197414408-10-28-2025-58-CC-BBEL-DR3385-20260206170056

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197414408
Report Date: 10/28/2025
Date Signed: 10/28/2025 01:45:11 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
07/15/2025 and conducted by Evaluator Jeanine Lipsey

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20250715155535

FACILITY NAME:	HERNANDEZ FAMILY CHILD CARE		FACILITY NUMBER:	197414408
ADMINISTRATOR:	HERNANDEZ, SYLVIA J.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 465-3733
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91406
CAPACITY:	14	CENSUS: 7	DATE:	10/28/2025
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Licensee Sylvia Hernanadez		TIME COMPLETED:	01:55 PM

ALLEGATION(S):

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Staff did not ensure that child was provided a sufficient quantity of food

INVESTIGATION FINDINGS:

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On 10/28/2025 at 8:45 am, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced complaint visit for the purpose of delivering the findings of the investigation regarding the above allegation. LPA met with Licensee Sylvia Hernandez and observed seven children, 3 of which were infants, being supervised by 2 staff at the time of the visit.

During the course of the investigation, LPA conducted interviews with staff, parents, children, obtained copies of the children’s roster, infant daily roster, parent handbook and observed mealtimes.

Pertaining to allegation “Staff did not ensure that child was provided a sufficient quantity of food”.

Per reporting party (RP), Child #1 (C1) was fed only one time throughout the day. Parent #1 (P1) stated the child was dropped off at around 7:45am and informed the staff the child was last fed at 7:30am.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025

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 58-CC-20250715155535

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HERNANDEZ FAMILY CHILD CARE	FACILITY NUMBER: 197414408
	VISIT DATE: 10/28/2025

NARRATIVE

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On 6/17/25, at pick up, P1 was given a daily report that noted the child was fed a bottle at 1:50pm only.

Per staff, parents of infants are given a daily report that shows bottle feedings, diaper changes, nap time and the child’s demeanor. P1 stated they questioned the staff regarding the form that reported the child was only fed 1 time and they said, it was inaccurate, they just forgot to write the times down.

Per staff infants are usually fed 2-3 times a day, every 3-4 hours and the older children are fed breakfast, snacks, lunch, dinner and then another snack depending how late they stay. Typical meals include but are not limited to, breakfast burritos with egg, bacon, bread, tortillas, macaroni and cheese, fried chicken, granola bars, strawberries milk, or juice. Per children interviewed, they are fed during the day. Child #2 (C2) and Child #3 (C3) reported they had eggs and bread today.

During LPA’s observation of care and supervision, staff were observed interacting with children during mealtime, hand washing was done before meals and after meals. Children were observed eating breakfast, snacks, and lunch. All children ate and drank what was served. Infants were observed sitting in the highchairs eating and drinking from their sippy cups. One child left during lunch time and was given a plate wrapped in foil to take with them.

Parents interviewed made no disclosures that support the allegation above. Three of the four parents interviewed stated that they are happy with the care their children are receiving. Parent #4 stated their child loves attending the facility had never expressed being hungry at pick up. Parent #3 stated that the facility is really great, their child enjoys their time there, and he/she eats well.

Based upon evidence obtained during this investigation, the allegations “Staff did not ensure that child was provided a sufficient quantity of food”, have been determined to be unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

Exit interview conducted and report was reviewed with Licensee Sylvia Hernanadez. Notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:	DATE: 10/28/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025

LIC9099 (FAS) - (06/04)

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