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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400036
Report Date: 07/02/2019
Date Signed: 07/02/2019 02:23:09 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
07/01/2019 and conducted by Evaluator Ana Chico
COMPLAINT CONTROL NUMBER: 54-CC-20190701143440
FACILITY NAME:CALDWELL FAMILY CHILD CAREFACILITY NUMBER:
198400036
ADMINISTRATOR:ERICA L. CALDWELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 614-6026
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY:14CENSUS: 4DATE:
07/02/2019
UNANNOUNCEDTIME BEGAN:
12:15 AM
MET WITH:Erica L. Caldwell TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Unlicensed Care
INVESTIGATION FINDINGS:
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Ana Chico, Licensing Program Analyst (LPA), conducted an unannounced complaint inspection. LPA met with Erica Caldwell, unlicensed provider at this location.

Upon arrival, LPA toured the home. LPA observed four children present. According to Ms. Caldwell, two children are her biological children and two are day care children. Children observed are two infants, a preschool age child and a school age child. Ms. Caldwell's adult sibling was also in the home assisting with the children.

According to Ms. Caldwell she applied for a change of location and moved into the home June 1, 2019. Ms. Caldwell states that she began operating at this unlicensed location June 3, 2019. Ms. Caldwell also stated that a total of nine children were enrolled when she moved, however, as of July 1, 2019 there are seven children enrolled that come on various days and hours.

PAGE 1 OF 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
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 3
Control Number 54-CC-20190701143440
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: CALDWELL FAMILY CHILD CARE
FACILITY NUMBER: 198400036
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/02/2019
Section Cited
HSC
1596.80
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OPERATION WITHOUT A LICENSE - No person, firm, partnership, association, or corporation shall operate, establish, conduct, or maintain a child care facility in this state without a current valid license, therefore, provided in this act. This requirement is not being met as evidenced by: During the course of the
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Ms. Caldwell stated that she will cease unlicensed care and provide care to the children on one family.
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complaint investigation, Ms. Caldwell admitted that she has been operating at this location since June 3, 2019. This poses 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.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 54-CC-20190701143440
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: CALDWELL FAMILY CHILD CARE
FACILITY NUMBER: 198400036
VISIT DATE: 07/02/2019
NARRATIVE
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Ms. Caldwell was informed about requirements to obtain a license per Health and Safety Code Section 1596.80 and of the procedures for obtaining a change of location. LPA further explained that although a change of location was submitted to the licensing agency, a license has not been issued to operate and that unlicensed care is a violation of Title 22 California Code of Regulations. Furthermore, a person who violates Section 1596.80 of the Health and Safety Code may be liable for an immediate assessment of civil penalties in the amount of two hundred dollars ($200) per day. Ms. Caldwell must cease operation immediately.

Based on the LPAs observations and interviews conducted, the preponderance of evidence has been met therefore the above allegation is founded to be SUBSTANTIATED on the attached 9099D.

Exit interview was conducted with Ms. Erica Caldwell. A copy of the appeal rights (LIC9058 01/16) was provided. Signature on this report acknowledges receipt of her rights. Appeal rights explained & provided.


REPORT END 2 of 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3