Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192002652
Report Date: 08/22/2018
Date Signed 08/22/2018 10:07:49 AM


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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/16/2018 and conducted by Evaluator Raul Navarro
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20180816162605
FACILITY NAME:TORRES FAMILY CHILD CAREFACILITY NUMBER:
192002652
ADMINISTRATOR:ROSA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 404-5219
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 6DATE:
08/22/2018
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Rosa TorresTIME COMPLETED:
10:24 AM
ALLEGATION(S):
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Uncleared adult in home.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced complaint investigation inspection for the above allegation. There were six day care children present during today's inspection. LPA met with Licensee Rosa Torres . Also present was Licensee's adult daughter Monica Torres.

LPA Navarro interviewed the Licensee, and Licensee's daughter during today's inspection. Upon arrival to the facility, LPA Navarro observed an adult male leaving the facility. LPA asked the Licensee who the individual was and Licensee confirmed that was her son-in-law. LPA Navarro then asked if the individual lives in the home. Per Licensee, he does live in the home but is only he is only at the home when he is not at work. LPA Navarro also interviewed Licensee's daughter who confirmed the adult male has been living in the home since they moved, in March.

*Report continues on the next page
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2018
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 3
Control Number 33-CC-20180816162605
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TORRES FAMILY CHILD CARE
FACILITY NUMBER: 192002652
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/23/2018
Section Cited
CCR
102370(d)(1)
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Criminal Record Clearance. All individuals subject to a criminal record review as specified in Section 1596.871 prior to working, residing or volunteering in a licensed home, shall obtain a California clearance or a criminal record exemption as required by the Department. This requirement
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Per Licensee, she will have adult male move out of her home until criminal record clearance has been obtained.
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was not met as evidenced by LPA's observations and Licensee's own admittance that an uncleared adult male has been living in the home since March of 2018. This is an immediate risk to the health and safety of the children in care. Civil penalties were issued.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2018
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20180816162605
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: TORRES FAMILY CHILD CARE
FACILITY NUMBER: 192002652
VISIT DATE: 08/22/2018
NARRATIVE
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Licensee Rosa Torres guided this LPA on a tour of the facility both indoors and outdoors. During the tour, LPA Navarro observed male clothing in one of the rooms. Licensee and Licensee's daughter confirmed that clothes belonged to the adult male living in the home. LPA Navarro also went into the detached garage. Inside LPA Navarro observed a hobby station, tools, and an abundance of die-cast toy cars. LPA asked Licensee who they belonged to. Licensee stated they belonged to the adult male that is living in the home. Licensee's daughter also confirmed they belonged to the adult male.

Based on the LPA's observations, interviews, and Licensee's own admittance, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22 102370(d)(1) Criminal Record Clearance, is being cited on the attached LIC 9099-D.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). Acknowledgement of Receipt (LIC 9224 form) must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted with the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights (LIC 9058 01/16) was provided. The Licensee’s signature on this report acknowledges receipt of rights.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2018
LIC9099 (FAS) - (06/04)
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