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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416032
Report Date: 12/05/2025
Date Signed: 12/05/2025 01:41:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
10/10/2025 and conducted by Evaluator Elicia Calvillo
COMPLAINT CONTROL NUMBER: 58-CC-20251010143455
FACILITY NAME:GONZALEZ FAMILY CHILD CAREFACILITY NUMBER:
197416032
ADMINISTRATOR:GONZALEZ, JOAQUINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 892-8169
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY:14CENSUS: 5DATE:
12/05/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Joaquina Gonzalez, LicenseeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Uncleared adult resides in the home
Licensee allows children to be in an unsafe environment
INVESTIGATION FINDINGS:
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On 12/05/2025 at 12:00PM, Licensing Program Analysts (LPAs) Elicia Calvillo and Nathanial John Mooberry conducted an unannounced complaint investigation visit to deliver findings on the above-mentioned allegations. LPAs identified self and met with Joaquina Gonzalez, Licensee who guided analyst on a tour of the inside and outside of the facility. LPA observed 5 children and 3 staff upon arrival.

Throughout the course of the investigation, LPA Calvillo obtained the LIC 9040 Child Care Facility Roster, interviewed Licensee, interviewed staff, interviewed parents, interviewed children, and obtained other pertinent documents.

During today’s visit, LPA Calvillo addressed the allegations per Reporting Party that uncleared adult resides in the home and Licensee allows children to be in an unsafe environment.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
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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Control Number 58-CC-20251010143455
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: GONZALEZ FAMILY CHILD CARE
FACILITY NUMBER: 197416032
VISIT DATE: 12/05/2025
NARRATIVE
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Per Licensee, they are no uncleared adults living at the facility and the environment is safe for the children in their care.

During LPA Calvillo’s interviews with staff, there were no disclosures made regarding the allegations.

During LPA Calvillo’s interview with parents, there were no disclosures made regarding the allegations.

During LPA Calvillo’s interviews with children, there were no disclosures made regarding the allegations.

Based on LPA Calvillo’s investigation, documents obtained, and statements obtained, it has been determined that the complaint allegations uncleared adult resides in the home and Licensee allows children to be in an unsafe environment, is unsubstantiated. 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, therefore the allegations are unsubstantiated.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Joaquina Gonzalez, Licensee including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.


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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2025
LIC9099 (FAS) - (06/04)
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