334842032-10-31-2022-10-CC-CMAZ-CKRTNR-20221101145306

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334842032
Report Date: 10/25/2022
Date Signed: 10/31/2022 03:18:09 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/26/2022 and conducted by Evaluator Sumayya Habeebulla

COMPLAINT CONTROL NUMBER: 10-CC-20220926104609

FACILITY NAME:	LOPEZ FAMILY CHILD CARE		FACILITY NUMBER:	334842032
ADMINISTRATOR:	LOPEZ NORMA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 337-2707
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92557
CAPACITY:	14	CENSUS: 1	DATE:	10/25/2022
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Norma Lopez		TIME COMPLETED:	09:20 AM

ALLEGATION(S):

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- Licensee did not pick child from school.
- Licensee did not communicate with authorized representative.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sumayya Habeebulla arrived at the facility for the purpose of conducting a subsequent complaint visit, which includes concluding the investigation and delivering the investigation findings regarding the compliant investigation initiated on 09/26/22. LPA met with Licensee Norma Lopez and discussed the above allegations.
On 09/27/22, LPA Habeebulla interviewed Licensee. Along with interviews, the investigation revealed that:
There is an allegation that Licensee did not pick a child from school. During course of investigation, LPA obtained information regarding the services being provided and the arrangement and/or agreement between both parties regarding childcare.

See LIC 9099C for continuation

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022

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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Control Number 10-CC-20220926104609

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: LOPEZ FAMILY CHILD CARE	FACILITY NUMBER: 334842032
	VISIT DATE: 10/25/2022

NARRATIVE

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According to the Licensee, the agreement was to watch the child 3 times a week, which included pick-up from school, but it was not a set schedule and services would be arranged by the parent days in advance. On 09/23/22, the Licensee’s phone went through a software update, and was unable to receive any messages or calls from anyone, including the parent until late that night and was unaware that the parent requested her services. The Licensee stated that she did not feel the need to call back since it was late on a Friday night and there was no prior arrangement to pick up the child that day.

The second allegation is Licensee did not communicate with authorized representative. During the investigation, Licensee stated that since her phone was updating, she did not receive any messages from the Parent. Licensee only received the messages at night and did not think it was urgent to call the Parent back at night. Licensee stated the Parent never contacted Licensee back.

From the information received by interviews with pertaining Parties the above allegations cannot be verified. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

There are no deficiencies at this time.

An exit interview was conducted, and this report was reviewed with the licensee Norma Lopez. Appeal rights were discussed and provided during the exit interview.

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

SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022

LIC9099 (FAS) - (06/04)

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