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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334842800
Report Date: 02/23/2022
Date Signed: 02/25/2022 11:21:40 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/06/2021 and conducted by Evaluator Laura Mejorado
COMPLAINT CONTROL NUMBER: 09-CC-20211206135407
FACILITY NAME:GUIRGUIS FAMILY CHILD CAREFACILITY NUMBER:
334842800
ADMINISTRATOR:GUIRGUIS,INASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 797-6888
CITY:CORONASTATE: CAZIP CODE:
92883
CAPACITY:14CENSUS: 8DATE:
02/23/2022
UNANNOUNCEDTIME BEGAN:
10:57 AM
MET WITH:Inas GuirguisTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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License - Provider is operating over the capacity.
INVESTIGATION FINDINGS:
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On this date and time, Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to deliver the findings of this complaint investigation which was initiated on 12/13/2021. LPA met with Licensee, Inas Guirguis. LPA toured the facility, took census, and discussed the following with the Licensee.

During the investigation, LPA made observations, reviewed pertinent documentation and conducted interviews with pertinent parties.

It was alleged, provider is operating over the capacity.

LPA investigated the allegation and gathered the following information:
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura MejoradoTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
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 09-CC-20211206135407
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: GUIRGUIS FAMILY CHILD CARE
FACILITY NUMBER: 334842800
VISIT DATE: 02/23/2022
NARRATIVE
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It was alleged, on or about 12/03/2021, during pick up a total of 18 children were observed in the home. Licensee denies the allegation, claiming to always be within the limits of their license and understands they can only have up to 14 children. While conducting interviews, it was disclosed Licensee cares for approximately 8 to 11 children in a day. After collaborating with other agencies and reviewing pertinent documentation, it was disclosed Licensee had 14 children in attendance on 12/03/2021. However, during the month of December 2021, it was discovered, the Licensee had up to 24 children enrolled, but not necessarily in care at the same time.

Based on information obtained during this investigation, through interviews conducted, pertinent documentation, and after receiving conflicting information, the allegation is UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation occurred.

An exit interview was conducted with the Licensee, Appeal Rights were discussed and issued, a copy of this report was provided, and a Notice of Site visit was issued and must be posted for 30 days. A copy of this report must be made available for the next three years

SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura MejoradoTELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:

DATE: 02/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2022
LIC9099 (FAS) - (06/04)
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