Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198006098
Report Date: 02/22/2019
Date Signed: 02/22/2019 11:41:19 AM


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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/20/2019 and conducted by Evaluator Raul Navarro
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190220140023
FACILITY NAME:RANCHO LOS AMIGOS CHILDREN'S CENTERFACILITY NUMBER:
198006098
ADMINISTRATOR:ANA MARTINEZFACILITY TYPE:
850
ADDRESS:7755 GOLONDRINAS STREETTELEPHONE:
(562) 401-7981
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:59CENSUS: 28DATE:
02/22/2019
UNANNOUNCEDTIME BEGAN:
10:42 AM
MET WITH:Helia CastellonTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff not providing snacks for children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced complaint inspection on this date for the above allegation. LPA met with Director Helia Castellon who guided LPA on a tour of the facility. There was a total of 28 children present and four staff members.

During the course of the investigation LPA Navarro conducted interviews with the Director and preschool staff. LPA was unable to interview the complainant. Complaint alleged that children were not given a morning snack. Director stated that the facility provides the children with an morning and afternoon snack. LPA interviewed the preschool staff. During the staff interviews, it was mentioned that a few times this month, facility did not provide a morning snack.

*Report continues on the next page
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2019
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 3
Control Number 33-CC-20190220140023
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: RANCHO LOS AMIGOS CHILDREN'S CENTER
FACILITY NUMBER: 198006098
VISIT DATE: 02/22/2019
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on the interviews concluded, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22 101227 (5)(a)- Food Services, is being cited on the attached LIC 9099-D.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted with the Director Helia Castellon. A copy of the Appeal Rights (LIC 9058 01/16) was provided.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20190220140023
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: RANCHO LOS AMIGOS CHILDREN'S CENTER
FACILITY NUMBER: 198006098
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/01/2019
Section Cited
CCR
101227(5)(a)
1
2
3
4
5
6
7
Food Services-
The following shall be offered daily:
Full-day programs shall offer a midmorning and a midafternoon snack.
This requirement was not met as evidenced by interviews conducted. During interviews with staff it was mentioned that at least a couple times in the month of February, the facility did
1
2
3
4
5
6
7
Per Director, facility will document when snacks are served and have administration sign off when the snacks have been provided. Director will provide a copy of the sign off sheet to LPA by the POC date of 3/1/19.
8
9
10
11
12
13
14
not provide the children with an AM snack. This is a potential risk to the health and safety of the children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3