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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400016
Report Date: 10/26/2022
Date Signed: 10/26/2022 12:54:58 PM

Substantiated


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 CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/21/2022 and conducted by Evaluator Katrina Chicote
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20221021081008
FACILITY NAME:MANZO FAMILY CHILD CAREFACILITY NUMBER:
198400016
ADMINISTRATOR:MARIA MANZOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 706-9033
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:14CENSUS: 7DATE:
10/26/2022
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Maria Manzo, LicenseeTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Criminal Record Clearance - Uncleared adult resides in the home.
INVESTIGATION FINDINGS:
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This complaint inspection was conducted by Katrina Chicote, Licensing Program Analyst (LPA) on 10/26/2022 at 11:05 AM for the purpose of initiating the10-day inspection. Upon entrance of the home, LPA was greeted by A1, Licensee's Assistant, who has criminal record clearance. Licensee arrived at the facility 11:08 AM, and LPA advised Licensee of the purpose of the visit and the above allegation. A1 assisted in translation as Licensee is Native Spanish speaker. There was initially four children present, one of which was an infant, and three additional children arrived at 11:10 AM totaling seven children present during today's inspection.

During the investigation LPA observed A2, to come out of off limits bedroom upon arrival and was present at the facility during inspection. Interivew with A2 states that he does not live in the home but is at the facility due to his car not being operable. LPA viewed A2 go to a blue vehicle multiple times that was parked on facility's driveway. LPA viewed A2's California Identification Card and observed that A2's address is facility's address (photo was taken).
Report Continues - Page 1 of 2
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
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 3
Control Number 54-CC-20221021081008
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MANZO FAMILY CHILD CARE
FACILITY NUMBER: 198400016
VISIT DATE: 10/26/2022
NARRATIVE
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Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Licensee (or facility representative) was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The following citations are being cited today on the attached LIC 9099D and Civil Penalty assessed.



Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

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 was conducted and report was reviewed with the Licensee (or facility representative), Maria Manzo.


Report Ends - Page 2 of 2
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20221021081008
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MANZO FAMILY CHILD CARE
FACILITY NUMBER: 198400016
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/26/2022
Section Cited
CCR
102416(d)
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102416(d) Personnel Requirements
Prior to employment or initial presence in the child care home, all employee...shall: (1) Obtain a California clearance or a criminal record exemption as required by law or Department regulations....
This regulation was not met as evidenced by:
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Licensee states she will obtain criminal record clearance or exemption for A2 and until then A2 will not be present at the faciilty when daycare children are present. LPA obtained written declaration at time of inspection. Clearing deficiency on this date.
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Based on observations, interview, and record review, the Licensee did not have A2's criminal record clearance and associated to facility on today's inspection. A2 was osberved present at facility during inspection.
This poses an immediate health, safety, or personal rights risk to 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: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3