198020012-6-3-2021-33-CC-CGUA-C3NW2V-20210604165456

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198020012
Report Date: 06/03/2021
Date Signed: 06/03/2021 04:08:35 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
03/05/2021 and conducted by Evaluator Seung Lee

COMPLAINT CONTROL NUMBER: 33-CC-20210305154527

FACILITY NAME:	LIANG FAMILY CHILD CARE		FACILITY NUMBER:	198020012
ADMINISTRATOR:	YUYE LIANG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 223-8289
CITY:	ROSEMEAD	STATE: CA	ZIP CODE:	91770
CAPACITY:	14	CENSUS: 8	DATE:	06/03/2021
		UNANNOUNCED	TIME BEGAN:	03:45 PM
MET WITH:	Yuye Liang		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Day-care child sustained an injury while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Seung Lee contacted the facility via telephone to initiate the 10-day complaint investigation due to COVID-19 and pre-cautionary measures. LPA Lee identified himself and spoke to Licensee Yuye Liang and discussed the purpose of the call.

During the course of this investigation, LPA Lee reviewed records, made observations, and conducted interviews in regard to the above allegation.

The complaint alleges that Child#1 sustained an injury at the family child care home. Parent of Child#1 was notified of the incident by the Licensee as stated in the complaint. After the child was picked up on the day of this incident, the parent was concerned due to the severity of the injury observed. The complaint stated that the Licensee was not willing to provide information to the Parent of Child#1 on how the injury was treated and if the incident was reported to licensing.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021

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 33-CC-20210305154527

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: LIANG FAMILY CHILD CARE	FACILITY NUMBER: 198020012
	VISIT DATE: 06/03/2021

NARRATIVE

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During an interview the Licensee denied this allegation and made no disclosure. LPA Lee did observe that the incident described in the allegation was reported to the Monterey Park regional office by this facility in a timely manner. During an interview, the Licensee stated that the information provided to the regional office regarding the incident was also provided to the parent as well. An interview with the parent of Child#1 was conducted during the investigation. The parent stated in the interview that the Licensee did provide an explanation about the incident that occurred and answered any questions asked by the parent. However, the parent stated that the Licensee was not able to provide a written report about the incident when asked.

Although the child in care, did sustain an injury at the family child care home, there was not enough evidence collected that proved that the Licensee was not compliant with any regulations that caused the injury itself. Although the Licensee did not provide the parent of Child#1 with a written ouch report, the Licensee did notify and inform the parent and the regional child care office about the incident in a timely manner.

This department has investigated the allegation that a daycare child sustained an injury while in care. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated at this time.

An exit phone interview has been conducted with Licensee Yuye Liang. Appeal Rights were verbally explained to Licensee as well. A copy of this report has been signed by LPA Seung Lee. This report along with appeal Rights will be scanned via e-mail to Licensee, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. A hard copy of this report, and the Appeal Rights has been placed in today’s mail and Licensee agrees to sign the bottom of each page of the 9099 and return the originals to LPA Lee in-person or via U.S. Mail.

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SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021

LIC9099 (FAS) - (06/04)

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