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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494155
Report Date: 06/28/2023
Date Signed: 06/28/2023 03:47:32 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 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
06/23/2023 and conducted by Evaluator Rosaura Valenzuela
COMPLAINT CONTROL NUMBER: 54-CC-20230623110555
FACILITY NAME:CABRERA FAMILY CHILD CAREFACILITY NUMBER:
197494155
ADMINISTRATOR:CABRERA, DELFINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 495-7070
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:14CENSUS: 9DATE:
06/28/2023
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Delfina Cabrera, LicenseeTIME COMPLETED:
03:50 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Day care is out of ratio.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit for the above noted allegation. LPA met with Licensee Delfina Cabrera and the purpose of the visit was discussed.
It was reported that day care is out of ratio. To investigate this allegation on 6/28/2023 between 2:45pm and 3:10pm, staff interviews were initiated. Interviews revealed that Licensee had stepped out of the facility on 6/23/2023 between 8:30am and 9:55am. Staff #1 (S1) and staff #2 (S2) were present at the facility with ten children in care. S1 momentarily went outside to move their vehicle due to street sweeping. When reporting party (RP) arrived at the home, they only saw one staff and 10 children present (1 infant, 2 toddlers, and 7 school age children. S2 called S1 to return immediately to the facility, which they did. During today's visit LPA observed 3 staff and 10 children present.
Based on observation, interviews, and record review there is not sufficient information to support the allegation. Therefore, it is unsubstantiated at this time. Exit interview conducted and a copy of the report was issued.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023
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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