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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400515
Report Date: 08/23/2024
Date Signed: 08/23/2024 11:32:13 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
07/16/2024 and conducted by Evaluator Claudia Kam
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240716163214
FACILITY NAME:PRIETO FAMILY CHILD CAREFACILITY NUMBER:
198400515
ADMINISTRATOR:PRIETO, MIRSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 219-2506
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:14CENSUS: 2DATE:
08/23/2024
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Mirsa PrietoTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Provider force fed day care child.
Provider did not follow responsible party's instructions regarding day care child's feeding needs.
INVESTIGATION FINDINGS:
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On 8/23/24 at 10:30 AM Licensing Program Analyst (LPA) Claudia Kam conducted an Unannounced Complaint Inspection for the purpose of delivering findings for the above allegations. LPA announced purpose of inspection and was allowed entry to facility by Mirsa Prieto who guided analyst on a tour of the facility. There were 2 children present with licensee upon arrival.

During the investigation LPA obtained a copy of the facility roster, a copy of the employee roster and reviewed staff files, conducted interviews with staff, parents and children.
Information provided by the reporting party alleges that personal rights were violated.

Based on the LPA's observations and interviews which were conducted and record review it was found that no instructions were given in writing or acknowledge in writing. Children are allowed to feed themselves and have been observed as self feeding and are fed depending on the age of the child and capibilities.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
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 54-CC-20240716163214
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: PRIETO FAMILY CHILD CARE
FACILITY NUMBER: 198400515
VISIT DATE: 08/23/2024
NARRATIVE
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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 will be cited today 8/23/24.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted with Mirsa Prieto, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
LIC9099 (FAS) - (06/04)
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