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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019922
Report Date: 08/02/2024
Date Signed: 08/02/2024 02:58:06 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: 3DATE:
08/02/2024
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Robin Henderson, LicenseeTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
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9
Licensee does not ensure children are kept clean and dry at all times
INVESTIGATION FINDINGS:
1
2
3
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5
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7
8
9
10
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12
13
Licensing Program Analysts (LPAs) Susann Sanchez and Joshua Ortega 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 2 children and 1 infant present during inspection. Licensee's assistant was also present and unfingerprinted adult. Unfingerprinted adult was cited on Case Mangement dated 08/02/24 (repeated violation).

During the investigation LPA interviewed the licensee, children, staff, and parents. There were no disclosures made during interviews or records to support the allegation. Licensee also documents diaper changes. LPA observed diaper logs from 06/05/24 to 08/02/24. Photos were taken. LPA also obtained a copy of the diapering log. Although the allegation(s) may have happened or are valid there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation 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: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
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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