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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018211
Report Date: 05/05/2023
Date Signed: 05/05/2023 02:03:54 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2023 and conducted by Evaluator Roxana Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230307100356
FACILITY NAME:LOPEZ FAMILY CHILD CAREFACILITY NUMBER:
198018211
ADMINISTRATOR:LOPEZ, LESLIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 235-3793
CITY:SOUTH EL MONTESTATE: CAZIP CODE:
91733
CAPACITY:14CENSUS: 2DATE:
05/05/2023
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Licensee, Leslie Lopez TIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Personal rights
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 5/5/2023. A risk assessment was conducted appropriate PPE was used. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 03/07/2023. LPA met with Licensee, Leslie Lopez to whom the purpose of the inspection was announced. Census was taken.

Throughout the course of the investigation, interviews were conducted with staff and parents. LPA also reviewed and obtained copies of roster, photos and other documentation.

Per initial complaint report, the Reporting Party Parent (RP) reported that when their child was picked up from facility by the other parent- child’s face was swollen and had a rash on face and Licensee did not call to inform them.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
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 33-CC-20230307100356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LOPEZ FAMILY CHILD CARE
FACILITY NUMBER: 198018211
VISIT DATE: 05/05/2023
NARRATIVE
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Per parent that picked up child they asked Licensee what happened and asked what child ate. They were informed that child ate a “mexican soup”- per parent they asked why child was given that soup if child does not eat solids.

RP disclosed that when other parent informed them via text about rash and swelling, RP texted Licensee inquiring about the rash. Licensee responded they thought it was child’s eczema and that they given child some Mexican soup. According to RP their child had recently started eating solids- and told Licensee that it was fine to give child new food but to keep them informed of any reactions. Additionally, RP stated that their child was having a “bit of an eczema outbreak” around their lips and had applied cream the morning of the incident. Per RP they took child to urgent care, and they were informed that child had an allergic reaction to something but unknown to what.

LPA conducted interviews with Licensee and assistant who stated that child arrived with a rash and were informed that it was eczema. Both S1 and S2 corroborated that face was not swollen while at daycare and assumed rash was eczema. Additionally, they stated that they did not call parents to inform them as they have seen child’s eczema worse other days and when parents were called, they did not seem concern. Per S1 child # 1 ate a fideo soup (soup with vegetables) on that day, they stated that they have given this soup to child before and child did not have a reaction. Both S1 and S2 corroborated that menu is posted by signing in sheets and they inform parents if anything changes, or any new food is introduced.

LPA conducted interviews with parents. All parents’ statements corroborated that they are happy with the care their child receives. Additionally, parents corroborated that menu is posted by signing in sheet and that licensee informs them if any new food was given.

This agency has investigated the complaint alleging personal rights violation. Based upon the evidence as presented above, the allegations have been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove alleged violation(s) did or did not occur.------------pg. 2 of 3------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20230307100356
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LOPEZ FAMILY CHILD CARE
FACILITY NUMBER: 198018211
VISIT DATE: 05/05/2023
NARRATIVE
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therefore at this time the above allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Leslie Lopez

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3