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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414245
Report Date: 06/21/2024
Date Signed: 06/21/2024 01:48:11 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
05/04/2023 and conducted by Evaluator Judy Laureano
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230504104425
FACILITY NAME:MANUEL FAMILY CHILD CAREFACILITY NUMBER:
197414245
ADMINISTRATOR:MANUEL, GIULIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 970-9369
CITY:LAWNDALESTATE: CAZIP CODE:
90260
CAPACITY:14CENSUS: 8DATE:
06/21/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Giuliana Manuel, LicenseeTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Neglect/Lack of Supervision: Licensee did not provide adequate supervision resulting in death of day-care child.
INVESTIGATION FINDINGS:
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On 06/21/2024 at 1:00 pm, Licensing Program Analyst (LPA) Judy Laureano and Licensing Program Manager (LPM) Claudia Escobedo conducted a subsequent visit to the home for the purpose of concluding the investigation regarding the above allegation. Upon arrival, LPA was greeted by S. Delgado and M. Molina, providing care and supervision to 8 children in care. Staff informed LPA Laureano that Licensee was not present and would be arriving shortly. Licensee arrived at home at appromilatly 1:19 p.m.

The investigation of the above allegation was conducted by California Department of Social Services CDSS Investigator Seng. The investigation consisted of interviews with all pertinent complaint parties including, but not limited to County of Los Angeles Sheriff’s Department, County of Los Angeles Department of Medical Examiner, Medical Professionals, and Subjects of the Investigation.

Based on the evidence obtain during the investigation and the results of the autopsy report, it was determined that the cause of the infant’s death was Sudden Unexplained Infant Death (SUID). There is no preponderance of evidence to prove or disprove that the allegation is found to be true, therefore the finding is Unsubstantiated.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
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 2
Control Number 30-CC-20230504104425
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: MANUEL FAMILY CHILD CARE
FACILITY NUMBER: 197414245
VISIT DATE: 06/21/2024
NARRATIVE
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No deficiencies were cited during today’s visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1.

Upon on receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Giuliana Manuel, Licensee. A copy of this report and appeal rights were discussed and left with the Licensee, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2