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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192008830
Report Date: 11/03/2022
Date Signed: 11/03/2022 03:19:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/13/2022 and conducted by Evaluator Veronica Wheatley
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220913163012
FACILITY NAME:DEVEREAUX FAMILY CHILD CAREFACILITY NUMBER:
192008830
ADMINISTRATOR:DEVEREAUX, DEDRA SHAREEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 283-5422
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY:14CENSUS: 3DATE:
11/03/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Dedra. DevereauxTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/3/2022 at 11am, Licensing Program Analyst V.Wheatley conducted an unnannounced complaint inspection. LPA observed three day care children and licensee's assistant present in the day care room.
The children were supervised properly. The purpose of the inspection is to complete the investigation for the above allegation.

On 9/21/22, LPA conducted an initial inspection and met with the licensee D. Devereaux. The licensee and assistant Staff #1 were both present denied the allegation. LPA inspected the home and did not observe any hazards. Licensee provided a copy of the children's roster. LPA interviewed witnesses who did not provide any information to validate the allegation.
4
Based on observation, record review, and interviews, there is no evidence to show that personal rights were violated. Therefore, this allegation is deemed 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.

An exit interview was conducted. A copy of the report was provided to the licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022
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 3