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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400831
Report Date: 07/03/2024
Date Signed: 07/05/2024 02:22:23 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 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
04/09/2024 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240409113152
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:
07/03/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:TIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee hit day care child
Licensee did not prevent adult in home from hitting day care child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Alicia Mooberry and Portia Bowden conducted an unannounced complaint inspection to conclude the investigation to the above allegation(s). Upon arrival at 12:30pm LPA met Joy Banks, Assistant, who provided tour of home. LPA observed ten (10) toddlers present. Also present was Jaidyn Means, Assistant. Licensee, Shaina Gilmore arrived at 12:40pm, LPA explained the purpose of the inspection. All adults present have obtained the required background clearances.

Reporting Party stated that the licensee violated the rights of a child #1 while in care. During the course of the investigation, LPA conducted interviews, reviewed documentation and recorded observations.
Interviews were conducted with six (6) witnesses, none confirmed the allegations that the licensee or staff hit children in care. 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. No deficiencies were cited during this vist. Exit interview was conducted with Licensee Shaina Gilmore.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
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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