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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198014028
Report Date: 01/11/2024
Date Signed: 01/26/2024 03:27:07 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
10/12/2023 and conducted by Evaluator Randy Derraco
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20231012135704
FACILITY NAME:LOPEZ FAMILY CHILD CAREFACILITY NUMBER:
198014028
ADMINISTRATOR:MARIA & TELESFORO LOPEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 984-0016
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 7DATE:
01/11/2024
UNANNOUNCEDTIME BEGAN:
02:55 PM
MET WITH:Assistant - Maria De Anda MartinezTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Adult in home inappropriately touched child - Personal Rights
INVESTIGATION FINDINGS:
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*This report is being amended for the purpose of adding addtional details to support the finding

Licensing Program Analyst (LPA) R. Derraco conducted an unannounced complaint inspection to the above mentioned facility on 01/11/24. LPA arrived at the facility at 2:55 PM and was met by assistant S1. Also present during the inspection were co-licensee and two additional adults. LPA observed 7 children in care at time of visit. All adults present during inspection have criminal background clearance. The home was observed to be clean and free of defects. The purpose of this visit is to deliver findings to the alllegation listed above.

During the course of the investigation, LPA made observations, conducted interviews, and reviewed records. Individuals interviewed state that Tylenol is only given to children in care when requested by parent. Individuals interviewed also state that medication is not given to help children in care sleep. Children nap
(page 1 of 2)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
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-20231012135704
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: LOPEZ FAMILY CHILD CARE
FACILITY NUMBER: 198014028
VISIT DATE: 01/11/2024
NARRATIVE
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schedules start around 12PM to 1PM and care providers allow children to sleep longer if the children wish. Reporting Party (RP) indicated that C1's penis is red and RP concluded that it was abuse. According to individuals interviewed, C1 does not wear diapers and uses the restroom alone at the facility. C1's authorized representative states that C1 does not have a rash in his private area, therefore there was no need to take him to the doctor. C1's authorized representative explained that C1 attends regularly scheduled doctor's appointments and was seen last February 2023. Other parties interviewed state that they do not have any concerns with how children in care are being treated or how long they nap. During previous complaint inspections to the above mentioned facility, LPA observed C1 to be happy and playful with other children in care and with staff. 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 USUBSTANTIATED.

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 assistant Rebecca Lopez.

(page 2 of 2)

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2