198021007-10-26-2022-33-CC-ACHO-CKX84T-20221106211140

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198021007
Report Date: 09/27/2022
Date Signed: 10/26/2022 09:55:03 AM

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
08/26/2022 and conducted by Evaluator Steven Tung

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20220826122854

FACILITY NAME:	FANG FAMILY CHILD CARE		FACILITY NUMBER:	198021007
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	09/27/2022
		UNANNOUNCED	TIME BEGAN:	09:01 AM
MET WITH:	Jing Fang - Licensee		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Licensee does not live in the home

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Steven Tung conducted a Complaint Investigation on 10/26/22. Risk assessment was conducted upon entry and appropriate PPE was used. The purpose of this visit is to provide findings of the complaint investigation which was received on 08/26/22. LPA met with Licensee Jing Fang, to whom the purpose of the inspection was announced. A tour of the facility was given and census was taken. There are 0 children present.

Throughout the course of the investigation, interviews were conducted with Licensee and relevant parties. LPA also reviewed and obtained pertinent documents.

Per initial complaint report, it was reported that the Licensee provided an address that was connected to the Licensee’s assistant, who previously operated a child day care that the assistant closed due to fraudulent circumstances.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022

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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Control Number 33-CC-20220826122854

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: FANG FAMILY CHILD CARE	FACILITY NUMBER: 198021007
	VISIT DATE: 09/27/2022

NARRATIVE

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Regarding the allegation: Licensee does not live in the home - LPA conducted interviews with complainant, Licensee, and relevant parties. Per complainant, the Licensee provided documents with different addresses. Per Licensee, the Licensee has lived at the day care facility since March 2022 (the facility was licensed on 8/17/22). Per relevant parties, the Licensee moved into the home on 8/17/22 and no children were observed on the premises. Additionally, one relevant party disclosed that the signature on a pertinent document of the application packet initially submitted by the Licensee was inauthentic.

During complaint investigation visits, LPA observed clothes, shoes, and personal belongings in the Licensee’s bedroom, bedroom closet, and bathroom.

This agency has investigated the complaint alleging the Licensee does not live in the home. Based upon the evidence as presented above, the allegations have been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove alleged violation(s) did or did not occur, therefore at this time the above allegations are 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 with Licensee Jing Fang.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE:	DATE: 10/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2022

LIC9099 (FAS) - (06/04)

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