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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304313565
Report Date: 05/11/2022
Date Signed: 05/11/2022 02:11:00 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/08/2022 and conducted by Evaluator Pat Rivas
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220308145111
FACILITY NAME:HERNANDEZ-GARCIA, ALBAFACILITY NUMBER:
304313565
ADMINISTRATOR:HERNANDEZ-GARCIA, ALBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(949) 929-5994
CITY:IRVINESTATE: CAZIP CODE:
92612
CAPACITY:14CENSUS: 10DATE:
05/11/2022
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Alba Hernandez-Garcia TIME COMPLETED:
11:45 AM
ALLEGATION(S):
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License handled day care child(ren) in a rough manner
Licensee forced child to eat.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) P Rivas conducted an unannounced complaint visit to render findings of the above allegations. LPA was assisted by . Licensee Alba Hernandez-Garcia. The Covid-19 Emergency Response questionnaires were asked. A toured the facility was conducted, and a census was taken. Observed at the time of the visit was 10 pre school age children, licensee and an assistant.

A review of staff criminal clearance records on this date indicates all facility residents, staff, or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 02/08/22, the Department received a complaint alleging that 1) Licensee handled day care child(ren) in a rough manner 2) Licensee forced child to eat.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
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 2
Control Number 06-CC-20220308145111
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: HERNANDEZ-GARCIA, ALBA
FACILITY NUMBER: 304313565
VISIT DATE: 05/11/2022
NARRATIVE
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The investigation consisted of interview with Four(4) parents; 1 assistant and licensee and review of facility records and LPA observations. LPA attempted to qualify 5 children but was unable to qualify any children for interviews.
In reference to the allegation that licensee handles children in a rough manner.
Interview with four of four parents did not divulge that licensee handled children in a rough manner. Staff interviewed denies seeing licensee handle children in a rough manner. Licensee denies handling children in a rough manner. LPA's observation on 03/10/22 did not observe licensee handling children in a rough manner. LPA was unable to corroborate the allegation.

In reference to the allegation that licensee forced children to eat; Interview with four of four parents did not divulge that licensee forces children to eat.. Interview with staff denied seeing licensee forcing children to eat. Licensee denied forcing children to eat. LPA P Rivas observed snack being served on 03/10/22 and did not observe licensee forcing children to eat. LPA was unable to corroborate the allegation.


Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove, the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated.

Notice of Site Visit was posted. The notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The licensee was provided a copy of their appeal right (LIC 9058 1/16) and their signature on this form acknowledges receipt of these rights. Exit interview was conducted.
In the area which was investigated, no deficiency was cited today.

Reports end here.
SUPERVISORS NAME: Rina Lopez
LICENSING EVALUATOR NAME: Pat Rivas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2