198019427-11-30-2023-33-CC-BVON-CY9RFD-20231206115854

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019427
Report Date: 11/30/2023
Date Signed: 11/30/2023 12:58:59 PM

Unsubstantiated

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
09/18/2023 and conducted by Evaluator Lilli Babcock

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230918085928

FACILITY NAME:	CARRILLO FAMILY CHILD CARE		FACILITY NUMBER:	198019427
ADMINISTRATOR:	BLANCA LIDIA CARRILLO		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 374-1633
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90604
CAPACITY:	14	CENSUS: 9	DATE:	11/30/2023
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Licensee, Blanca Carrillo		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Uncleared adult is residing in the home.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced follow-up complaint inspection to deliver findings on the above allegation. A COVID risk assessment was conducted. LPA met with Licensee, Blanca Carrillo, to whom the reason for the visit was explained. Upon arrival, LPA observed Licensee and Licensee’s Assistant caring for 9 children. Licensee’s son who is fingerprint cleared and associated to the facility, and son’s daughter (Licensee’s granddaughter) were also present in the home upon arrival and left the home after approximately 1 hour. Licensee's son was not observed by LPA to be caring for day care children during the visit.

During this investigation interviews were conducted with Licensee, Licensee’s Assistant, 3 daycare children, and three (3) day care parents. LPA Babcock also obtained documents related to the complaint allegation, including but not limited to declarations signed by Licensee and a copy of the Facility Roster (LIC 9040).
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230918085928

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: CARRILLO FAMILY CHILD CARE	FACILITY NUMBER: 198019427
	VISIT DATE: 11/30/2023

NARRATIVE

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Allegation: Uncleared adult is residing in the home.

According to the allegation, an uncleared male adult, Person #1 (P1), is residing in the home. Licensee stated P1 does not live in the home. LPA obtained a declaration signed by Licensee listing the names of all person’s living in the home. LPA observed P1 is not on the list and all adult’s licensee states live in the home have fingerprint clearance and are associated to the facility, per the Guardian fingerprint database. Interviews conducted with licensee, licensee’s assistant, parents of children in care, and children in care revealed no disclosures regarding P1 or another adult who is not fingerprint cleared living in the home. During a complaint visit on 9/20/23, LPA Lopez did observe and take pictures of vehicle license plates and vehicle registration listing the name of P1. The items were observed by LPA in the room next to the day care room. The room contained a bed, male shoes, and male clothing in the closet. Licensee stated during an interview that the room the items were observed in “It’s an extra room. I also use it for storage”. Licensee stated the men’s clothing observed in the room are “extra clothes for my husband, grandson, and my sons”. During visits on 10/3/23 and 11/30/23 LPA Babcock observed shampoo in the bathroom shower attached to the bedroom. LPA did not observe a toothbrush or toothpaste, or other toiletries during the visits.

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.

No deficiencies are being cited at this visit.

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

Exit interview conducted and report was reviewed with Licensee, Blanca Carrillo

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

LIC9099 (FAS) - (06/04)

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