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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494524
Report Date: 10/24/2025
Date Signed: 10/24/2025 10:47:58 AM

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
08/01/2025 and conducted by Evaluator Cristina Castellanos
COMPLAINT CONTROL NUMBER: 30-CC-20250801154701
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: 1DATE:
10/24/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Licensee Johana PerezTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Personal Rights: Adult in the home caused injury to child while in care.
Personal Rights: Adult in the home hit children with an object.
License: Licensee is not in the home a sufficient amount of time.
INVESTIGATION FINDINGS:
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On 10/24/2025 Licensing Program Analysts (LPA) Cristina Castellanos arrived at the above mentioned address for the purpose of delivering findings of the above-mentioned allegations. LPA was greeted by Licensee Johana Perez and toured the facility both indoors and outdoors. LPA observed one (1) child in care with Licensee Perez providing care and supervision. Present during today's inspection was Licensee and one child in care.

The investigation of the above-mentioned allegations was conducted by LPA Castellanos.

On 08/05/2025 Licensing Program Analyst (LPA) Cristina Castellanos conducted the initial complaint investigation at the above-mentioned facility. Upon arrival, LPA was greeted by Assistant M. Guerrero and discussed the purpose of the visit. LPA toured the facility both indoors and outdoors and observed ten (10) children in care with two (2) adult staff members providing care and supervision. At approximately
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
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-20250801154701
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: 10/24/2025
NARRATIVE
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10:38am Licensee Johana Perez arrived at the home. LPA obtained the following documents: children's roster, children’s records, and personnel records. Additionally, LPA initiated children and staff interviews.

Based on the investigation conducted, interviews of all relevant parties and record review, there is not enough information to prove or disprove that an adult in the home caused injury to child while in care, that an adult in the home hit children with an object and that Licensee is not in the home a sufficient amount of time. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted, and report was 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.














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SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2