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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494524
Report Date: 09/25/2024
Date Signed: 09/25/2024 09:01:23 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 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
07/02/2024 and conducted by Evaluator Cristina Castellanos
COMPLAINT CONTROL NUMBER: 30-CC-20240702141123
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: 5DATE:
09/25/2024
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Johana Perez - LicenseeTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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Personal Rights: Staff speaks inappropriately to day care children.
INVESTIGATION FINDINGS:
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On 09/25/2024 at 11:00 a.m., Licensing Program Analyst (LPA) Cristina Castellanos made an unannounced subsequent visit to the above-mentioned facility for the purpose of delivering complaint findings. Upon arrival, LPA was greeted by Licensee Johanna Perez, providing care and supervision to three (3) children in care. At approximately 12:34p.m. Assistant M. Guerrero arrived with one (1) child (C2). At 02:06pm a parent dropped of their child.

On 07/09/2024 Licensing Program Analyst (LPA) Cristina Castellanos arrived at the above-mentioned facility for the purpose of investigating the above-mentioned allegation. Upon arrival, LPA met with Assistant M. Guerrero and discussed the purpose of the visit. LPA toured the facility both indoor and outdoor and observed two (2) children in care with one (1) staff providing care and supervision. LPA requested and reviwed the following documents: children's roster and personnel records.

Continue
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
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-20240702141123
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: PEREZ FAMILY CHILD CARE
FACILITY NUMBER: 197494524
VISIT DATE: 09/25/2024
NARRATIVE
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Based on interviews of all relevant parties and record review, the statements obtained were inconsistent and do not corroborate the allegation mentioned above.

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 allegation is UNSUBSTANTIATED.

An exit interview was conducted, and report reviewed with Licensee Johana Perez. A copy of this report and
appeal rights were discussed and left with Licensee. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.























Page 2
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2