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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019267
Report Date: 09/05/2023
Date Signed: 09/05/2023 03:15:10 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 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
07/11/2023 and conducted by Evaluator Roxana Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230711114107

FACILITY NAME:TOVAR FAMILY CHILD CAREFACILITY NUMBER:
198019267
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:7CENSUS: 6DATE:
09/05/2023
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee, Jackie Tovar TIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Licensee allowed uncleared adults to reside in the home
INVESTIGATION FINDINGS:
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On 9/5/2023, at 2:00 pm, Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced complaint investigation. The purpose of this visit is to provide findings of the complaint received in the regional office on 7/11/2023. LPA arrived at the facility at 2:00 pm- Per Licensee she was picking up children from school. Licensee arrived at 2:30 pm with 6 children. A COVID risk assessment was conducted upon entering the facility. Licensee, Jaqueline Tovar, who guided LPA on a tour of the facility.

The complaint alleges that Licensee allowed uncleared adults to reside in the home.

During the course of the investigation, LPA conducted interviews with staff, children and parents. LPA also reviewed a copy of the children’s roster.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 33-CC-20230711114107
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: TOVAR FAMILY CHILD CARE
FACILITY NUMBER: 198019267
VISIT DATE: 09/05/2023
NARRATIVE
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LPA conducted interview with Licensee, who disclosed that Adult # 1 mentioned is Licensee’s relative, who is getting medical treatments and spends time in their home when they have appointments. When Adult # 1 is in the home there’s no day care children present. Regarding Adult # 2 Licensee, disclosed that they spent time with Adult # 2 during the weekend and not at the facility. LPA did observed Adult # 1 in the home twice, both times day care was closed, and no children were present . LPA did not observed Adult # 2 in the home.

LPA conducted interviews with children. Child # 1 disclosed that they know adult # 1 and referred to them as “aunt”- additionally child # 1 stated that they did not know if adult # 1 lived in the home because they are not present when they are there. Child # 2 and # 3 corroborated that they do not know adult # 1 and have not seen any other adults in the home besides Licensee. All 3 children corroborated that they do not know who adult # 2 is.

Parent interviews had no disclosures, all parents corroborated that they do not have any concerns

This agency has investigated the complaint alleging: Licensee allowed uncleared adults to reside in the home. Based upon the evidence as presented above, the allegation has been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove alleged violation(s) 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 Licensee , Jackie Tovar.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4