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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019583
Report Date: 11/29/2023
Date Signed: 11/29/2023 10:58:47 AM

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
10/18/2023 and conducted by Evaluator Roxana Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20231018155356
FACILITY NAME:CORTEZ FAMILY CHILD CAREFACILITY NUMBER:
198019583
ADMINISTRATOR:ERICA CORTEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 399-8835
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:14CENSUS: 7DATE:
11/29/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Erica Cortez TIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Child was hit by person in daycare
Facility did not prevent day care child from injury
Facility did not notify authorized representative of child injury

INVESTIGATION FINDINGS:
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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 10/18/2023. A COVID risk assessment was conducted upon entering the facility. LPA met with Licensee, Erica Cortez, who guided LPA on a tour of the facility. There were 7 children upon arrival.

The complaint alleges that child was hit by person in daycare, facility did not prevent day care child from injury and facility did not notify authorized representative of child injury.

During the course of the investigation, LPA conducted interviews with staff, reporting party, parents and children. LPA also reviewed a copy of the children’s roster, parent contract, disenrollment letter and other documentation.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2023
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 33-CC-20231018155356
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: CORTEZ FAMILY CHILD CARE
FACILITY NUMBER: 198019583
VISIT DATE: 11/29/2023
NARRATIVE
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LPA conducted an interview with reporting party (RP) to gather more information regarding allegations child was hit by person in day care, facility did not prevent day care child from injury and facility did not notify authorized representative of child injury. Per RP during a period of four days Child # 1 was not wanting to attend facility because someone in the facility was hitting them. Additionally, Per RP Child # 1 had some scratches on their hands which were not prevented by staff and they were not informed on what happened, until they asked for an explanation. LPA conducted interview with Child # 1 who disclosed that they have not been hit at the facility, additionally Child # 1 disclosed falling in the facility and hurting their hand.

LPA conducted interviews with Staff regarding allegations child was hit by person in day care, facility did not prevent day care child from injury and facility did not notify authorized representative of child injury. Per Staff 1-4 they have not hit a child in care and have not observed any other staff members hit any children in care. Staff 1-4 corroborated that if a child is injured in the facility they assess the situation and provide first aid as needed. Depending on the injury they will contact parents immediately and a written report will be provided to parents at the end of the day.

LPA conducted interviews with parents and children. All parents corroborated that they have no concerns with staff members in the facility. Parents disclosed that they have good communication with provider and that if their child ever had an injury or incident they have been informed. Children’s interviews disclosed that they are happy in the day care and did not disclosed being hurt by staff.

Based upon the evidence as presented above, the allegations child was hit by person in daycare, facility did not prevent day care child from injury and facility did not notify authorized representative of child injury 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.

No citations are being issued for the allegation listed above.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee Erica Cortez.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4