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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400831
Report Date: 05/19/2026
Date Signed: 05/19/2026 01:46:16 PM

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
02/26/2026 and conducted by Evaluator Claudia Kam
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20260226082924
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: 8DATE:
05/19/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Shaina GilmoreTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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-Daycare child sustained multiple unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On 5/19/2026 at 10:00 AM Licensing Program Analyst (LPA) Claudia Kam and Licensing Program Manager (LPM) Denise Gibbs 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 Shaina Gilmore. LPA took a self guided tour of the facility. There were 8 children ( 7 preschool and 1 school age) present with licensee upon arrival.

During the investigation LPA obtained a copy of the facility roster, reviewed staff and child files and conducted interviews with staff and children.

Based on the LPAs observations, interviews, and record review it was found that there is a process for injury reporting. Licensee states that if a child is injured the parent is contacted and they are given a report.

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Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
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-20260226082924
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: GILMORE FAMILY CHILD CARE
FACILITY NUMBER: 198400831
VISIT DATE: 05/19/2026
NARRATIVE
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Per licensee there have not been any incidents in a long time. Staff 2 states that if an incident did occur, she would notify the licensee. Licensee would then call the guardian and administer first aid to the injured child. Staff confirmed no injuries have occurred since their employment in the last 6 months. Child 1 states that they have not been hurt at day care, but other children have and they are given a Band-Aid if injured. Child 2 states that she has not been injured and that they do not know of any injuries at the facility. LPA has reviewed pictures and video of the injuries in question. One injury appears to be a white blister with a ring of redness in the mouth on the inside lower lip near the base of the gums. There is no cut or bruising of the lip or gums indicating an injury. The second injury in question is a bruise on the right cheek with medium redness at the center to light pink in color at the edges. The bruise appears to be approximately 1/2 inch long and ½ inch wide. Injury 2 appears to be consistent with average childhood play for a preschooler. Although, the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

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

Exit interview was conducted with Licensee Shaina Gilmore.

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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2026
LIC9099 (FAS) - (06/04)
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