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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494921
Report Date: 05/12/2023
Date Signed: 05/12/2023 11:32:13 AM

Unsubstantiated


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
03/16/2023 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230316105235
FACILITY NAME:GABOUREL FAMILY CHILD CAREFACILITY NUMBER:
197494921
ADMINISTRATOR:CRYSTAL GABOURELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 253-0136
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:14CENSUS: 0DATE:
05/12/2023
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Crystal Gabourel, LicenseeTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Lack of Supervision: Daycare children engaged in inappropriate behavior
INVESTIGATION FINDINGS:
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On 05/12/2023, Licensing Program Analyst (LPA) Adrian Risher, conducted a complaint inspection regarding the above-mentioned allegation to deliver the findings. Upon arrival, LPA met with Crystal Gabourel, Licensee. LPA explained the purpose of the inspection and did not observe any children in care.

On 03/16/2023, ESCCRO received a complaint regarding daycare children engaged in inappropriate behavior. Information was reported that a child was touched inappropriately by another child while at the daycare.

On 03/23/2023, LPA Risher conducted the initial visit. LPA Risher interviewed the Licensee and requested a copy of the roster.
Licensee is always outside with the children providing supervision. Licensee provided an Unusual Incident Report to the department on 2/14/2023 based on the parent’s concerns. Licensee conducted her own investigation and followed-up with child ‘s 2 Social Worker to get additional assistance. Licensee was outside with the children while they were playing and eating a snack.
Unsubstantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
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 30-CC-20230316105235
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: GABOUREL FAMILY CHILD CARE
FACILITY NUMBER: 197494921
VISIT DATE: 05/12/2023
NARRATIVE
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A full investigation was conducted which included observations and interviews. The information received did not reveal evidence that children were left unsupervised which resulted in inappropriate behavior. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the above alleged violations did or did not occur, therefore the allegations are found to be unsubstantiated. Based on interviews and observations, no evidence has shown that there was a lack of supervision.

Exit interview was conducted and a copy of the report was provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2