Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198006099
Report Date: 01/18/2019
Date Signed: 01/18/2019 01:52:04 PM


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
11/26/2018 and conducted by Evaluator Raul Navarro
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20181126150250
FACILITY NAME:RANCHO LOS AMIGOS CHILDREN'S CENTERFACILITY NUMBER:
198006099
ADMINISTRATOR:ANA MARTINEZFACILITY TYPE:
830
ADDRESS:7755 GOLONDRINAS STREETTELEPHONE:
(562) 401-7981
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:35CENSUS: 21DATE:
01/18/2019
UNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Lisa MontanoTIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Child was observed playing in the kitchen.
Out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced complaint inspection for the purpose of delivering the findings for the above allegations. LPA met with Interim Director Lisa Montano who guided LPA on a tour of the facility. There were 21 children present during today's inspection.

During the course of the investigation, LPA Navarro conducted interviews with the Director and Staff. The complaint was anonymous, therefore LPA was unable to interview the complainant. The Director, Staff #1 and Staff #3 denied the allegations. Staff #2 stated that they did not observed child in the kitchen but they did hear them. Director, Staff #1, and Staff #3 all stated that the classroom was within their ratio. Staff #2 did state child was taken out of the classroom to be within ratio. Director and Staff #1 both stated child was taken out of the classroom to attend their Learning Adventure class. As child was returning to their classroom, child began to cry. Staff #1 stated they walked with the child to calm them down. Staff #1 stated they went to the kitchen to grab their water.
*Report continues on the next page*
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2019
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 2
Control Number 33-CC-20181126150250
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: 198006099
VISIT DATE: 01/18/2019
NARRATIVE
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Staff #1 and Director stated child was there for a couple minutes as Staff #1 grabbed their water.

Based on conflicting statements made by the complainant and parties interviewed, the LPA is unable to determine whether the allegations actually occurred. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are unsubstantiated.

Exit interview was conducted with Interim Director Lisa Montano. The Interim Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

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

Report ends- Page 2 of 2
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2