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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192004902
Report Date: 10/15/2024
Date Signed: 10/15/2024 03:13:15 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
10/11/2024 and conducted by Evaluator Staicy Perry
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20241011153042
FACILITY NAME:GUTIERREZ FAMILY CHILD CAREFACILITY NUMBER:
192004902
ADMINISTRATOR:GUTIERREZ, LETICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 262-6507
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY:12CENSUS: 4DATE:
10/15/2024
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Leticia Gutierrez, licenseeTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Ratio: Out of ratio.
INVESTIGATION FINDINGS:
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On October 15, 2024, Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced complaint investigation for the above allegation. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with Licensee, Leticia Gutierrez who guided LPA on a tour of the facility. Also present in the home was assistant Jasmine Garcia, licensees husband Pedro Gutierrez and Veronica Velazquez, housekeeping. All adults present in the home are fingerprint cleared. LPA observed 4 children in care.

Throughout the course of the investigation, interviews were conducted with staff and parents. LPA also reviewed and obtained copies of children’s rosters, sign in and out sheets and other documents.
RP alleged “out of ratio”; Per RP, there was 13 children at one time on 8/2/2024 and 9/3/2024. R.P. stated that facility license states facility is only licensed for 12 children. LPA interviewed S#1-S#2, S#1 did disclose that facility has been operating over ratio on several occasions due to being unaware of Title
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2024
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 33-CC-20241011153042
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GUTIERREZ FAMILY CHILD CARE
FACILITY NUMBER: 192004902
VISIT DATE: 10/15/2024
NARRATIVE
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22 regulations pertaining to a large Family Childcare home when an assistant is not present as well as having more children than her licensed capacity of 12. S#1 also disclosed that facility has been over ratio due to S#2 only working 9:00am- 2:00pm Monday-Friday and due to children’s schedules, that vary on a daily basis. S#2 stated that she only works from 9:00am-2:00pm Monday through Friday and does not stay past their scheduled time.

LPA interviewed P#1 -P#7 who all corroborated that they have never seen licensee Leticia alone with more than 8 children and there is always an assistant present at the facility. LPA observed the facility roster and observed 13 children enrolled on the roster. LPA reviewed and observed sign in and out sheets for the month of August 2024, September 2024 and October 2024. LPA did observe that on August 2, 2024, September 3, 2024 and October 1st, 2nd and 3rd 2024, licensee was observed to be out of ratio and operating out of the capacity limitations of her license.

Based on interviews conducted by LPA Perry, documentation obtained, and records reviewed allegations of facility operating out of ratio, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & chapter 1), are being cited on the attached LIC 9099D.



LPA Staicy Perry informed Licensee Leticia that this report dated 10/15/2024 document(s) 2 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Staicy Perry informed the licensee Leticia to provide a copy of this licensing report dated 10/15/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

A notice of site visit was given to licensee Leticia and must remain posted for 30 days.

Exit interview was conducted with licensee Leticia and appeal rights discussed and provided.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20241011153042
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GUTIERREZ FAMILY CHILD CARE
FACILITY NUMBER: 192004902
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/15/2024
Section Cited
CCR
102416.5(e)
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(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity Care Home as specified in subsections (b) and (c).
requirements for a Small Family Child
This requirement is not met as evidenced by:
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License, starting today will have assistant present at the facility during hours of operations to make sure ratios are being maintained. Licensee stated that assisant will work from 9:00am-4:00pm or more if needed. Licnesee and assistant will also watch video on cdss CCLD website on "How
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Based on interviews and record review, provider was alone with 10 children on varies occasions in the months of Sep., Oct. 2024 and having 13 children in care on Aug. 2, 2024 without an assistant present which poses, posed an immediate danger for children in care
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Many Children Can Attend A Family Child Care Home" and provide LPA with a summary of what was learned by POC date via email to LPA. LPA provided a copy of the capacity requirement sheet for review.
Type A
11/21/2024
Section Cited
CCR
102416.5(a)
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(a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requiremnet is not met evidenced by:
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Licnesee stated that she will ensure she is following her licenseced capacity number of children. Licensee will submit a declaration stating she will adhere to to all ratio and licensed capacity by POC date to LPA via email.
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Based on records review, Licensee did not comply with section cited above in that they were operating out of their licensed capacity on in the months of Sep.and Oct. 2024 having 13 children instead of 12, which poses, an immediate danger for 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.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3