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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197700359
Report Date: 12/01/2021
Date Signed: 12/01/2021 04:14:49 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/09/2021 and conducted by Evaluator Isabel Ortega
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210909162210
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
197700359
ADMINISTRATOR:GARCIA, BELEMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 902-2724
CITY:ARLETASTATE: CAZIP CODE:
91331
CAPACITY:14CENSUS: 8DATE:
12/01/2021
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Belem GarciaTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation #3 Personal Rights: Day-care child left in crib for an extended period of time
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/01/2021 Licensing Program Analyst (LPA) Isabel Ortega conducted a complaint investigation at the facility to deliver complaint investigation findings. LPA met with licensee Belem Garcia, who guided LPA on a tour of the facility. Upon arrival LPA observed 6 children in care. at about 3:00pm school age children arrived. a total of 8 children present.
During this investigation, LPA received pertinent documents related to this investigation, which included Facility Roster and other documentation related to the allegation. LPA interviewed the complainant, Licensee, parents and children. According to interviews conducted and observations completed did not disclose a child nor infant left in the crib/playpen while not napping for more than 15-20 mins. Allegation of Personal Rights: Day-care child left in crib for an extended period of time is deemed 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 alleged allegations occurred.
An exit interview was conducted, a copy of this report and a notice of site visit report were provided to Family Child Care Home.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carissa Bell
LICENSING EVALUATOR NAME: Isabel Ortega
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021
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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