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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020515
Report Date: 03/17/2022
Date Signed: 03/17/2022 03:53:38 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 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
03/07/2022 and conducted by Evaluator Cynthia Reyes
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20220307081845
FACILITY NAME:CARDENAS FAMILY CHILD CAREFACILITY NUMBER:
198020515
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
03/17/2022
UNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Rosi CardenasTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Day-care child sustained injuries while in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced follow up site inspection to present the findings of the complaint allegation listed above. LPA met with licensee Rosi, who guided the LPA on a tour of the facility. Due to COVID-19, precautionary measures were taken by the LPA and all individuals present during the entire inspection. All individuals wore appropriate personal protective equipment. LPA observed 3 infants in care.

During the course of the investigation, LPA conducted interviews with licensees, and witnesses, and reviewed and received records. Allegation states Day-care child sustained injuries while in care. Per Interviews it was stated that a child sustained 3 bruises all around his diaper area, not diaper rashes. It was stated and believes to be that the child was pinched while in care. Licensee states only cares for Infants.

Continue on next page
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2022
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 2
Control Number 33-CC-20220307081845
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: CARDENAS FAMILY CHILD CARE
FACILITY NUMBER: 198020515
VISIT DATE: 03/17/2022
NARRATIVE
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Per Interview with parent, she stated she notice on 03/03/2022, 03/04/2022 and 03/05/2022, bruises on her child’s body. Mom provided photos of three small different bruises below the child's waist. Mom stated she does not know if the child got from home or the day care but she thinks they look like her child was pinched. Mom stated she only spoke with the licensee about the bruise by the child's belly button. Mom said she did not bring up the other bruises to the licensee because she thought the child was fine after talking with the licensee about it and because the other bruises she notice and knew she was not taking the child back to day care because of the two weeks notice. Mom stated she was notified of other incidents that occurred in the day care with her child.

Per Interview with the licensee, she stated she only knew about the bruise under the child's belly button during the first week of the month. Licensee stated the child was dropped off and when she notice the bruise was when she was changing the child's diaper and she felt it to make sure their was no bump and to see if the child had a reaction to her touching it. Licensee stated she waited to tell about the bruise she saw and asked grandma when the child was picked up if the child got that maybe from the car seat or anything and grandma said no. Licensee stated after she saw that bruise she would keep checking the child because she knew she had given the two weeks notice and mom was upset because of that. Licensee stated she never notice any other bruises after that one. Licensee gave LPA copies of text messages and photos between her and mom about any bruises the child had before the two weeks notice and of incidents that happened at the day care or incidents that happened at home. Licensee also provided photos and ouch reports of incidents that happened with the child in the day care and text that mom was notified every time.

Based on the available information, and although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.

At 1:15PM Exit interview conducted and report was reviewed with Licensee Rosi Car
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2