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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191592324
Report Date: 09/27/2024
Date Signed: 09/27/2024 03:11:07 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
08/09/2024 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240809102253
FACILITY NAME:MAOF CHILD CARE CENTER MAYWOODFACILITY NUMBER:
191592324
ADMINISTRATOR:ROCIO HERNANDEZFACILITY TYPE:
850
ADDRESS:6145 WOODWARD AVENUETELEPHONE:
(323) 562-0490
CITY:MAYWOODSTATE: CAZIP CODE:
90270
CAPACITY:40CENSUS: 13DATE:
09/27/2024
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Ernestina HernandezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Staff hit daycare child.
Personal Rights-Staff spoke yelled to daycare child.
Personal Rights-Staff did not report incident to parent.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), T Tran arrived at the above licensed facility to conduct an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the above allegations. Upon arrival, LPA met with Site Supervisor, Ernestina Hernandez.
Based upon the evidence obtained during the course of the investigation through interviews on 07/31/24, during afternoon outdoor play, on duty staffs observed C1 (see LIC811) attempted to bite a peer. S1 (see LIC811) immediately reaction was yelling out the child's name to stop the child from biting. There was document report indicated the incident was shared and provided to the parent. Therefore, the evidence does not support, nor disprove the above allegations that staff hit or yelled at C1 as a form of punishment occurred at the facility. Therefore, the allegations have been determined unsubstantiated.
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 violation occurred.
Exit interview was conducted and report was reviewed with the Facility Representative, Ernestina Hernandez.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024
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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