<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020189
Report Date: 09/09/2025
Date Signed: 09/09/2025 09:41:52 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
07/23/2025 and conducted by Evaluator Shushanik Safaryan
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250723162151
FACILITY NAME:HUANG FAMILY CHILD CAREFACILITY NUMBER:
198020189
ADMINISTRATOR:XIAO JI HUANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 283-7440
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY:14CENSUS: 5DATE:
09/09/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Xiao Ji HuangTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not prevent children from harming other children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/09/2025, at 8:30 am , Licensing Program Analyst (LPA) Shushanik Safaryan and Support Staff Youle Qi conducted an unannounced complaint inspection to the above facility for the purpose of delivering the complaint findings. Support Staff Youle Qi helped LPA Safaryan to translate since licensee speaks either Mandarin or Cantonese.

Upon arrival , LPA met with Licensee , Xiao JI Huang to whom the purpose of the visit was explained , who guided LPA on tour of the facility. During the inspection 5 children were present with licensee. Licensee`s son was present too.

Complaint alleged: Licensee does not prevent children from harming other children in care.

Department received complaint stating C1 was beaten by another child in the day care.
Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
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 5
Control Number 33-CC-20250723162151
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: HUANG FAMILY CHILD CARE
FACILITY NUMBER: 198020189
VISIT DATE: 09/09/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During the interview , RP stated that C1 was struck by another child with the toy. Per RP statement it was during pick up time, when she observed C1 through the window smiling , by the time RP parked and reached the door she observed C1 was crying and licensee comforting and providing first aid. RP stated C1 sustain injury on his forehead and corner of eye. C1 was taken to the hospital, photo of injury and discharge report was provided to LPA.
Per RP, upon arrival she was informed by the licensee that C1 was struck by C2 with the toy. According to the report RP was referred to file a report with local law enforcement. RP stated no report was filed.

During the interview ,Licensee confirmed that incident happened during the pickup time when she was assisting another parent with pick up. Per licensee, she observed C1 and C2 standing in front of each other when C2 hit C1 with the toy car. Picture of the toy car was obtained during the interview and additional pictures were submitted to LPA by the licensee.

Parent #3 , who was present for pick up, stated she observed the incident while waiting for her child . She confirmed she saw one child hit another child with the toy. Per parent #3, child was assisted immediately.
During this investigation, LPA obtained information regarding the toy car used by C2 to hit C1 .Based on the product description toy car was for ages 3 and up .

Based on LPAs interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 , Chapter 1 ), are being cited on the attached LIC 9099D.

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.
An exit Interview was conducted, copy of this report along with Notice of Site visit and Appeal Rights were explained and provided to the Licensee , Xiao Ji Huang on 09/09/2025.

Page 2 of 2
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20250723162151
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: HUANG FAMILY CHILD CARE
FACILITY NUMBER: 198020189
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/15/2025
Section Cited
CCR
101223(a)(2)
1
2
3
4
5
6
7
101223 (a)(2)Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful, and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met evidenced by:
1
2
3
4
5
6
7
Licensee stated she will make sure all toys are age appropriate . Licensee will submit declaration that she understands to purchase age appropriate toys and will make sure existing toy are age appropriate and safe.
8
9
10
11
12
13
14
C1 age 22 months old was struck by C2 age 2 years and 5 months at the time of the incident with the toy car (per product description )for ages 3 and up receiving injuries on his head and corner of eye.


8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
07/23/2025 and conducted by Evaluator Shushanik Safaryan
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250723162151

FACILITY NAME:HUANG FAMILY CHILD CAREFACILITY NUMBER:
198020189
ADMINISTRATOR:XIAO JI HUANGFACILITY TYPE:
810
ADDRESS:421 E SAXON AVETELEPHONE:
(626) 283-7440
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY:14CENSUS: 5DATE:
09/09/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Xiao Ji HuangTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
 Licensee did not report injury of day care child to parent
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/09/2025 at 8:30am, Licensing Program Analyst (LPA) Shushanik Safaryan and Support Staff Youle Qi conducted an unannounced complaint inspection to the above facility for the purpose of delivering the complaint findings. Support Staff Youle Qi helped LPA Safaryan to translate since licensee speaks either Mandarin or Cantonese.

Upon arrival , LPA met with Licensee , Xiao JI Huang to whom the purpose of the visit was explained , who guided LPA on tour of the facility. During the inspection 5 children were present with licensee. Licensee`s son was present in the home too.Licensee`s hasband came in later.

Complaint alleged: Licensee did not report injury of day care child to parent.

Per complaint , C1 was hurt a month ago and had an injury on his leg and face, which later was clarified by RP C1 sustain minor scratches and bruises on his arm and leg while playing and running .
Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20250723162151
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: HUANG FAMILY CHILD CARE
FACILITY NUMBER: 198020189
VISIT DATE: 09/09/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
No pictures were provided. Licensee confirmed that C1 scratched his leg while was playing outside and described as minor injury. RP alleged that the licensee did not report the incident until specifically asked. The licensee stated that parents are notified immediately if incident is significant, otherwise she notifies them during pick up.

Additional parents were interviewed, and no disclosures were made to support allegations.

Based on the investigation , 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 allegation is unsubstantiated.

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.

An exit Interview was conducted, copy of this report along with Notice of Site visit and Appeal Rights were explained and provided to the Licensee , Xiao Ji Huang on 09/09/25.

Page 2 of 2
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5