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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198016464
Report Date: 07/14/2023
Date Signed: 07/14/2023 01:18:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 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
06/02/2023 and conducted by Evaluator Austin Estrada
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230602120413
FACILITY NAME:VAN LEEUWEN FAMILY CHILD CAREFACILITY NUMBER:
198016464
ADMINISTRATOR:VAN LEEUWEN, TRINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 522-5192
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:14CENSUS: 12DATE:
07/14/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Licensee Trina Van LeeuwenTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Day care child sustained an unexplained bruise while in care.
Licensee did not notify parent of day care child's injury.
Adult in the home yells at day care children.
Adult in the home spanks day care children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Austin Estrada conducted an unannounced complaint inspection at the above facility to deliver findings for the above allegations. LPA met with Licensee Trina Van Leeuwen and informed her of the purpose for visit. Licensee then guided LPA on a tour of the facility. There were 12 children and one additional staff present at the time of inspection.
During the investigation, LPA reviewed pertinent documents and conducted interviews with five children currently attending the facility, four parents of children currently attending the facility, one staff currently working at facility, and the Licensee.
Interviews conducted with children and parents did not corroborate the above allegations. Parents state that they are satisfied with the level of care being provided by the daycare and that they are aware that the Licensee may discipline children by putting them in time out. Licensee states that when children misbehave they are not yelled at or spanked as a form of discipline, but children are put in time out to discuss the incident that led to the time out. Licensee also notifies the parents of the situation.
During the interviews, Licensee stated that she does not notify parents if she suspects anything unusual
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Austin Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
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-20230602120413
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: VAN LEEUWEN FAMILY CHILD CARE
FACILITY NUMBER: 198016464
VISIT DATE: 07/14/2023
NARRATIVE
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such as child abuse as she doesn’t want parents to know what was observed as the parents may “pull their kid out of the daycare” before help can be provided. Licensee has not observed any children with unexplained injuries or bruising. Per Licensee if she notices any children with bruising or unexplained injuries she would report it to Licensing.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.
Exit interview conducted with Licensee Trina Van Leeuwen. A copy of the appeal rights were provided and explained. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Austin Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2