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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400831
Report Date: 01/19/2024
Date Signed: 01/22/2024 08:56:23 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 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
10/31/2023 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20231031085646
FACILITY NAME:GILMORE FAMILY CHILD CAREFACILITY NUMBER:
198400831
ADMINISTRATOR:GILMORE, SHAINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 643-4101
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:14CENSUS: 10DATE:
01/19/2024
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Shaina Gilmore, LicenseeTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Licensee does not live in the facility
Licensee is not meeting requirements of 80% at the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection to conclude the investigation to the above allegation(s). Upon arrival at 1:00pm LPA met Licensee, Shaina Gilmore and explained the purpose of the inspection. LPA observed ten (10) children napping in the living room (childcare area). Also present were Cheyenne Banks and Yolonda Cornelious, Assistants. All adults present have obtained the required background clearances.

During the course of the investigation, LPA conducted interviews, reviewed documentation and recorded observations.
Interviews were conducted with five (5) witnesses who did not confirm the allegations that the licensee does not reside in the home nor that the licensee is not present for the minumum 80% of the time during hours of operation. During facility visits on 11/6/23 the licensee arrived at the facility within 45 minutes of LPA arrival, on 1/19/24 the Licensee was present upon LPA arrival. LPA was unable to contact the reporting party.
-----Report continues on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
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-20231031085646
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: GILMORE FAMILY CHILD CARE
FACILITY NUMBER: 198400831
VISIT DATE: 01/19/2024
NARRATIVE
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Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; the allegation is unsubstantiated.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days.

Exit interview was conducted with Licensee Shaina Gilmore.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 01/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2