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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418565
Report Date: 03/17/2021
Date Signed: 03/17/2021 11:56:58 AM



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
01/13/2021 and conducted by Evaluator Shandra Powell
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210113141832
FACILITY NAME:BOCCUTI FAMILY CHILD CAREFACILITY NUMBER:
197418565
ADMINISTRATOR:BOCCUTI, LORENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 653-5137
CITY:LAKE BALBOASTATE: CAZIP CODE:
91406
CAPACITY:14CENSUS: 10DATE:
03/17/2021
UNANNOUNCEDTIME BEGAN:
11:49 AM
MET WITH:Lorena Boccuti, LicenseeTIME COMPLETED:
11:55 AM
ALLEGATION(S):
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9
Physical Plant - Family child care home is malodorous
Physical Plant - Family child care home is not kept clean
INVESTIGATION FINDINGS:
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*Due to COVID-19 and precautionary measures this inspection was conducted via teleinspection conference.
Licensing Program Analyst (LPA) Shandra Powell conducted a complaint inspection.The purpose of the tele-inspection was to deliver the findings for the above allegations. LPA Shandra Powell discussed the purpose of the inspection with Lorena Boccuti, Licensee. Licensee provided census of facility, there were 10 children present during the inspection.

Based on visual observations during a inpromptu inspection via Face Time with Licensee and based on facility review, information obtained, and interviews conducted, there were no disclosures home is malodorous and not kept clean. No person interviewed stated they smelled any strong order in the home at anytime children have been enrolled. No person interviewed stated the house was unkept at anytime children have been enrolled. However it was disclosed the facility did have pets on the premisises at one time. Licensee declared that no person visited facilities during the month of November 2020 while children were in attendence due to the rules established since March 18, 2020, due to COVID-19 pandemic.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2021
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 30-CC-20210113141832
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: BOCCUTI FAMILY CHILD CARE
FACILITY NUMBER: 197418565
VISIT DATE: 03/17/2021
NARRATIVE
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Based on the investigation, the above allegations for Physical Plant - Family child care home is malodorous and Family child care home is not kept clean were found Unsubstantiated – 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 occurred.

Exit interview was conducted with Lorena Boccuti, Licensee a copy of this report and her appeal rights (LIC 9058) will be delivered via email with a read receipt which will act as the licensee's signature. Licensee will also sign and return original report via US mail and return to Elsegundo Regional Office.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2