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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198010536
Report Date: 10/17/2024
Date Signed: 10/17/2024 12:35:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
07/16/2024 and conducted by Evaluator Ashley Calderon
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240716124813
FACILITY NAME:TILLMAN FAMILY CHILD CAREFACILITY NUMBER:
198010536
ADMINISTRATOR:TILLMAN, TRACEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 209-8686
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY:14CENSUS: 5DATE:
10/17/2024
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:TILLMAN, TRACEY / LICENSEETIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Licensee did not prevent children from inappropriate interaction.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Calderon arrived at the above licensed facility for the purpose of conducting investigation for the above complaint allegation. LPA met with Licensee Tracey Tillman who granted LPA entrance. LPA disclosed the purpose of today's visit.

Based on interview with Licensee, LPA Calderon was informed that Licensee stepped outside to take the trash for 67 seconds, when child #1 and child #2 conducted inappropriate interactions. Licensee informed LPA they did not physically see the inappropriate interaction occur between the two child that were playing in a fort where the incident occurred. Licensee stated during interview to ensure safety for the children and prevent inappropriate behaviors, Licensee has video surveillance around the day care area and if it was known prior that Child #1 or Child #2, displayed inappropriate behaviors they would have had that child with her to help when stepping out of the facility to take the trash out. Licensee during the of day 7/14/24 the incident took place reviewed surviellence camera and observed inappropriate interactions occur between Child #1 and Child #2. Per Licensee, reported incident to authorized representatives of Child #1 and Child #2. (cont...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024
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-20240716124813
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: TILLMAN FAMILY CHILD CARE
FACILITY NUMBER: 198010536
VISIT DATE: 10/17/2024
NARRATIVE
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LPA Calderon interviewed, Staff #1 and #2 whom stated they have not seen inappropriate behavior occur at the facility and cannot corroborate to the above allegation.

Based on record review from law enforcement report reviewed by LPA Calderon (Los Angeles Police Department) report indicates Licensee stepped out of the day care area / home to take out the trash and was away approximately for 1 minute when the incident occurred between the two children.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and a copy of the report and appeal rights were provided to the Licensee Tracey Tillman.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2