<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017228
Report Date: 02/27/2024
Date Signed: 02/27/2024 03:54:03 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/30/2023 and conducted by Evaluator Randy Derraco
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20231130101436
FACILITY NAME:NICHOLAS FAMILY CHILD CAREFACILITY NUMBER:
198017228
ADMINISTRATOR:NICHOLAS, SHAMEKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 788-0855
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:14CENSUS: 3DATE:
02/27/2024
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:TIME COMPLETED:
03:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff refused to take daycare child to the restroom causing daycare child to have an accident - Personal Rights
Provider not present 80% of the time -Personal Rights
Provider smokes marijuana during daycare hours - Personal Right
Provider does not keep facility free from pest resulting daycare child being bit - Physical Plant
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) R. Derraco conducted an unannounced complaint inspection to the above mentioned facility on 02/27/24. LPA arrived at the facility at 1:45 PM and was met by assistant S1, who guided analyst on a tour of the facility. LPA observed 3 napping children in care. LPA observed licensee and S3 arriving at the facility at 2:00 PM. The home was observed to be clean and free of defects

The purpose of this visit is to deliver complaint findings regarding the above mentioned allegations. Individuals interviewed indicate that licensee, S1, and S5 are the main adults that care for children. LPA observed a pick up and drop off school schedule posted on the parent board that has 9 schools indicated between the hours of 8:00 AM to approximately 4:00 PM. LPA also observed a notification signed by parents indicated that licensee will be unavailable due to vacation being taken. Individuals interveiwed also state that no one smokes in or around the home. Licensee disclosed in the past that her neighbors would occasionally smoke marijuana in the backyard of their respective homes and the scent would drift into the daycare's
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
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 54-CC-20231130101436
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NICHOLAS FAMILY CHILD CARE
FACILITY NUMBER: 198017228
VISIT DATE: 02/27/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
property. Licensee has since confronted neighbors to request that they do not conduct that type of activity while children are present. Individuals interviewed state that they are free to use the restroom as they please. They also disclosed that the adults that care for them do not refuse the use of a bathroom when needed. Furthermore licensee provided examples of contracts that parents sign indicating that parents are required to bring a spare set of clothes in case of "accidents" with children in care. During the course of the investigation, LPA observed the home to be clean and free of defects. Individuals interviewed confirmed that they do not suffer from itchiness or bug bites obtained while in care. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur, therefore the allegations is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights provided, and report was reviewed with the licensee Shameka Nicholas
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2