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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197404915
Report Date: 10/29/2025
Date Signed: 10/30/2025 11:24:07 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
08/14/2025 and conducted by Evaluator Ranita Richmond
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20250814144421
FACILITY NAME:WORTHEN FAMILY CHILD CAREFACILITY NUMBER:
197404915
ADMINISTRATOR:LISA WORTHENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 447-8830
CITY:VENICESTATE: CAZIP CODE:
90291
CAPACITY:14CENSUS: 6DATE:
10/29/2025
UNANNOUNCEDTIME BEGAN:
08:16 AM
MET WITH:Lisa WorthenTIME COMPLETED:
10:47 AM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Physical Plant-Licensee does not maintain outside play area clean and orderly
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/29/2025 Licensing Program Analyst (LPA) Ranita Richmond arrived at above mentioned home for the purpose of delivering findings on the above-mentioned allegation. Upon arrival, LPA met with licensee and discussed the purpose of the visit. LPA toured the home and observed 6 children in care with 2 adults providing care and supervision.

Based on observation, record review, and interviews, there is no evidence to show that the physical plant was violated. Therefore, the above allegation is found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.
Per Title 22 Regulations and Health and Safety Codes, no citations were issued.
An exit interview was conducted, a copy of this report was read and provided to Licensee Lisa Worthen.
Notice of Site Visit was provided and required to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
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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