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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020675
Report Date: 08/03/2021
Date Signed: 08/03/2021 01:22:50 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
06/29/2021 and conducted by Evaluator Nolan Tcheng
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210629105200
FACILITY NAME:CARRERA FAMILY CHILD CAREFACILITY NUMBER:
198020675
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
08/03/2021
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Amber Carrera - LicenseeTIME COMPLETED:
01:37 PM
ALLEGATION(S):
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2
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8
9
Facility has head lice outbreak
Parent was not notified of child's incidents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
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9
10
11
12
13
Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced in person inspection to deliver complaint findings for the above allegations. Upon arrival at 12:25pm, LPA was met by Licensee Amber Carrera, to whom the purpose of the inspection was provided. LPA was provided a tour of the facility at 12:27pm.

Census was taken. There were 6 children present and 1 staff at the time of inspection.

Throughout the course of the investigation, interviews were conducted by with licensee, four children, one adult, two parents, and the reporting party. Documentation in the form of Child Care facility Roster, Contract for Enrollment, and a picture of the facility daily schedule were obtained.

REPORT CONTINUES PAGE 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
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 4
Control Number 33-CC-20210629105200
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: CARRERA FAMILY CHILD CARE
FACILITY NUMBER: 198020675
VISIT DATE: 08/03/2021
NARRATIVE
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Information provided by the Complainant indicates that facility had a lice outbreak and licensee has done nothing to address it, and that licensee did not notify parent of children’s injuries at the facility.

Licensee states that only one child at facility had lice and all other children were checked for lice. Parents were notified to monitor their children over the weekend to ensure no further cases. Licensee states children injuries are sent to parents as a picture if it is a bump or bruise. Per licensee, she has not had any bumps or bruises she has had to disclose to parents within the last month, as she has not witnessed any injuries to that extent.

Interviews conducted with children revealed conflicting information regarding the above allegations.

Parents interviewed stated they were notified by licensee of lice incident and their children were checked for additional cases. One parent was unable to be reached during investigation.

Based upon the evidence as presented above, this agency has investigated the allegations above and has determined that the allegations are Unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies are being cited for the allegations listed above

Exit interview was conducted with Licensee Amber Carrera, at 1:15pm, including, but not limited to Provider Rights, Appeal Procedures and Agency’s Consultative Role.



The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

END OF REPORT PAGE 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
06/29/2021 and conducted by Evaluator Nolan Tcheng
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210629105200

FACILITY NAME:CARRERA FAMILY CHILD CAREFACILITY NUMBER:
198020675
ADMINISTRATOR:AMBER E. CARRERAFACILITY TYPE:
810
ADDRESS:9820 KIA ORA PLACETELEPHONE:
(562) 316-9786
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:8CENSUS: 6DATE:
08/03/2021
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Amber Carrera - LicenseeTIME COMPLETED:
01:37 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee withheld food from day care child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced in person inspection to deliver complaint findings for the above allegation. Upon arrival at 12:25pm, LPA was met by Licensee Amber Carrera, to whom the purpose of the inspection was provided. LPA was provided a tour of the facility at 12:27pm.

Census was taken. There were 6 children present and 1 staff at the time of inspection.

Throughout the course of the investigation, interviews were conducted by with one licensee, four children, one adult, two parents, and the reporting party. Documentation in the form of Child Care facility Roster, Contract for Enrollment, and a picture of the facility daily schedule were obtained.

REPORT CONTINUES PAGE 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 33-CC-20210629105200
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: CARRERA FAMILY CHILD CARE
FACILITY NUMBER: 198020675
VISIT DATE: 08/03/2021
NARRATIVE
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Per Complainant, licensee is withholding food from day care child. Complainant states this occurred three or four times in a month.

During licensee interview, licensee stated “Yes that did happen” when asked if she has ever not given a child food when they were hungry. Licensee stated that the child asks at around 5:50pm, right before facility closes at 6pm. The children are all ready to go with shoes on and belongings gathered. When child would ask at this time, licensee would let the child know that their parent would be here soon for pick up. Licensee states that her intention would never be to not provide food to a child.

Parent and children interviews were also conducted.

Based on LPA’s observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 Chapter 1 102423 Personal Rights), are being addressed as a Technical Violation.

Please refer to attached Advisory Note for documented Technical Violation

Exit interview was conducted with Licensee Amber Carrera, at 1:15pm, including, but not limited to Provider Rights, Appeal Procedures and Agency’s Consultative Role.



The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

END OF REPORT PAGE 2 of 2
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 4