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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198016431
Report Date: 11/09/2021
Date Signed: 11/09/2021 03:36:57 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/09/2021 and conducted by Evaluator Elka Chavez
COMPLAINT CONTROL NUMBER: 54-CC-20210809152912
FACILITY NAME:GUTIERREZ FAMILY CHILD CAREFACILITY NUMBER:
198016431
ADMINISTRATOR:GUTIERREZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 639-4548
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:14CENSUS: 3DATE:
11/09/2021
UNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Maria GutierrezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Inappropriate interaction between children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elka Chavez conducted an unannounced complaint inspection in Spanish on this date for the purpose of delivering the finding for the above allegation. LPA arrived at the facility at 2:35 pm and met with Licensee Maria Gutierrez. There were 3 children present during today's inspection. Also present licensee's assistant, Cynthia Valencia.

During the course of the investigation conducted by I.B. Investigator Peter Zertuche, interviews were conducted with the reporting party, licensee, parents and day care children. Documents obtained were also reviewed. Interviews conducted revealed that adults are the only ones that assist children in the restroom. Licensee stated that child #2 does not assist with changing diapers and is not left alone with day care children. Child #2 and other children interviewed denied any inappropriate contact. During this investigation child #1 was not able to be interviewed. Documents reviewed show no evidence of inappropriate contact. Local Law Enforcement has closed their case as no crime.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
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 54-CC-20210809152912
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GUTIERREZ FAMILY CHILD CARE
FACILITY NUMBER: 198016431
VISIT DATE: 11/09/2021
NARRATIVE
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Based on interviews conducted and documentation obtained it has been determined that 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 at this time the above allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Maria Gutierrez.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Elka Chavez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2