198019775-3-5-2021-54-CC-KCHS-C3CM4U-20210525091716

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019775
Report Date: 03/05/2021
Date Signed: 03/05/2021 07:19:31 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 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
11/10/2020 and conducted by Evaluator Alicia Mooberry

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20201110143323

FACILITY NAME:	VELEZ FAMILY CHILD CARE		FACILITY NUMBER:	198019775
ADMINISTRATOR:	LETICIA JANET VELEZ		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(562) 688-9979
CITY:	BELLFLOWER	STATE: CA	ZIP CODE:	90706
CAPACITY:	14	CENSUS: 4	DATE:	03/05/2021
		UNANNOUNCED	TIME BEGAN:	04:05 PM
MET WITH:	Leticia Velez, Licensee		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Licensee delayed providing a child's lunch
Licensee spoke to a child in care inappropriately
Licensee yelled at a child in care
Children in care were unable to do their homework

INVESTIGATION FINDINGS:

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Due to COVID-19 and precautionary measures this inspection was conducted via Face Time. This inspection was conducted in English.

Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection on 03/05/21 at 4:05 PM to deliver findings for the above allegations. LPA met with Licensee, Leticia Janet Velez, who guided LPA on tele-tour of the facility. There were 4 children present during the inspection.

During the investigation LPA obtained a copy of the facility roster, documentation, and conducted interviews.

Information provided by the reporting party indicates that Licensee delayed providing lunch to Child #2 and #3, Licensee yelled at and spoke inapproriately to Child #2 while in care and children were unable to do their homework.
Licensee was interviewed during the course of the investigation. ----Page 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2021

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 54-CC-20201110143323

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: VELEZ FAMILY CHILD CARE	FACILITY NUMBER: 198019775
	VISIT DATE: 03/05/2021

NARRATIVE

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Parents interviewed did not make any disclosures regarding the above allegations.

Children interviewed did not make any disclosures regarding the above allegations

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

An exit interview was conducted virtually by LPA with Leticia Velez, Licensee, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

This report was sent via email to Licensee and an electronic read receipt confirms receiving the report. The Licensee was provided with the Monterey Park South West office address and agrees to send the signed originals by mail.

End of Report

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Alicia Mooberry	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2021

LIC9099 (FAS) - (06/04)

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