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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198014640
Report Date: 12/16/2025
Date Signed: 01/07/2026 02:15:50 PM

Substantiated


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
10/08/2025 and conducted by Evaluator Dayna Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20251008101104
FACILITY NAME:JIMENEZ FAMILY CHILD CAREFACILITY NUMBER:
198014640
ADMINISTRATOR:JIMENEZ, ANGELICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 218-2282
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:14CENSUS: 2DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Angelica Jimenez, LicenseeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Licensee made inappropriate comments in the presence of child
INVESTIGATION FINDINGS:
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Amended Report 01/07/26 - On December 16, 2025, at 12:40pm, Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced visit to deliver findings regarding the above complaint allegations. At 12:45pm, LPA toured facility with licensee Angelica Jimenez. LPA observed 2 children with 2 staff and licensee. During this investigation, LPA interviewed reporting party, witnesses, licensee, staff, and parents. Documents collected: LIC9040-Children’s Roster and children’s file documents. The complaint alleges Licensee made inappropriate comments in the presence of child. Based on confidential Interviews with witnesses, LPA learned that on approximately three separate occasions in the presence of children and adult witnesses, staff #1 spoke in an inappropriate tone and negative statement was relayed to child #1. LPA learned these incidents were reported by adult #1 and adult #2 when they occurred to an additional adult witness. It is the licensee’s responsibility to train staff
Continued (p1 of p2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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 4
Control Number 54-CC-20251008101104
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 198014640
VISIT DATE: 12/16/2025
NARRATIVE
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appropriately. This is a personal rights violation of Title 22 regulations. Based on interviews conducted, the “preponderance of the evidence” standard has been met. The allegations that staff #1 made inappropriate comments in the presence of child are substantiated.
A notice of site visit was provided and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Angelica Jimenez.

The following deficiency is being cited: Personal Rights 102423(a)(1)
Title 22, Division 12, Chapter 3, Article 06. Continuing Requirements

(a) 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:

(1) To be treated with dignity in his/her personal relationship with staff and other persons.
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 54-CC-20251008101104
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: JIMENEZ FAMILY CHILD CARE
FACILITY NUMBER: 198014640
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2025
Section Cited
CCR
102423(a)(1)
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Personal Rights 102423(a)(1)(1) To be treated with dignity in his/her personal relationship with staff and other persons. This requirement is not met as evidenced by:

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Licenssee and Staff will watch departments personal rights videos and answer the questions LPA provides via email by January 1, 2026.
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Based on interviews with witneses, staff #1 spoke in an inappropriate tone and negative statement was relayed to child #1. Independent witneses observed the behavior on approximately 3 separate occassions. which poses/posed a potential Health, Safety, or Personal Rights 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: Warren Birks
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
10/08/2025 and conducted by Evaluator Dayna Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20251008101104

FACILITY NAME:JIMENEZ FAMILY CHILD CAREFACILITY NUMBER:
198014640
ADMINISTRATOR:JIMENEZ, ANGELICAFACILITY TYPE:
810
ADDRESS:2005 CERRITOS AVENUETELEPHONE:
(562) 218-2282
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:14CENSUS: 2DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Angelica Jimenez, LicenseeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Licensee left child in a soiled diaper for an excessive amount of time
INVESTIGATION FINDINGS:
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On December 16, 2025, at 12:40pm Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced complaint inspection for the purpose of delivering the finding for the above allegation. Upon arrival, LPA observed 2 children and 2 staff and licensee in care. During the investigation, LPA Chambers conducted interviews with reporting party, licensee, staff, and parents, reviewed records, and made observations regarding the above allegations. The complaint alleges that Licensee left child in a soiled diaper for an excessive amount of time. Although allegations were made, evidence obtained did not reveal any witnesses or supporting evidence and interviews conducted did not corroborate the allegations. Staff denied the allegation. LPA interviewed 2 parents and the parents interviewed did not disclose any concerns. Based on the information obtained, there is not a preponderance of the evidence to prove that personal rights were violated.The allegation may have happened or is valid, but there is not a preponderance of evidence to prove that the alleged violation occurred. The allegations are determined to be Unsubstantiated. Appeal rights were provided and discussed with the facility representative. A Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.
Exit interview was conducted and report was reviewed with Licensee Angelica Jimenez.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4