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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417120
Report Date: 10/01/2021
Date Signed: 10/01/2021 02:57:34 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/09/2021 and conducted by Evaluator Alicia Bailey
COMPLAINT CONTROL NUMBER: 54-CC-20210709125546
FACILITY NAME:WILLIAMS FAMILY CHILD CAREFACILITY NUMBER:
197417120
ADMINISTRATOR:WILLIAMS, GERALDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 637-1109
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY:14CENSUS: 5DATE:
10/01/2021
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Sheryl Gray- Licensee Assistant TIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Personal Rights:
Authorized representative suspects that bruising is related to abuse.
Staff is rough with the daycare children.
Staff curses at the daycare children.
The owner of the facility is rarely at the facility.
Daycare children are restrained.

INVESTIGATION FINDINGS:
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A Complaint investigation was conducted by Licensing Program Analyst (LPA), Alicia Bailey on October 1, 2021 for the purpose of investigating the above allegations. LPA Bailey met with Licensee assistant Sheryl Gray on this day. The census for the facility during today’s inspection staff 1 to children 2 ratio was met.

During the investigation LPA Bailey conducted interviews with the Complainant, 3rd parties Licensee, Assistant, and Parents child # 1. LPA interviewed staff who deny the allegations. Staff interviewed did not make any corroborating statements. LPA interviewed parents. There were no corroborating statements made. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated.

*Report continues the next page
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
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 54-CC-20210709125546
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WILLIAMS FAMILY CHILD CARE
FACILITY NUMBER: 197417120
VISIT DATE: 10/01/2021
NARRATIVE
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Exit interview was conducted with Licensee Sheryl Gray . The Licensee Assistant Sheryl Gray was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Alicia Bailey
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2