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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494524
Report Date: 05/09/2024
Date Signed: 05/09/2024 10:03:23 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/08/2024 and conducted by Evaluator Miriam Cohen
COMPLAINT CONTROL NUMBER: 30-CC-20240308081355
FACILITY NAME:PEREZ FAMILY CHILD CAREFACILITY NUMBER:
197494524
ADMINISTRATOR:PEREZ, JOHANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 304-6887
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY:14CENSUS: 3DATE:
05/09/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Johana Perez, LicenseeTIME COMPLETED:
10:05 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Provider hits daycare children
Provider does not provide a safe and comfortable environment for daycare children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/09/2024 @ 8:45 AM, Licensing Program Analysts (LPAs) Miriam Cohen and Devon Carus conducted an unannounced visit and met and informed Johanna Perez, licensee, of the report findings against the alleged complaints:
* Provider hits daycare children
* Provider does not provide a safe and comfortable environment for daycare children
Upon arrival, LPAs observed licensee providing care for three children.
Based on information received and disclosed to the department from pertinent parties that included interviews of parents of enrolled children, Los Angeles Police Dept. report, and video footage, the personal rights violation has been substantiated. A finding of substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The facility was cited a Type A deficiency according to California Code of Regulations Title 22 (See LIC 9099D report for deficiency). A plan of correction was discussed and provided. Licensee is to post notice of Site Visit for 30 Days, failure to do so will result in $100 immediate civil penalty. This report must be copied and given to all parents and to the parents of any child enrolling within the next 12 months. A copy of LIC 9224 must be signed and retained in the file. An exit interview and a copy of this report along with Appeal Rights were explained and provided to licensee.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
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 3
Control Number 30-CC-20240308081355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: PEREZ FAMILY CHILD CARE
FACILITY NUMBER: 197494524
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/24/2024
Section Cited
CCR
102423(a)(4)
1
2
3
4
5
6
7
Personal Rights
(a)Each child receiving services from a family childcare home shall have certain rights…
(4)To be free from corporal or unusual punishment, infliction of pain, humiliation…
1
2
3
4
5
6
7
*Licensee agreed to watch the following videos with staff members:
1)Family Child Care Providers – California Child Care Licensing – Resources for Parents and Providers (childcarevideos.org)
2)Another video link to be determined and
8
9
10
11
12
13
14
This requirement is not met as evidenced by the licensee used inappropriate discipline of a day care child by using a cloth like material to inflict upon a child which inherently shows the child being intimidated. The licensee failed to ensure that children in daycare are treated with dignity in their personal relationship with staff members of the facility. This poses an immediate health and safety risk to children in care.
8
9
10
11
12
13
14
forwarded by management
*Licensee agrees to answer the questions below after viewing the video and submit to LPA, via email, by 05/24/2024, end of business day:
1.What are children’s personal rights in childcare?
2.What if a parent or family member requests actions that conflict with children’s rights?
3.How can I learn more about protecting children’s rights in childcare?
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: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20240308081355
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PEREZ FAMILY CHILD CARE
FACILITY NUMBER: 197494524
VISIT DATE: 05/09/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On 03/1/2024 @ 11:45 AM, Licensing Program Analyst (LPA) Miriam Cohen conducted an unannounced complaint visit for the purpose of notifying the licensee concerning the above-mentioned allegations and to perform an investigation. Upon arrival, LPA Cohen observed one adult providing care for two children. LPA Cohen met with licensee, Johana Perez, and staff member, Miguel Guerrero.
LPA acquired the following documentation:
*Children Roster with Emergency ID (parent contact information)
*Written declaration from licensee
*Transportation Agreement
LPA interviewed licensee; however, further witnesses and documentation will be needed to conclude the investigation. An exit interview was conducted with the above items discussed with licensee. A copy of this report was provided to the licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3