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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493735
Report Date: 01/19/2023
Date Signed: 01/23/2023 11:21:44 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/23/2022 and conducted by Evaluator Mayra Rivera
COMPLAINT CONTROL NUMBER: 54-CC-20221123162329
FACILITY NAME:VAZQUEZ FAMILY CHILD CAREFACILITY NUMBER:
197493735
ADMINISTRATOR:VAZQUEZ,DIEGO/VAZQUEZ ASHLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 344-4377
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY:14CENSUS: 5DATE:
01/19/2023
UNANNOUNCEDTIME BEGAN:
02:36 PM
MET WITH:Sylvia Vazquez, LicenseeTIME COMPLETED:
05:03 PM
ALLEGATION(S):
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Child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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This report has been amended to correct licensee last name to "Avalos." Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced complaint inspection and to deliver findings. LPA met with Licensee Sylvia Avalos who guided LPA on a tour of the facility. At 2:36 p.m. LPA entered the facility and observed 3 children having a snack and 2 sleeping.

During the course of this investigation LPA Rivera conducted interviews with parents. Of the 3 interviews conducted with parents, two disclosed that their child has sustained injuries during play time and nothing to worry about and licensee did notify them. One interview disclosed that their child has not sustained injuries while in care. LPA Rivera interviewed complainant and they disclosed that they did not like how licensee talks to people (tone of voice) and that licensee did not provide an “outch report.” LPA Rivera received the pictures from licensee and complainant. Complainant stated she noticed the marking Thursday (November 17, 2022) before Thanksgiving weekend and on Monday (November 21, 2022) the week of Thanksgiving noticed another mark on his arm.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023
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 54-CC-20221123162329
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: VAZQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 197493735
VISIT DATE: 01/19/2023
NARRATIVE
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Pictures taken by complainant on November 17, 2022 appears a half pink/light red circle and the picture taken by complainant on November 19, 2022 appears half yellowish and brownish half circle on the arm. Based on the dating of bruises chart, the marking red appears to be 0-5 days, yellow appears to be 7-10 days old and brown 10-14 days old. Complainant disclosed she did not have any concerns with the care and supervision license provides and was happy with the quality of care licensee provides to her child. LPA Rivera attempt to interview children (toddlers) but due to speech development, LPA was unable to interview.

This agency has investigated the complaint alleging child sustained injuries while in care. At this time, it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated.



Exit interview was conducted with Licensee, Sylvia Avalos.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2