<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197413529
Report Date: 04/26/2022
Date Signed: 04/26/2022 10:35:15 AM

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
04/07/2021 and conducted by Evaluator Shandra Powell
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210407114218
FACILITY NAME:RUBIO FAMILY CHILD CAREFACILITY NUMBER:
197413529
ADMINISTRATOR:RUBIO, ALICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 971-9772
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:14CENSUS: 0DATE:
04/26/2022
UNANNOUNCEDTIME BEGAN:
09:39 AM
MET WITH:Alicia Rubio, LicenseeTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Adult in the home touched day care child inappropriately.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 ***Inspection conducted in Spanish and English****

Licensing Program Analysts (LPAs) Shandra Powell and Judy Laureano conducted unannounced complaint investigation inspection to the aforementioned facility for the purposes of deliver findings for the complaint. LPA Powell and LPA Laureano introduced themselves and discussed the purpose of the visit. No children were in care during inspection.
LPA Judy Laureano conducted a walkthrough of the home with Licensees daughter.
Allegation states that an Adult in the home touched day care child inappropriately while in care. During the course of the investigation conducted by the IB(Investigation Bureau), Investigator conducted interviews with the licensee, and the alleged victim. Based on the investigation conducted by IB Investigator, the allegation that an Adult in the home touched day care child inappropriately is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
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 30-CC-20210407114218
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: RUBIO FAMILY CHILD CARE
FACILITY NUMBER: 197413529
VISIT DATE: 04/26/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Therefore, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did happened.

A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation did or did not occur.

An exit interview was completed and a copy of this report, notice of site visit and appeal rights were provided and explained to Joscenlyn Rubio, Licensee Daughter.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Shandra Powell
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2