334845740-4-6-2021-09-CC-AROS-C38NVS-20210521104824

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334845740
Report Date: 04/05/2021
Date Signed: 04/06/2021 09:49:30 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
02/26/2021 and conducted by Evaluator Kim Leung

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20210226101222

FACILITY NAME:	HSIAO FAMILY CHILD CARE		FACILITY NUMBER:	334845740
ADMINISTRATOR:	HSIAO,WEI-HSIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 268-0906
CITY:	EASTVALE	STATE: CA	ZIP CODE:	92880
CAPACITY:	14	CENSUS: 1	DATE:	04/05/2021
		UNANNOUNCED	TIME BEGAN:	04:35 PM
MET WITH:	Wei-Hsin Hsiao		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Licensee smoked at the facility

INVESTIGATION FINDINGS:

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Due to COVID-19, in lieu of an in-person inspection, Licensing Program Analyst (LPA) Kim Leung conducted a tele-inspection with licensee Wei Hsin Hsiao via FaceTime to continue investigating the above allegations. At the beginning of the tele-inspection, LPA informed licensee the purpose of the inspection. LPA observed one child in care at time of the inspection.

It was alleged that the licensee smoked in the backyard during child care hours when children were indoor. Licensee denied smoking and stated that nobody smoked at the facility either during child care hours or beyond child care hours. During the investigation process, conflicting information was received in regards to whether licensee smoked on the premises or not.. LPA obtained no information to support that there was smell of cigarette. Based upon the information gathered throughout the investigation process, there is not a preponderance of evidence to corroborate the allegation. (TO BE CONTINUED ON NEXT PAGE)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021

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 09-CC-20210226101222

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: HSIAO FAMILY CHILD CARE	FACILITY NUMBER: 334845740
	VISIT DATE: 04/05/2021

NARRATIVE

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Based upon the information gathered, there is not a preponderance of evidence to support or dismiss the allegation. The above allegation is ruled unsubstantiated at this time. However, LPA still took the opportunity during this inspection to review the following Health and Safety Code with the licensee:

Health and Safety Code 1596.795(a) The smoking of tobacco in a private residence that is licensed as a family day care home shall be prohibited in the home and in those areas of the family day care home where children are present. Nothing in this section shall prohibit a city or county from enacting or enforcing an ordinance relating to smoking in a family day care home if the ordinance is more stringent than this section.
(b) The smoking of tobacco on the premises of a licensed day care center shall be prohibited.

Exit interview conducted with licensee Wei Hsin Hsiao. LPA provided licensee with a copy of this report and Notice of Site Visit via email this date on 4/5/2021. Licensee agreed to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2021

LIC9099 (FAS) - (06/04)

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