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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020584
Report Date: 04/29/2022
Date Signed: 04/29/2022 04:17:57 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
02/15/2022 and conducted by Evaluator Cynthia Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220215104050
FACILITY NAME:HERNANDEZ GUZMAN FAMILY CHILD CAREFACILITY NUMBER:
198020584
ADMINISTRATOR:BESSIE HERNANDEZ GUZMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 462-1664
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY:14CENSUS: 6DATE:
04/29/2022
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Bessie Hernandez GuzmanTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility did not meet child's nutritional needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPAs) Cynthia Reyes and Carolyn Tuba, conducted an unannounced follow up inspection to present the findings of the complaint investigation. LPAs met with Bessie Hernandez Guzman, Licensee. A Covid-19 risk assessment was conducted prior to entering the facility. Due to COVID- 19 precautionary measures were taken during the entire inspection and all individuals present during this inspection wore appropriate personal protective equipment. LPAs were guided to the day care room where 6 children and licensee assistant daughter Cynthia and other assistant Zoila was observed. Census and names, of the children were taken.

During the course of this investigation LPA Reyes and Tuba conducted interviews with Licensee, staff, children, reporting party (RP) and other witnesses. LPA obtained a copy of the facility roster, facility Admission Agreement, and children Identification and Emergency forms.

REPORT CONTINUES ON NEXT PAGE: 1 OF 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022
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 33-CC-20220215104050
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: HERNANDEZ GUZMAN FAMILY CHILD CARE
FACILITY NUMBER: 198020584
VISIT DATE: 04/29/2022
NARRATIVE
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Pertaining to the allegation of the facility did not meet child's nutritional needs, it was stated that a staff member at the day care stated that it is against the law to provide a bottle to a child that is over 1 years old. Parents would bring the infants bottle with milk and it was stated that a staff member would not give the bottle or she would tell the other staff member not to give the infant the bottle. It was also stated that a staff did not feed a child food because the child was not able to feed herself with a spoon. RP states that once, while a child was eating a plate of spaghetti, the staff took the plate of food from the child because the child was making a mess. Per interview with staff that did not occur. Staff stated that the facility practices giving zippy cups or transitioning from bottle to zippy cups. But no infant has been denied a bottle or drinks. Per Interviews it was also stated that the facility dogs are not around the children unless it is the end of the day and the parent are with the day care children and are aware of the dogs being inside with the children.

Although the allegation(s) may have happened or are valid there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

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



Exit interview conducted and report was reviewed with the facility representative, Bessie Hernandez Guzman.

END OF REPORT
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2