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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020797
Report Date: 01/20/2023
Date Signed: 01/24/2023 09:10:12 AM

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
11/21/2022 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20221121164813
FACILITY NAME:CORTEZ & BUSTOS FAMILY CHILD CAREFACILITY NUMBER:
198020797
ADMINISTRATOR:D. CORTEZ & MAXIMO BUSTOSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 384-5276
CITY:LOS ANGELESSTATE: CAZIP CODE:
90029
CAPACITY:14CENSUS: 6DATE:
01/20/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Dolores Cortez & Maximo Bustos TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Provider handled day care child in a rough manner
INVESTIGATION FINDINGS:
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LIcensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Licensees Dolores Cortez & Maximo Bustos

During the course of this investigation. LPA Lee conducted interviews, reviewed documents, and made observations in regards to the above allegation.

The complaint alleges that a child in care was handled in a rough manner by one of the co-Licensees Maximo Bustos. The complaint specified that Child#1 was dragged by the co-licensee into a car during the morning while attempting to take Chld#1 and their 1 sibling to school. Both licensees denied the allegation and made no disclosure. The co-Licensee stated that Child#1 walked on their own to the vehicle and was picked up and placed into the carseat by the co-Licensee after they refused to enter on their own. The co-Licensee specified that he had no physical contact with Child#1 until he was already in front of the vehicle. The licensees also stated that no other children were in the vehicle during this incident other than Child#1 and their 1 sibling.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023
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 2
Control Number 33-CC-20221121164813
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: CORTEZ & BUSTOS FAMILY CHILD CARE
FACILITY NUMBER: 198020797
VISIT DATE: 01/20/2023
NARRATIVE
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The allegations comes from a single incident in the morning when the co-Licensee was transporting Child#1 and the sibling, who were brought to the family child care home by their parent, to their school from the family child care home. The reporting party alleges that Child#1 was handled in a rough manner when they were dragged towards the vehicle by the co-Licensee because they were resisting being taken to school. The Licensees stated that although Child#1 did resist trying to be taken to school, the child walked to the vehicle without any physical contact and was picked up and placed in the vehicle by the co-licensee in an appropriate manner. Although it is possible that during this incident Child#1 was handled in a rough manner while being placed in the vehicle, there is not enough evidence to substantiate this allegation.

Based on the evidence collected during the investigation, the allegations that provider handled day care child in a rough manner may be valid. However, there is not enough preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegations are found to be unsubstantiated.

The notice of site inspection must remain posted for a period of 30 days during hours operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Licensees Dolores Cortez & Maximo Bustos. Appeal rights discussed and explained.
SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2