197493499-1-19-2024-58-CC-RNAO-D33URV-20240305144921

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197493499
Report Date: 01/18/2024
Date Signed: 01/19/2024 11:05:35 AM

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
11/06/2023 and conducted by Evaluator Suzette Ornelas

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20231106133811

FACILITY NAME:	KUBI FAMILY CHILD CARE		FACILITY NUMBER:	197493499
ADMINISTRATOR:	KUBI, LIRAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 625-4840
CITY:	SHERMAN OAKS	STATE: CA	ZIP CODE:	91403
CAPACITY:	14	CENSUS: 6	DATE:	01/18/2024
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Liran Kubi		TIME COMPLETED:	03:55 PM

ALLEGATION(S):

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Licensee hit daycare child

INVESTIGATION FINDINGS:

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On 1/18/2024, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced follow up complaint inspection for the purpose of delivering the findings for the above-mentioned allegation. Upon arrival, LPA was greeted and let into the facility by Licensee, Liran Kubi to whom the reason for the inspection was announced. LPA toured the facility and observed 6 daycare children and 4 adults.

During the course of the investigation, LPA Ornelas made observations, obtained documentation in the form of children’s roster, and interviewed the Reporting Party (RP), 3 adults and 4 parents in regard to the above allegations.

-Pertaining to the allegation that - Licensee hit daycare child

According to the RP, Child 1 (C1) disclosed to RP that Licensee hit C1.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024

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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Control Number 58-CC-20231106133811

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: KUBI FAMILY CHILD CARE	FACILITY NUMBER: 197493499
	VISIT DATE: 01/18/2024

NARRATIVE

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According to the Licensee, she has never hurt a child in care.

According to Parent 1 (P1), Parent 2 (P2), Parent 3 (P3), and Parent 4 (P4) they have no concerns regarding the care that their child is receiving while at the Family Child Care (FCC). Parents stated that their children like the FCC and have no concerns regarding their children's safety. Parents further stated that their children have not disclosed any information about being hit while in care.

Based on the evidence as documented above, the allegations have been determined to be 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 allegation occurred.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Licensee, Liran Kubi.

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024

LIC9099 (FAS) - (06/04)

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