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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198021158
Report Date: 01/06/2025
Date Signed: 01/08/2025 11:52:43 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
12/19/2024 and conducted by Evaluator Seung Lee
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20241219152920
FACILITY NAME:BADAMSAMBUU FAMILY CHILD CAREFACILITY NUMBER:
198021158
ADMINISTRATOR:BADAMSAMBUU, NOMIN ERDENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 803-0698
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY:14CENSUS: 11DATE:
01/06/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Nomin Erdene BadamsabuuTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Facility is out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Licensee Nomin Erdene Badamsabuu.

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

The complaint alleges that the facility was out of ratio due to having too many infants in care during the Month of November 2024. During the course of this investigation LPA Lee was able to obtain evidence that showed that the facility had 5 infants at the facility for multiple days during the month of November. The Licensee did not deny the allegation and admitted she was watching 5 infants during the month of November. This is an immediete risk to children in care. During the inspection conducted on this date, LPA Lee did not observe the facility being out of ratio.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
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-20241219152920
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BADAMSAMBUU FAMILY CHILD CARE
FACILITY NUMBER: 198021158
VISIT DATE: 01/06/2025
NARRATIVE
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Based on the evidence collected during this investigation, the preponderance of evidence has been met. Therefore, the allegation stating the facility is out of ratio has been substantiated. The deficiency listed on the attached LIC 9099D are being cited in accordance with California Code of Regulations Title 22.

The Licensee was advised that all parents of currently enrolled children in care, and future parents for 1 year from this date will be required to sign a LIC 9224 form and have it placed in the child's file. A blank LIC 9224 form was provided to the Licensee during this inspection.

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

Exit interview conducted with Licensee Nomin Erdene Badamsabuu. Appeal rights discussed and explained.















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SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20241219152920
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BADAMSAMBUU FAMILY CHILD CARE
FACILITY NUMBER: 198021158
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/07/2025
Section Cited
CCR
102416.5(d)(1)
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For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:
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Licensee stated she will ensure that proper adult to chid ratios are maintained. The facility was observed to be in ratio on this date.
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Twelve children, no more than four of whom may be infants. This requirement was not met since the Licensee was watching 5 infants during November 2024. This is an immediete risk of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3