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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198014584
Report Date: 06/11/2025
Date Signed: 06/11/2025 04:38:59 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
05/20/2025 and conducted by Evaluator Jonnisha Culbert
COMPLAINT CONTROL NUMBER: 54-CC-20250520115026
FACILITY NAME:CELIS FAMILY CHILD CAREFACILITY NUMBER:
198014584
ADMINISTRATOR:CELIS, KELLYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 429-9646
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY:14CENSUS: DATE:
06/11/2025
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:TIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Licensee discriminates against child
INVESTIGATION FINDINGS:
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On 06/11/2025 at 2:20am, Licensing Program Analysts (LPAs) Jonnisha Culbert and Javier Duran conducted an unannounced compliant inspection and met with licensee Kelly Celis. It was alleged that licensee discriminated against a child. During the time of inspection, licensee, three adults, and six children were present.

LPA conducted interviews, obtained photos, and reviewed medical records provided. Based on staff interviews conducted, child 1 had not been present at the facility from 05/13/2025 to 05/18/2025. Child 1 returned to care on 05/19/2025 with a medical note provided by the parent which was dated 05/16/2025 indicating that, “child may return to school once lesions resolved”. Per licensee, although child was accepted into care, they began complaining of pain in the throat during breakfast time. Licensee and staff 1 conducted a check of child’s mouth and observed one sore prompting them to contact the parent to pick up the child based on the information on the medical note. While child was being picked up licensee received a doctors note dated 5/19/2025 stating, “Clear for return. Current lesion not contagious”
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
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-20250520115026
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: CELIS FAMILY CHILD CARE
FACILITY NUMBER: 198014584
VISIT DATE: 06/11/2025
NARRATIVE
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page 2
Licensee received medical notes with conflicting information, per interviews conducted the child was asked to be picked up based on the information on the initial doctors note received therefore the allegation is unsubstantiated. The Notice of Site Visit must be posted for 30 days.

An exit interview was conducted with licensee, Kelly Celis.
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2