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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493072
Report Date: 07/08/2024
Date Signed: 07/09/2024 08:35:41 AM

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
04/11/2024 and conducted by Evaluator Ranita Richmond
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240411091302
FACILITY NAME:PACLEB FAMILY CHILD CAREFACILITY NUMBER:
197493072
ADMINISTRATOR:PACLEB, BYANKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 500-2960
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY:14CENSUS: 12DATE:
07/08/2024
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:TIME COMPLETED:
02:49 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Ratio-The Facility operates out of ratio.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/08/2024, LPA Richmond conducted an unannounced visit to deliver the findings on the above mentioned allegations. LPA Richmond was greeted by Teacher Jennifer Guerrero. LPA Richmond toured the home inside and outside for Health & Safety inspection. LPA Richmond observed 12 children being supervised and cared for by teacher Jennifer Guerrero .At approximately 1:00pm licensee arrived with 2 fingerprint cleared staff.

Based on LPA observations, and interviews which were conducted and recorded, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

California Code of Regulations, Title 22 Division 12, Chapter 1, and Article 06, are being cited on the attached LIC. 9099D.
An exit interview was conducted, a copy of this report was read and provided toTeacher Jennifer Guerrero.
Notice of Site Visit was provided and required to be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
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-20240411091302
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: PACLEB FAMILY CHILD CARE
FACILITY NUMBER: 197493072
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/08/2024
Section Cited
WD
102416.5(d)(1)
1
2
3
4
5
6
7
For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home...(1) Twelve children...
1
2
3
4
5
6
7
Licensee and teachers will stagger lunch to provide appropriate staffing ratio and capacity at all times
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2