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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197495090
Report Date: 10/10/2022
Date Signed: 10/10/2022 01:31:05 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, 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
07/13/2022 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220713105137
FACILITY NAME:KIRSCHENSTEIN FAMILY CHILD CAREFACILITY NUMBER:
197495090
ADMINISTRATOR:MARIA KIRSCHENSTEINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 383-7988
CITY:SANTA MONICASTATE: CAZIP CODE:
90403
CAPACITY:14CENSUS: 5DATE:
10/10/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maria KirschensteinTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Other: Licensee does not live in the family child care home.
INVESTIGATION FINDINGS:
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On 10/10/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced visit at Kirschenstein Family Child Care Home located at 1044 Yale Street, Santa Monica, CA 90403, for the purpose of delivering the investigation finding for Complaint CONTROL NUMBER 30-CC-20220713105137. This investigation was conducted by LPA Sabrina Martinez. LPA observed 5 children with 1 staff (cleared and associated to the facility).

On 07/13/2022, the Department received a complaint alleging that the licensee does not reside in the home. On 07/20/2022, LPA Sabrina Martinez conducted a visit at the facility and conducted a tour of the facility. LPA observed licensee’s belongings in the bedrooms, kitchen, and bathroom. LPA Martinez also obtained a copy of the following documents: Licensee Maria Kirschenstein’s CA Driver’s License, City of Santa Monica’s Utilities Account Statement, SoCal Edison Electricity Bill.

[CONTINUE ON PAGE 2]
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2022
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 30-CC-20220713105137
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: KIRSCHENSTEIN FAMILY CHILD CARE
FACILITY NUMBER: 197495090
VISIT DATE: 10/10/2022
NARRATIVE
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PAGE 2

On 10/06/2022, LPA conducted interviews with parents who disclosed that Licensee and her family reside at this address. Based on information gathered throughout the course of the investigation, the allegation that licensee does not reside in the home is unsubstantiated. There is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is found to be unsubstantiated.

An exit interview was conducted and a copy of this report, appeal rights, and Notice of Site Visit were provided to Licensee Maria Kirschenstein.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2