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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198011890
Report Date: 02/09/2024
Date Signed: 02/09/2024 09:59:36 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 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
11/20/2023 and conducted by Evaluator Mary Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20231120104009
FACILITY NAME:VAZQUEZ FAMILY CHILD CAREFACILITY NUMBER:
198011890
ADMINISTRATOR:VAZQUEZ, MARTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 812-9614
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY:14CENSUS: 3DATE:
02/09/2024
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Licensee Martha VazquezTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Licensee's behavior poses a potential risk to children in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mary Silva conducted an unannounced site inspection to present the findings of the above complaint allegations. Licensing staff met with licensee Martha Vazquez to whom the reason for the visit was explained. Visit was conducted in Spanish. The licensee provided a tour of the facility. Present during the inspection were licensee, licensee assistants Bryan Esparza, Brandon Ojeda and three children.

During the investigation Licensing Staff conducted interviews with licensee, assistant #1 assistant #2, parents of daycare children and child #1. Licensing staff also obtained several documents related to the complaint allegation, including but not limited to a copy of the facility roster, reviewed police report, and photographs of the indoor area and outdoor area of the facility.

Allegation: Licensee's behavior poses a potential risk to children in care
During the course of the interviews, a disclosure was made that corroborates with the above complaint allegation.____________________________Page 1____________________________________
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
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 33-CC-20231120104009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: VAZQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 198011890
VISIT DATE: 02/09/2024
NARRATIVE
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Licensee disclosed to have thrown a bird feeder at neighbor’s landlord son during a dispute that occurred on 02/29/2022. Furthermore, the police report indicates two children were under the care of the licensee at the time of the incident.

Based on the preponderance of evidence standard has been met, therefore, the above allegations are found to be substantiated. California Code of Regulations (Title 22 Division & Chapter), are being cited on the attached deficiencies page LIC 9099-D.

Upon receipt of this report, the licensee shall post any licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the director will provide copies to the parents of the children in care for up to one year. A copy of the LIC 9224 Acknowledgement of Receipt of Licensing Reports was explained and provided to the Director.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted with Licensee, Martha Vazquez.

___________________________Page 2_____________________________
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20231120104009
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VAZQUEZ FAMILY CHILD CARE
FACILITY NUMBER: 198011890
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2024
Section Cited
CCR
102423(a)(2)
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102423(a)(2) Personal Rights
Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative.... This requirement was not met as evidenced by:
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Licensee submitted a declaration stated the importance of providing a safe, healthy envirnoment for the children is her priority. This was an isolated incident and will not occur again. Licensee will view video on personal rights from CDSS transparency website and submit letter of what was learned.
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Based on interviews conducted, the licensee did not comply with the section cited above as evidenced by a disclosure made regarding a dispute with a neighbor when children were at facility, which poses an immediate health, safety, and personal rights of children in care.
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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: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 02/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3