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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017022
Report Date: 08/02/2022
Date Signed: 08/02/2022 10:49:29 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/25/2022 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220525135432
FACILITY NAME:CASTILLO FAMILY CHILD CAREFACILITY NUMBER:
198017022
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:0CENSUS: 6DATE:
08/02/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Irma CastilloTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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License: Licensee submitted fraudulent documents to Licensing
INVESTIGATION FINDINGS:
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On 8/2/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced complaint visit for the purpose of delivering the findings for the investigation regarding the allegation above. LPA met with Licensee, Irma Castillo. LPA observed 6 children in care and 2 adults (cleared and associated).

On 6/2/2022, LPA Judy Laureano arrived at this facility for the purpose of initiating the complaint investigation. LPA Laureano interviewed the Licensee and observed 8 children in are. LPA Laureano also obtained a copy of the sign in/out sheet for 6/2/2022. This visit was conducted in Spanish.

Based on interviews with relevant parties, record review, and information collected throughout the investigation, the allegation is deemed UNSUBSTANTIATED. Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
[CONTINUE ON PAGE 2]
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
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 30-CC-20220525135432
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CASTILLO FAMILY CHILD CARE
FACILITY NUMBER: 198017022
VISIT DATE: 08/02/2022
NARRATIVE
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PAGE 2

There are no deficiencies being cited during today’s visit. An exit interview was conducted. A copy of this report was provided to Licensee, Irma Castillo, along with Appeal Rights and LIC 9213 Notice of Site Visit. This visit was conducted in Spanish.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2