198021105-5-1-2023-33-CC-ACHO-CRURPG-20230515131156

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198021105
Report Date: 05/01/2023
Date Signed: 05/01/2023 04:41:48 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
03/02/2023 and conducted by Evaluator Carolyn Tuba

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230302095655

FACILITY NAME:	GONZALEZ FAMILY CHILD CARE		FACILITY NUMBER:	198021105
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 4	DATE:	05/01/2023
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Elizabeth Gonzalez		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Licensee yells at day care children in care.

INVESTIGATION FINDINGS:

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On 5/1/2023 at 2:15 p.m. Licensing Program Analyst (LPA), Carolyn Tuba conducted an unannounced complaint inspection. A Covid risk assessment was made prior to entering the facility. LPA met with Licensee, Elizabeth Gonzalez. The purpose of the visit is to provide findings to the above allegation. LPA observed 4 children in care supervised by Licensee. During the visit, additional interviews were conducted with licensee, spouse, Child #6 (C6) and Adult #1 (A1) who lives in the home, (both are licensee’s biological children).

Complaint alleged that licensee yelled at day care children. LPAs, Jennifer Hua and Tuba conducted separate interviews with licensee, licensee’s spouse, parents and children on 3/8, 3/28 and 5/1. According to Child #5 (C5), licensee yelled at C6 and C5. Licensee denies yelling at children but states that she will talk to children at eye level and with a serious tone. Licensee’s spouse also denied ever observing licensee yell at children. LPA, Hua interviewed Parent #1 (P1) and Parent #2 (P2) who had no concerns with the level of care provided. C6 and A1, licensee’s own children were also interviewed. C6 and A1 denied observing licensee scream or yell at children. Other children were not interviewed as they were too young.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230302095655

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: GONZALEZ FAMILY CHILD CARE	FACILITY NUMBER: 198021105
	VISIT DATE: 05/01/2023

NARRATIVE

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Licensee submitted an Unusual Incident Report (UIR) on 3/9/2023 pertaining to the incident with C5 and C6 that occurred on 3/8/2023.

Based on the above, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, 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, a copy of this report, appeal rights given to licensee, Elizabeth Gonzalez.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC9099 (FAS) - (06/04)

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