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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198014050
Report Date: 12/21/2023
Date Signed: 12/21/2023 03:40:25 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
09/19/2023 and conducted by Evaluator Monique Jessica Ayala
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230919152625
FACILITY NAME:ROMERO FAMILY CHILD CAREFACILITY NUMBER:
198014050
ADMINISTRATOR:ROMERO, GENNYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 542-0455
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY:14CENSUS: DATE:
12/21/2023
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Genny Romero, LicenseeTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Personal Rights: Adult enaged in inappropriate behvaior with day care child
INVESTIGATION FINDINGS:
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On December 21, 2023, Licensing Program Analysts (LPAs) Monique Ayala and Staicy Perry conducted an unannounced complaint investigation for the above allegation. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with licensee, Genny Romero who guided LPA on a tour of the facility. LPA observed 12 children in car with 2 staff.

The investigation was conducted by the Department’s Investigation Bureau by Investigator Denis Douglas and LPA Ayala. The investigation consisted of interviews that were conducted with staff, children, and other relevant parties. Records, which included police reports, were also reviewed.

Reporting Party (RP) alleged that Child #1 (C1) was inappropriately touched by Adult #1 (A1) while attending the day care. Based on interviews conducted with C1 and A1, it was disclosed that inappropriate conduct occurred multiple times at the facility. According to the licensee she was unaware that the incidents occurred.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2023
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 3
Control Number 33-CC-20230919152625
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: ROMERO FAMILY CHILD CARE
FACILITY NUMBER: 198014050
VISIT DATE: 12/21/2023
NARRATIVE
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The investigation could not determine if the licensee could have prevented the inappropriate behavior between C1 and A1. A1 has been excluded from the facility and parents have been notified.

Based on records and interviews conducted by both law enforcement, IB an LPA Ayala, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The facility is being cited a Type A deficiency in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1, Article 01, Section 101223(a)(8) Definitions is being cited on the attached LIC 9099D. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). Acknowledgement of Receipt (LIC 9224 form) must be maintained in each child’s file immediately upon receipt from parent.

Civil penalty determination is pending.

An exit interview was conducted, and a copy of this report was provided to Licensee, Genny Romero along with Appeal Rights. A Notice of Site Visit was provided, Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20230919152625
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: ROMERO FAMILY CHILD CARE
FACILITY NUMBER: 198014050
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/29/2023
Section Cited
CCR
102423(a)(2)
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Personal Rights: Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
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Adult #1 has been excluded from the facility. Licensee will watch videos on CCLD website for Personal Rights and Supervision. Licensee will provide a summary of what was reviewed on the videos to LPA by POC date 12/29/2023
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To receive safe, healthful, and comfortable accommodations, furnishings, and equipment. This requirement was not met as evidence by: Based on record review and interviews conducted, A1 had inappropriate conduct with C1. This poses an immediate health and safety risk to children 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: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3