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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418856
Report Date: 03/02/2023
Date Signed: 03/02/2023 04:41:52 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
12/05/2022 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20221205155759
FACILITY NAME:CASTELLON FAMILY CHILD CAREFACILITY NUMBER:
197418856
ADMINISTRATOR:CASTELLON, CAROLINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 294-5943
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY:14CENSUS: 8DATE:
03/02/2023
UNANNOUNCEDTIME BEGAN:
03:10 PM
MET WITH:Carolina Castellon, LicenseeTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Licensee did not notify child’s authorized representative of child’s injuries
INVESTIGATION FINDINGS:
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On 03/02/23 Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection to the above facility for the purpose of delivering the finding for complaint investigation. Upon arrival at 3:10pm LPA met with Noemi Martinez, Assistant. LPA informed of the reason for the visit. There were eight (8) children present upon arrival including 2 infants. Also present was Maria Andrea Pleitez Lemus, Assistant. Carolina Castellon, arrived at 3:38pm. LPA toured the facility.

During the course of the investigation, LPA reviewed pertinent documents and conducted interviews.
Although the reporting party stated that Licensee did not notify child’s authorized representative of child’s injuries, no evidence or photos were provided that showed a child sustained injury requiring medical attention.

Four parties were interviewed and none corroborated the allegation. Per licensee, reports of minor injuries are communicated verbally or by text ------Report Continues


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
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-20221205155759
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: CASTELLON FAMILY CHILD CARE
FACILITY NUMBER: 197418856
VISIT DATE: 03/02/2023
NARRATIVE
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Based on information obtained during the investigation, the allegation was determined to be unsubstantiated. An unsubstantiated finding 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.

No deficiencies are cited on this date.

Exit interview was conducted with Carolina Castellon, Licensees.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2