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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197404915
Report Date: 11/13/2025
Date Signed: 11/13/2025 07:40:36 PM

Substantiated


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
08/19/2025 and conducted by Evaluator Ranita Richmond
COMPLAINT CONTROL NUMBER: 30-CC-20250819131052
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: 5DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
10:24 AM
MET WITH:Lisa WorthenTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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License- Licensee is operating beyond the scope of license.
Personal Rights- Licensee does not practice safe sleep procedures.
Record Keeping- Licensee is falsifying daycare children's records.
INVESTIGATION FINDINGS:
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On 11/13/2025, LPA Ranita Richmond conducted an unannounced visit to deliver the findings on the above mentioned allegations. LPA Richmond was greeted by Gabriela Osoy. LPA Richmond toured the home inside and outside for Health & Safety inspection. LPA Richmond observed 5 children being supervised and cared for by fingerprint cleared staff. Licensee and adult daughter arrived at 11:15am.

On 8/28/25 El Segundo Child Care Regional Office received a complaint regarding license, personal rights, and record keeping violations for the above mentioned facility.

A full investigation was conducted which included observations, records reviews, and interviews. Based on the observations, interviews, and record reviews, which were conducted and recorded, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22 Division 12, Chapter 1, and Article 06, are being cited on the
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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 4
Control Number 30-CC-20250819131052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WORTHEN FAMILY CHILD CARE
FACILITY NUMBER: 197404915
VISIT DATE: 11/13/2025
NARRATIVE
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attached LIC. 9099D.

On 8/19/25, Licensing Program Analyst (LPA) Ranita Richmond contacted and interviewed the Reporting Party.

On 8/28/2025, Licensing Program Analyst (LPA) Ranita Richmond, Doris Whitmore, and Lisa Clayton completed an initial 10-day complaint investigation. During inspection, the LPAs toured the facility, completed observations, obtained pertinent documents, and completed interviews with staff and a parent.

Between 08/29/25 and 11/13/25 LPA Richmond contacted parents of children enrolled in the above-mentioned Family Childcare Home to conduct interviews.

Per Title 22 Regulations and Health and Safety Codes, two (2) Type B citations are cited. See LIC 9099D.

LPA Richmond informed licensee Lisa Worthen that this report dated 11/13/25 documents one(1) Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Richmond informed the licensee Lisa Worthen to provide a copy of this licensing report dated 11/13/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Per Title 22 Regulations and Health and Safety Codes, three(3) citations were issued. See LIC 9099D.


An exit interview was conducted, a copy of this report and appeal rights were read and provided to licensee Lisa Worthen.
Notice of Site Visit was provided and required to be posted for 30 days.

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SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 30-CC-20250819131052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WORTHEN FAMILY CHILD CARE
FACILITY NUMBER: 197404915
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/14/2025
Section Cited
HSC
1596.885(c)
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ยง1596.885
(c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state.This requirement is not met as evidenced by:
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Licensee will ensure that all files for all children are in their original unaltered, unedited state. If documents are altered by parents/guardians, documents must show initials and dates by parents/guardians to indicate changes made.
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During records reviews on 8/28/25, LPA observed licensing forms from the files for C1 to have the date of birth (dob) manually altered on multiple licensing forms. Per contact with parent (dad) of C1, C1 has a dob of 07/07/23.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 30-CC-20250819131052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WORTHEN FAMILY CHILD CARE
FACILITY NUMBER: 197404915
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/28/2025
Section Cited
CCR
102425(a)(3)
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102425 INFANT SAFE SLEEP
(a) There shall be one crib or play yard for each infant...(3) Mattresses shall be firm and covered with..., fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.This requirement is not met as evidenced by:
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Licensee will ensure all mattresses fit tightly in the play yards. Licensee will use mattress that are made to fit the play yard/cribs. Licensee will review and replace any mattress that does not fit tightly in the play yards and cribs.
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During visit on 8/28/25, LPAs observed infant child in a play yard. The infant was wedged between the play yard mesh wall and the mattress of the play yard.
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Type B
11/27/2025
Section Cited
CCR
102416.5(d)(1)
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102416.5 Staffing Ratio and Capacity
(d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time ...(1) Twelve children, no more than four of whom may be infants; This requirement is not met as evidenced by:
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Licensee will ensure that when providing care and supervision to children enrolled, that there are no more than four children enrolled and provided care at any one time under the age of 24 months. During visit a parent was called and arrived to pick up an enrolled infant child while LPAs were present on site.
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During visit on 8/28/25, LPAs observed five (5) infant children under the age of 24 months in care during normal childcare operating hours being cared for and supervised by licensee and fingerprint cleared staff.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
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