Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198016467
Report Date: 01/17/2017
Date Signed: 01/17/2017 11:26:42 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
01/10/2017 and conducted by Evaluator Jennifer Hua
COMPLAINT CONTROL NUMBER: 33-CC-20170110115025
FACILITY NAME:MEDRANO & AGUIRRE FAMILY CHILD CAREFACILITY NUMBER:
198016467
ADMINISTRATOR:MEDRANO, M & AGUIRRE, WFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 699-2549
CITY:WHITTIERSTATE: CAZIP CODE:
90606
CAPACITY:14CENSUS: 13DATE:
01/17/2017
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Marlen MedranoTIME COMPLETED:
11:35 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights:
Child allowed to sleep in swing
Licensee did not follow safe feeding practices
Licensee not isolating sick child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Inspection conducted by LPAs Jennifer Hua and Raul Navarro. LPAs met with licensee, Marlen Medrano. Upon arrival, LPAs observed 12 children in care (3 of whom are infants) supervised by Licensee. Per licensee, her assistant Jessica Huerta left 5 minuties ago to pick up medicine. Assistant arrived at 8:57am. Licensee Marlen Medrano is Spanish speaking. LPA Navarro translated during this visit. During this visit, another infant was dropped off at 9:32am.
Interviews conducted with licensee and assistant during this visit. No corroborating statements received.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is inconclusive.

An exit interview conducted with licensee, copy of report given. Notice of Site Visit form was provided and explainted. The notice must be posted for 30 days or a civil penalty of $100 will be assessed.


Inconclusive
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jennifer HuaTELEPHONE: (323) 854-6738
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2017
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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