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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019922
Report Date: 07/10/2024
Date Signed: 07/10/2024 12:55:28 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
05/28/2024 and conducted by Evaluator Susann Sanchez
COMPLAINT CONTROL NUMBER: 54-CC-20240528133934

FACILITY NAME:HENDERSON FAMILY CHILD CAREFACILITY NUMBER:
198019922
ADMINISTRATOR:ROBIN HENDERSONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 756-3137
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:14CENSUS: 6DATE:
07/10/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Robin Henderson, LicenseeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Licensee does not live in the facility where children receive care.
Licensee is away from the facility more than 20% per day.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Susann Sanchez and Ashley Calderon conducted a follow up complaint inspection. LPAs met with Licensee, Robin Henderson and informed her of the above alleged allegations. LPAs toured facility both indoors and outdoors. There was 5 children and 1 infant present during inspection. Licensee's assistant was also present.

During the investigation LPA interviewed the licensee, children, staff, and parents. LPA obtained copies of supporting documentation mentation such as a California ID with address above. LPAs toured the house on 05/31/2024 and LPAs observed that licensee has a bedroom at the facility and photos where taken. There were inconsistencies during interviews with children and staff. Staff #1, stated that she doesn't know if licensee lives. Child #1, named adults that live in the home and Licensee was not named. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations is unsubstantiated. Exit interview conducted with Licensee Henderson. The Notice of Site Visit shall be posted for thirty (30) consecutive days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
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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