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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415246
Report Date: 01/12/2026
Date Signed: 03/04/2026 02:29:58 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
12/17/2025 and conducted by Evaluator Janet Gil
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20251217151047
FACILITY NAME:MATAL-BANOS FAMILY CHILD CAREFACILITY NUMBER:
197415246
ADMINISTRATOR:MATAL-BANOS, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 919-4771
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:14CENSUS: 10DATE:
01/12/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Ana Matal BanosTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee did not prevent other children from bulling another child.
Licensee force fed child.
Licensee left child unattended.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On March 4, 2026, at approximately 1:00 PM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced inspection in order to deliver findings on the complaint investigation for the above allegation. LPA Gil met with the licensee, Ana Matal Banos, to discuss complaint allegation findings.

Present during LPA’s visit included licensee, two assistants, and ten enrolled children(1 infants, 5 preschoolers, and 4 school age). All adults living or working in the facility have on file fingerprint clearance on file.
Based on LPA record reviews of children’s files and children’s rosters, and interviews conducted with facility staff, children, parents, and adults living in the home, the allegation may have occurred or may be valid; however, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. Therefore, the allegation is determined to be UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was reviewed and provided to the licensee, Ana Matal Banos.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
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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