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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198012589
Report Date: 10/19/2023
Date Signed: 10/19/2023 03:46:07 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
08/03/2023 and conducted by Evaluator Randy Derraco
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230803150542
FACILITY NAME:PEREZ FAMILY CHILD CAREFACILITY NUMBER:
198012589
ADMINISTRATOR:PEREZ, ANGELICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 422-2242
CITY:LONG BEACH, CASTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 5DATE:
10/19/2023
UNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Licensee - Angelica PerezTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Personal Rights - Licensee hits children in care
Personal Rights - Staff not meeting daycare child needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) R. Derraco conducted an unannounced complaint inspection to the above mentioned facility on 10/19/23. LPA arrived at the facility at 3:05 PM and met with Licensee, who guided analyst on a tour of the facility. LPA observed 5 children in care. During the tour, LPA observed the home to be clean and free of defects. The purpose of this visit is to deliver complaint findings for the above mentioned allegations

During the course of the investigation, LPA conducted interviews and made observations. Interviews conducted did not corroborate that licensee hits day care children. Individuals interviewed state that they are not scared when in the presence of the Licensee. When it comes for caring for an infant, he or she only cries for a few minutes before the Licensee comforts them in order for the infant to stop crying. Individuals interviewed also state that the licensee provides a variety of different food options each day such as sandwiches or soup. Adequate space to take meals was observed in the kitchen area where there are 3 tables that are accessible for children in care. LPA observed napping mats to be kept in the closet located in
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023
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-20230803150542
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: PEREZ FAMILY CHILD CARE
FACILITY NUMBER: 198012589
VISIT DATE: 10/19/2023
NARRATIVE
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the main care area. Even though individuals interviewed state they do not take naps, they also state that they are able to nap in the bedroom designated for care or on the couch. A pack and play was observed in the home and is available for any infant if needed. Although the allegations 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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Angelica Perez
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023
LIC9099 (FAS) - (06/04)
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