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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198004391
Report Date: 02/03/2023
Date Signed: 02/03/2023 11:12:00 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/27/2023 and conducted by Evaluator Raul Navarro
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230127110341
FACILITY NAME:CHILD AND FAMILY CENTER-DEPT. OF FAMILY CONSUMERFACILITY NUMBER:
198004391
ADMINISTRATOR:ARLENE NELSONFACILITY TYPE:
850
ADDRESS:CSULB, 1250 BELLFLOWER BLVD.TELEPHONE:
(562) 985-8500
CITY:LONG BEACHSTATE: CAZIP CODE:
90840
CAPACITY:45CENSUS: 34DATE:
02/03/2023
UNANNOUNCEDTIME BEGAN:
09:02 AM
MET WITH:Lydia Grosso- Interim DirectorTIME COMPLETED:
11:36 AM
ALLEGATION(S):
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Day care child was left unattended
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced compliant inspection on 02/03/2023 LPA arrived at the facility at 9:02am and met with interim Director Lydia Grosso. LPA conducted the inspection to investigate the allegation above. There were 34 children present with 12 staff during today's inspection.

LPA Navarro toured the facility and interviewed the Director and staff present during the incident. Interviews conducted with three witnesses were consistent with their facts establishing that the allegation had occurred and that the facility did not take the actions needed to prevent it. The allegation of day care child was left unattended is Substantiated. Based on interviews conducted with staff, the preponderance of evidence has been met, therefore the about allegations is found to be substantiated. A technical violation was cited in the attached LIC 9099D.

Report continues on the next page.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
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 54-CC-20230127110341
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILD AND FAMILY CENTER-DEPT. OF FAMILY CONSUMER
FACILITY NUMBER: 198004391
VISIT DATE: 02/03/2023
NARRATIVE
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Exit interview was conducted with the interim Director Lydia Grosso. The Director was provided a copy of their appeal rights (LIC 9058) and their signature on the form acknowledges receipt of these forms. The notice of site visit was posted where the parent/guardian of children enter and exit the facility.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2