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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020316
Report Date: 02/22/2021
Date Signed: 04/21/2021 11:22:38 AM

Substantiated


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
02/08/2021 and conducted by Evaluator Alanna Gontarek
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210208171145
FACILITY NAME:FLORES FAMILY CHILD CAREFACILITY NUMBER:
198020316
ADMINISTRATOR:CYNTHIA FLORESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 347-0133
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY:14CENSUS: 13DATE:
02/22/2021
UNANNOUNCEDTIME BEGAN:
12:54 PM
MET WITH:Cynthia FloresTIME COMPLETED:
04:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is hazardous.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This report has been amended on 4/21/2021, for the purpose of including observations made during initial inspection on 2/18/2021. The amended report was read to the Licensee via telephone, and a copy of the amended report (LIC 9099) and Appeal Rights were emailed to Licensee via read receipt on 4/21/2021.

On 2/22/2021, an unannounced follow up complaint tele inspection was conducted by Licensing Program Analyst (LPA) Alanna Gontarek to the licensed facility above. Due to COVID-19 preventative measures, visit was conducted via Facetime application. LPA met with Cynthia Flores who provided a virtual tour of the facility indoors and outdoors. Census was taken. There were 13 children and 2 additional staff present.

An investigation was conducted into the above allegation: Facility is hazardous. Per complainant, "The side gate is left open, and the children go into the back area where the Licensee's sons work on cars."

During the initial inspection, on 2/18/2021, LPA conducted tour of facility indoors and outdoors,
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021
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 3
Control Number 33-CC-20210208171145
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: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 198020316
VISIT DATE: 02/22/2021
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
conducted interviews with children and staff, captured photos, and noted observations. LPA observed no
staff or children wearing face masks. LPA advised to wear face masks daily for preventative measures against COVID-19 virus. Based on LPA’s observations, from inspection on 2/18/21, the left side gate, leading into an off-limit area, was open at 12:50 p.m. LPA observed an open container of car fluid at 12:32 p.m. and garage door was open, containing tools, at 12:50 p.m. The side area was accessible to children in care. Pictures were taken. This poses a potential health and safety risk to the children in care.

On this date, 2/22/2021, LPA observed all children and staff wearing face masks. LPA also conducted an interview with Licensee, obtained licensee declaration and obtained facility roster via email.

Based on LPA’s observations and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Section 1 ), are being cited on the attached LIC 9099D.

Exit interview was conducted with Licensee Cynthia Flores at 4:05 p.m. A copy of this report (LIC 9099), Appeal Rights and Notice of Site Visit were scanned via email to the Licensee, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report constitutes as an electronic signature.

A "Notice of Site Visit" and copy of the report was issued via email. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty. This report must remain on file for three (3) years. This report must also be posted for 30 days in clear view, at the entrance of the Family Child Care Home. The report cannot be covered/concealed.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 33-CC-20210208171145
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: FLORES FAMILY CHILD CARE
FACILITY NUMBER: 198020316
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/01/2021
Section Cited
CCR
102417(g)
1
2
3
4
5
6
7
102417 Operation of a Family Child Care Home (g) The home shall be free from defects or conditions which might endanger a child. The requirement is not met as evidenced by: Based on LPA's observation on 2/18/21, the left side gate, leading into an off-limit area, was left open at 12:50 p.m.
1
2
3
4
5
6
7
Per Licensee, will replace the door knob with a lock and key. Per licensee garage will remained shut and will purchase a key a lock for the garage door. Per licensee, all cleaning compounds will be sealed and stored on a rod or in an accessible high cabinet. Per licensee, will send photos of corrections
8
9
10
11
12
13
14
LPA observed an open container of car fluid at 12:32 p.m. and garage door was open, containing tools, at 12:50 p.m. The side area was accessible to children in care. Pictures were taken. This poses a potential health and safety risk to the children in care.
8
9
10
11
12
13
14
by the POC due date (3/1/2021) via email.
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: Claudia Guangorena
LICENSING EVALUATOR NAME: Alanna Gontarek
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3