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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197495298
Report Date: 06/18/2025
Date Signed: 06/18/2025 11:36:30 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 RO, 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
04/14/2025 and conducted by Evaluator Cristina Castellanos
COMPLAINT CONTROL NUMBER: 30-CC-20250414103719
FACILITY NAME:MEDINA FAMILY CHILDCAREFACILITY NUMBER:
197495298
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 6DATE:
06/18/2025
UNANNOUNCEDTIME BEGAN:
11:31 AM
MET WITH:Licensee Beatriz MediaTIME COMPLETED:
12:31 PM
ALLEGATION(S):
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Neglect/Lack of Supervision: Lack of supervision resulted in child ingesting foreign objects.
INVESTIGATION FINDINGS:
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On 06/18/2025 Licensing Program Analysts (LPA) Cristina Castellanos and Judy Laureano arrived at above mentioned address for the purpose of delivering findings of the above-mentioned allegation. LPAs were greeted by Licensee Beatriz Medina and toured the facility. LPAs observed six (6) children in care with Licensee Medina providing care and supervision. Present during today's inspection were Licensee, Licensee’s spouse and six children in care.

The investigation of the above-mentioned allegation was conducted by LPA Castellanos.

On 04/21/2025 Licensing Program Analyst (LPA) Cristina Castellanos and Brittany Lovest conducted the initial complaint investigation at the above-mentioned facility. LPAs toured the facility and observed four (4) children in care with Licensee Medina providing care and supervision. Present during today’s inspection was

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
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-20250414103719
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MEDINA FAMILY CHILDCARE
FACILITY NUMBER: 197495298
VISIT DATE: 06/18/2025
NARRATIVE
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Licensee Medina, Licensee’s spouse and Licensee's assistant and four (4) children in care. LPA obtained the following documents: Children’s Roster, Children’s Files, Staff Files and Daily Program Schedule. Additionally, LPA Castellanos initiated staff and children’s interviews.

Based on the investigation conducted, observation, interviews of all relevant parties and record review, there is not enough information to prove or disprove that lack of supervision resulted in child ingesting foreign objects. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted, and report was reviewed with Licensee Beatriz Medina. A copy of this report and appeal rights were discussed and left with Licensee. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.














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SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2