Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017228
Report Date: 10/25/2018
Date Signed: 10/25/2018 11:11:03 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
07/19/2018 and conducted by Evaluator Karen Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20180719083240
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: 5DATE:
10/25/2018
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Shameka NicholasTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Lack of supervision resulting in inappropriate contact between children.
INVESTIGATION FINDINGS:
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This complaint inspection was conducted by Complaint Specialist LPA, Karen Chambers, who met with Shameka Nicholas, for the purpose of providing the finding for the above pending allegation.

During the course of the investigation conducted by IB Investigator Christine Ferris, interviews were conducted with the Licensee, former day-care parents, day-care staff, the victim as well as local law enforcement.

During the victim’s interview with local law enforcement and IB Investigator Ferris, it was stated that eight years ago that there was inappropriate contact between them and another day-care child (whose name is not known). It was also mentioned that this only occurred once and the other children that were present that day were in another room.

According the Licensee, she was made aware of the alleged incident by the parent of child victim #1, in June 2018. Once she was made aware, she informed the local law enforcement. Per the Licensee she requested that
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Karen ChambersTELEPHONE: (323)981-3368
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2018
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 33-CC-20180719083240
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: NICHOLAS FAMILY CHILD CARE
FACILITY NUMBER: 198017228
VISIT DATE: 10/25/2018
NARRATIVE
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the parent of child victim #1 be present, but they never showed up. The Licensee also stated, that children were not allowed to be alone in the room and that she has never seen any of the children conduct themselves in a manner that was not appropriate.

Staff interviewed denied any of the having been left alone. Day-care parents that were interviewed had no issue or problem with the facility and felt that their children were properly supervised. Several attempts were made to contact the the parent of child #1, but to no avail.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated.

The notice of site visit was posted where the parent/guardian of children enter and exit the facility. This notice shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted with the Licensee, during which appeal rights were explained. A copy of the appeal rights (LIC9058 01/16) were provided. The Licensee’s signature on this report acknowledges receipt of her rights.
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Karen ChambersTELEPHONE: (323)981-3368
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2018
LIC9099 (FAS) - (06/04)
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