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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198016984
Report Date: 10/30/2023
Date Signed: 10/30/2023 09:43:38 AM

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
10/05/2023 and conducted by Evaluator Katrina Chicote
COMPLAINT CONTROL NUMBER: 54-CC-20231005132858
FACILITY NAME:ENGBERG FAMILY CHILD CAREFACILITY NUMBER:
198016984
ADMINISTRATOR:ENGBERG, TONIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 233-9872
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY:14CENSUS: DATE:
10/30/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Toni Engberg, LicenseeTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Other - Licensee did not provide a safe environment for daycare child
INVESTIGATION FINDINGS:
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On 10/30/2023 at 9:15 AM Licensing Program Analyst (LPA) Katrina Chicote conducted an Unannounced Complaint Inspection for the purpose of delivering findings to the above allegation. LPA announced purpose of visit and was greeted by Toni Engberg, Licensee, who granted entry to facility.

During this inspection, LPA was provided tour of facility and census was taken. LPA observed six children, which includes three infants, with three staff. All adults present have their criminal record clearance.

During the course of the investigation LPA made observations, conducted interviews, and obtained records. LPA observed vehicle that is being used to transport children parked on facility's driveway to be a grey van, which multiple interviews conducted confirm as Licensee's vehicle. Interviews conducted provided corrborating information in regards to allegation.

Report Continues - Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023
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 54-CC-20231005132858
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: ENGBERG FAMILY CHILD CARE
FACILITY NUMBER: 198016984
VISIT DATE: 10/30/2023
NARRATIVE
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Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. In this case there is concrete evidence to state that the above allegation occurred.

The following citations are being cited today on the attached LIC 9099D.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Licensee, Toni Engberg.


Report Ends - Page 2 of 2
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20231005132858
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: ENGBERG FAMILY CHILD CARE
FACILITY NUMBER: 198016984
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2023
Section Cited
CCR
102423(a)(2)
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102423 Personal Rights
(a) Each child receiving services from a family child care home shall have certain rights ...include, but are not limited to, the following: (2) To receive safe.. and comfortable accommodations...
This regulation was not met as evidenced by:
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Licensee states she will be at the curb no matter what it takes, though Licensee states Rec Aides assist in pick ups and work in parternship with her to ensure child enters her vehicle safely. Declaration was provided by Licensee. Clearing deficiency on this date.
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Based on LPA intervews, Licensee did not meet above regulation as multiple interviews disclosed that Licensee does not pull over and park during pick up to allow for child to enter vehicle safely. This poses a potential health, safety, and 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: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3