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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019404
Report Date: 10/31/2024
Date Signed: 10/31/2024 03:17:19 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
08/28/2024 and conducted by Evaluator Ashley Calderon
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240828142811
FACILITY NAME:VIRGEN FAMILY CHILD CAREFACILITY NUMBER:
198019404
ADMINISTRATOR:LISSETTE J. VIRGENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 209-2476
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:14CENSUS: 11DATE:
10/31/2024
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:LISSETTE VIRGEN / LICENSEETIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Provider does not reside at the property.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Calderon arrived at the above licensed facility for the purpose of conducting investigation for the above complaint allegation. LPA met with Staff Maria Ixtahuac, who granted LPA entrance to the facility. LPA met with Licensee Lissette Virgen and disclosed purpose of today's visit.

On today's visit, LPA interviewed facility Landlord who was present at the facility. Based on the above allegation, LPA reviewed supporting docuemnations records obtained pertianing to the allegation; Licensee has a current Drivers Lciense, with the above facility address and mail being sent to thed facility address. LPA observed at the day care personal items in the restroom, personal cabinet in the living room with personal belongings and a room were licensee resides. Per interview with Licensee, lives at the facility on the weekday and weekends will go out of town occasionally. Per interview, with landlord Licensee lives the facility. Per interviews LPA conducted with parents, answers provided were conflicting.
(cont...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
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 4
Control Number 54-CC-20240828142811
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: VIRGEN FAMILY CHILD CARE
FACILITY NUMBER: 198019404
VISIT DATE: 10/31/2024
NARRATIVE
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Due to interview discrepancy among interviews with parents and children, 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 the allegation is unsubstantiated.

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

Exit interview conducted and a copy of the report and appeal rights were provided to the Licensee Lissette Virgen.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4