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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197401686
Report Date: 01/26/2023
Date Signed: 01/26/2023 11:27:04 AM

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
10/13/2022 and conducted by Evaluator Dalicia Adkins
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20221013090301
FACILITY NAME:HOME SWEET HOME CHILD CARE INCORPORATEDFACILITY NUMBER:
197401686
ADMINISTRATOR:MORENO, CHRISTINA P.FACILITY TYPE:
850
ADDRESS:11179 LUCERNE AVE.TELEPHONE:
(310) 391-3806
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY:66CENSUS: 61DATE:
01/26/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Assistant director, Brianna CarbajalTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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9
Personal Rights - Day care child was touched inappropriately
INVESTIGATION FINDINGS:
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On 1/26/2023 at 9:40am Licensing Program Analyst (LPA) Dalicia Adkins conducted a subsequent visit to deliver the findings of the above-mentioned allegation. LPA met with assistant director Brianna Carbajal, LPA Adkins explained the purpose of the visit. LPA Adkins was guided on a tour of the facility. Director Christina Moreno arrived at 10:35am. LPA observed 14 staff and 61 children.

On 10/19/22 LPA Adkins conducted the initial 10-day visit. LPA Adkins collected a copy of children’s roster, teacher roster, daily schedule, parent handbook, staff sign in and out records. LPA Adkins took pictures of the classrooms and playgrounds.

It was alleged a day care child was touched inappropriately. This complaint was referred to the Department’s Investigative Bureau (IB) and investigated by Olivia Spindola.
P.1
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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 30-CC-20221013090301
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HOME SWEET HOME CHILD CARE INCORPORATED
FACILITY NUMBER: 197401686
VISIT DATE: 01/26/2023
NARRATIVE
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Based on the completed IB investigation report and evidence received during the investigation which included interviews, records and observations, the allegation of personal rights has been found to be unsubstantiated. Unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation of personal rights violation child was touched inappropriately occurred.

A copy of this report, appeal rights, and Notice of Site Visit provided.
Exit interview conducted.




















P.2
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2