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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198006250
Report Date: 07/01/2022
Date Signed: 07/01/2022 02:40:14 PM

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 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
05/24/2022 and conducted by Evaluator Steven Tung
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220524092533
FACILITY NAME:ORTEGA FAMILY CHILD CAREFACILITY NUMBER:
198006250
ADMINISTRATOR:ORTEGA, CHARLENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 966-9353
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:14CENSUS: 8DATE:
07/01/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Charlene Ortega - LicenseeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Daycare children participated in inappropriate touching.
Daycare children engaged in an inappropriate interaction.
Licensee did not report incidents to authorized representatives.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Steven Tung and Roxana Lopez conducted a Complaint Investigation on 07/01/2022. Risk assessment was conducted upon entry and appropriate PPE was used. The purpose of this visit is to provide findings of the complaint investigation which was received on 05/24/2022. LPAs met with Licensee to whom the purpose of the inspection was announced. A tour of the facility was given - census was taken.

Throughout the course of the investigation, interviews were conducted with reporting party, staff, children, and parents. LPAs also reviewed and obtained copies of updated children’s roster, children’s records, incident reports, staff roster, and pictures.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
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 4
Control Number 33-CC-20220524092533
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: ORTEGA FAMILY CHILD CARE
FACILITY NUMBER: 198006250
VISIT DATE: 07/01/2022
NARRATIVE
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Per initial complaint report, it was reported that daycare children participated in inappropriate touching, daycare children engaged in an inappropriate interaction, and Licensee did not report incidents to authorized representatives.

Regarding the allegation that daycare children participated in inappropriate touching, LPAs reviewed pertinent documents that disclosed inappropriate touching between 2 children. Per Child #1 (C1’s) interview, it was disclosed that a child had touched C3’s private area.

Regarding the allegation that daycare children engaged in an inappropriate interaction, LPAs reviewed pertinent documents that disclosed the occurrence of an inappropriate interaction between children.

Regarding the allegation that Licensee did not report incidents to authorized representatives, LPAs reviewed pertinent documents and it was determined that the incidents were not reported to authorized representatives.

This agency has investigated the allegations that daycare children participated in inappropriate touching, daycare children choked one another, and Licensee did not report incidents to authorized representatives. Based on LPA’s observations, interviews, and records review, the preponderance of the evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The deficiencies cited are documented on the LIC 9099-D.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 33-CC-20220524092533
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: ORTEGA FAMILY CHILD CARE
FACILITY NUMBER: 198006250
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/08/2022
Section Cited
CCR
102423(a)
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(a) Each child receiving services... shall have certain rights that shall not be waived or abridged by the licensee...

This requirement is not met as evidenced by:
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Licensee and staff will review the Children's Personal Rights in Child Care and Supervising Children in Family Child Care training videos on https://ccld.childcarevideos.org and Licensee and staff will document
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Based on record review and interviews, the licensee did not comply with the section cited above as pertinent documents and conducted interviews disclosed inappropriate touching between 2 children which poses/posed a immediate health, safety or personal rights risk to persons in care.
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what they learned from the training video and submit the documents to LPA by POC due date. Licensee will also submit an outline on LIC 855 documenting a more structured play time to LPA by POC due date.
Type A
07/08/2022
Section Cited
CCR
102423(a)
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(a) Each child receiving services... shall have certain rights that shall not be waived or abridged by the licensee...

This requirement is not met as evidenced by:
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Licensee will document on LIC 855 specific steps that will be taken to transition chidlren from the van to the inside of the facility when arriving back to the facility with children. Licensee will submit
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Based on records review, the licensee did not comply with the section cited above as pertinent documents disclosed an inappropriate interaction between children which poses/posed a immediate health, safety or personal rights risk to persons in care.
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LIC 855 to LPA by POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 33-CC-20220524092533
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: ORTEGA FAMILY CHILD CARE
FACILITY NUMBER: 198006250
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/05/2022
Section Cited
HSC
1597.467(a)
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(a) Whenever any licensee..has reasonable cause to believe that a child..suffered any injury..while under the licensee's care, the licensee shall.. report that injury.. to the parent...

This requirement is not met as evidenced by:
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Licensee will document in detail on LIC 855 that Licensee will report incidents to all parties involved and will submit the LIC855 to LPA by POC due date.
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Based on records review, the licensee did not comply with the section cited above as pertinent documents reviewed disclosed the occurrence of incidents and it was determined the incidents were not reported to authorized representatives which poses/posed a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2022
LIC9099 (FAS) - (06/04)
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