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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017919
Report Date: 10/24/2024
Date Signed: 10/24/2024 03:49:04 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
08/09/2024 and conducted by Evaluator Franchesca White
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240809110805
FACILITY NAME:MARTINEZ GIRON FCCFACILITY NUMBER:
198017919
ADMINISTRATOR:VIVIANA MARTINEZ GIRONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 707-6934
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:14CENSUS: 6DATE:
10/24/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Vivian Martinez - Giron, LicenseeTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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License - Licensee is not present in home during operation hours exceeding 20 percent of the hours of operation.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Franchesca White arrived at the above facility for the purpose of an unannounced complaint visit. LPA White announced the purpose of the visit and was granted entry into the facility by Vivian Martinez - Giron, Licensee. Census was taken.

Regarding the allegation of Licensee is not present in home during operation hours exceeding 20 percent of the hours of operation., LPA White conducted visits to the facility on 8/14/2024, 10/9/2024, and there was an Annual visit conducted by LPAs C. Kam, and J. Ortega on 10/17/2024. In all of these visits, Licensee Vivian Martinez – Giron arrived after the LPAs arrived at the facility. During the investigation Interviews with children, parents, and staff were conducted. From these interviews it was corroborated that Vivian is not at the home as often as other facility staff. It was stated that the staff member that is seen the most is an assistant, and that Ms. Vivian is only at the home sometimes.
Documentation states that Licensee is at the facility from 6:00 a.m. to 6:00 p.m.
............................................Report Continues 1 of 2 Pages..................................................................
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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-20240809110805
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: MARTINEZ GIRON FCC
FACILITY NUMBER: 198017919
VISIT DATE: 10/24/2024
NARRATIVE
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Staff #2(S2) is present at the facility from 7:30 a.m - 2:00 p.m., Staff #3 (S3) 7:00 a.m. to 2:00 p.m., Staff #4 (S4) from 7:00 a.m. 6:00 p.m., and Staff #5 (S5) from 7:30 a.m. to 4:30 p.m. Licensee states that the days staff work varies based on amount of day care children present.

Licensee states that her hours are 6 to 4:30 p.m., and that she's at the facility more than 80% to 90%, and that she understands that she has to be present 80% of each day. Licensee states that she is going to submit a new application adding her daughter to the license as a Co-Licensee.

Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A substantiated finding means that the allegation is valid because the preponderance of the evidence standard has been met.

The following citation is being cited today on the attached LIC 9099D.

A notice of site visit was given and must remain posted for 30 days. Failure to post will result in a civil penalty of $100.

Exit interview was conducted and report was reviewed with the Facility Representative, Vivian Martinez - Giron. A copy of the report and appeal rights was giving to Licensee Vivian Martinez - Giron.

.....................................................Report Ends 2 of 2 Pages......................................................................

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20240809110805
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: MARTINEZ GIRON FCC
FACILITY NUMBER: 198017919
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/25/2024
Section Cited
CCR
102417(a)
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The licensee shall be present in the home and shall ensure that children in care are supervised at all time.. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. This requirement was not met as evidence by:
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Licensee states that she will submit a new application to the department adding her daughter as a Co-Licensee on or before the POC due date. Licensee states that she will send proof to LPA White on or before the POC due date by email.
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Licensee was not present at the facility exceeding 20 percent of the hours of the facility which poses a potential risk to the health and safety of the 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: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3