304312981-6-26-2019-06-CC-JHAN-BDQSQT-20190703140513

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304312981
Report Date: 06/26/2019
Date Signed: 06/26/2019 06:07:03 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/20/2019 and conducted by Evaluator Andrea Taylor

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20190620081453

FACILITY NAME:	MARQUEZ, ANGELINA		FACILITY NUMBER:	304312981
ADMINISTRATOR:	MARQUEZ, ANGELINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 917-5849
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92802
CAPACITY:	14	CENSUS: 9	DATE:	06/26/2019
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Angelina Marquez-Licensee		TIME COMPLETED:	06:15 PM

ALLEGATION(S):

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Provider pinched child
Care being provided to children at an alternative location

INVESTIGATION FINDINGS:

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The purpose of this inspection was to conduct a Complaint Investigation of the facility. On 6/20/19 a complaint was filed with the Licensing office. The census included 9 daycare children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Also present in the home during inspection was assistant Erlita Marquez who has clearances.

During today's inspection LPA Taylor interviewed 8 children and 2 parents.

Through the course of the investigation there was no disclosure that Licensee ever pinched any child in care and no disclosure of Licensee taking children any place during day care hours.

Although the allegation 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.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Andrea Taylor	TELEPHONE: (714) 703-2820
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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 06-CC-20190620081453

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MARQUEZ, ANGELINA	FACILITY NUMBER: 304312981
	VISIT DATE: 06/26/2019

NARRATIVE

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In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Andrea Taylor	TELEPHONE: (714) 703-2820
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC9099 (FAS) - (06/04)

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