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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492759
Report Date: 12/07/2022
Date Signed: 12/07/2022 03:43:22 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
09/26/2022 and conducted by Evaluator Doris Whitmore
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20220926160627
FACILITY NAME:ESCOBAR FAMILY CHILD CAREFACILITY NUMBER:
197492759
ADMINISTRATOR:ESCOBAR, HEIDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 216-7137
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:14CENSUS: 8DATE:
12/07/2022
UNANNOUNCEDTIME BEGAN:
02:12 PM
MET WITH:Heidy EscobarTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Allegation 1 Licenseee is not present for a significant amount of time
Allegation 2 Unqualified adults are providing Care and Supervision
INVESTIGATION FINDINGS:
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On 12/7/2022 at 2:12p.m. Licensing Program Analyst Doris Whitmore conducted an unnannounced visit. The purpose of this this visit is to deliver the findings regarding the allegations referenced above. LPA met with Licensee, Heidy Escobar and was guided on a tour of the facility. There was a total of 8 children and 3 staff The staff have Criminal Record Clearance and are associated to the facility.

During the course of the investigation, LPA Whitmore conducted interviews, obtained evidence and made observations in regard to the above allegations.

On 10/4/2022 Licensing Program Analyst Doris Whitmore met with Heidy Escobar Licensee. LPAobserved twelve children with three staff upon arrival. During the inspection LPA toured the facility and interviewed staff, children,obtained roster and supporting documentation. Based on the evidence and file reviews, and interview statements, the allegation deemed unsubstantiated. Afinding that the complaint is unsubstantiated means that although the allegation may have happen or is valid, there is not a


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022
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 58-CC-20220926160627
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: ESCOBAR FAMILY CHILD CARE
FACILITY NUMBER: 197492759
VISIT DATE: 12/07/2022
NARRATIVE
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preponderance of evidence to prove that the alleged violations did or did not occur therefore the allegation is unsubstantiated.
An exit interview was conducted, and a copy of this report, appeal rights along with the Notice of Site Visit were provided to Heidy Escobar.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2