Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418657
Report Date: 07/24/2017
Date Signed: 07/24/2017 09:58:32 AM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/24/2017 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20170524155602
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
197418657
ADMINISTRATOR:GARCIA, SOILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 755-3934
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:14CENSUS: 5DATE:
07/24/2017
UNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Manuel Garcia/assistant
TIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1) Personal Rights
Licensee used inappropriate form of punishment on day care child
2) Personal Rights
Licensee called day care child an inappropriate name
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Silva Garibyan conducted an unannounced complaint visit for the purpose of concluding the investigation for the aforementioned allegations. LPA met Manuel Garcia, licensee's husband/assistant. The two assistants were caring for the children due to the licensee being out of the country ( assistant's CPR/First Aid completed on 05/13/17).
Based upon the evidence obtained through the course of reviewing documentations and interviews, there is insufficient evidence to support or disprove that Licensee used inappropriate form of punishment on day care child or Licensee called day care child an inappropriate name. Therefore, this allegations have been determined unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
An exit interview was conducted and a copy of this report was provided to the licensee's assistant.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (310) 337-4826
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (310) 337-3754
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2017
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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