28/2019
UNANNOUNCEDTIME BEGAN:
03:29 PM
MET WITH:Estela AndradeTIME COMPLETED:
04:20 PM
ALLEGATION(S):
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Child sustained unexplained injury at child care home
INVESTIGATION FINDINGS:
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This complaint inspection was conducted by Complaint Specialist - LPA Karen Chambers who met with Estela Andrade, Licensee.

During the course of this investigation, interviews were conducted with the Licensee and day-care children. Attempts were made to interview the minor victim #1 and the reporting party, but to no avail.

During interviews conducted with day-care children there were no disclosures made. Children stated that they like coming here. Licensee stated that she was made aware of the alleged injuries the following day after minor child #1 was picked up. Licensee stated she received a text with pictures. While minor child #1 was in care at the facility, Licensee stated she did not observe any injuries to minor child #1.

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 at this time the above allegation is unsubstantiated
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Karen ChambersTELEPHONE: (323)981-3368
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2019
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-20190321145810
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: ANDRADE FAMILY CHILD CARE
FACILITY NUMBER: 198019679
VISIT DATE: 05/28/2019
NARRATIVE
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The notice of site visit was posted where the parent/guardian of children enter and exit the facility. This notice shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted with the Licensee, during which appeal rights were explained. A copy of the appeal rights (LIC9058 01/16) were provided. The Licensee’s signature on this report acknowledges receipt of her rights.

SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Karen ChambersTELEPHONE: (323)981-3368
LICENSING EVALUATOR SIGNATURE:

DATE: 05/28/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2