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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198009353
Report Date: 07/17/2025
Date Signed: 07/18/2025 10:11:00 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/31/2025 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20250131090206
FACILITY NAME:LOPEZ FAMILY CHILD CAREFACILITY NUMBER:
198009353
ADMINISTRATOR:LOPEZ, ANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 665-9480
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY:14CENSUS: 1DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Ana Lopez TIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Sexual Abuse
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Seung Lee and Monica Ruiz conducted an unannounced complaint inspection. Upon arrival LPAs met with with Licensee Ana Lopez. There was 1 child in care present.

The purpose of the inspection conducted today was to deliver findings to the facility. The investigation was conducted in conjunction with California Department of Social Services Investigations Bureau.

Based on the evidence collected during the investigation, the allegation that facility staff violated the personal rights of a child in care may be valid. However, there is not enough preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegation is found to be unsubstantiated. The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars

Exit interview conducted with Licensee Ana Lopez. Appeal rights discussed and explained
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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