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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017895
Report Date: 12/09/2021
Date Signed: 12/09/2021 02:52:37 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
12/01/2021 and conducted by Evaluator Armando J Lucero
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20211201120410
FACILITY NAME:ELIZARRARAZ FCCFACILITY NUMBER:
198017895
ADMINISTRATOR:MIROSLAVA & RIGOBERTO E.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 929-7187
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 5DATE:
12/09/2021
UNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Miroslava & Rigoberto Elizarraraz, LicenseesTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Licensee hit day care child
Licensee pulled day care child's hair
Licensee speaks inappropriately to day care children
Licensee forces day care children to eat
INVESTIGATION FINDINGS:
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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) A. Lucero regarding the allegations mentioned above. LPA met with Licensee Miroslava Elizarraraz.

Complainant alleges licensee hit day care child, licensee pulled day care child's hair, licensee speaks inappropriately to day care children, and licensee forces day care children to eat. Interviews were conducted with alleged victims.

Interviews were conducted with Licensee Miroslava who denies allegations and stated the alleged violations did not happen. Interviews were conducted with co-licensee Rigoberto Elizarraraz who denies allegations. Interviews were conducted with currently enrolled children; interviews conducted with currently enrolled children could not corroborate allegations.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Armando J Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021
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-20211201120410
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: ELIZARRARAZ FCC
FACILITY NUMBER: 198017895
VISIT DATE: 12/09/2021
NARRATIVE
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Although the above 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 at this time the above allegations are unsubstantiated.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted with the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights was provided. The Licensee’s signature on this report acknowledges receipt of rights.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Armando J Lucero
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2