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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197409882
Report Date: 06/14/2021
Date Signed: 06/14/2021 04:47:14 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/26/2021 and conducted by Evaluator Margarit Sislyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210426160654
FACILITY NAME:GUZMAN FAMILY CHILD CAREFACILITY NUMBER:
197409882
ADMINISTRATOR:GUZMAN, ISABELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 763-7849
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91601
CAPACITY:14CENSUS: 0DATE:
06/14/2021
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Isabel GuzmanTIME COMPLETED:
03:37 PM
ALLEGATION(S):
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9
Lack of Supervision - Lack of supervision resulting in inappropriate interactions between children in care.
Personal Rights - Provider handled day care child in an inappropriate manner.
INVESTIGATION FINDINGS:
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Margarit Sislyan, Licensing Program Analyst (LPA) conducted a tele-visit to investigate the above allegations.
LPA spoke with Isabel Guzman, Licensee. Jackie Amezquita, Licensee's daughter was translating for Licensee.

Based on the investigation conducted the above allegations are unsubstantiated, means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

Isabel Guzman has been advised that an email shall be sent with the report attached, which has been reviewed during the Tele-Visit and a read receipt via email shall be considered an acknowledgement that they are in receipt of this form.

Exit interview
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Margarit Sislyan
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021
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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