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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400128
Report Date: 01/18/2023
Date Signed: 01/18/2023 03:17:58 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
09/28/2022 and conducted by Evaluator Mayra Rivera
COMPLAINT CONTROL NUMBER: 54-CC-20220928152659
FACILITY NAME:LOPEZ FAMILY CHILD CAREFACILITY NUMBER:
198400128
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 3DATE:
01/18/2023
ANNOUNCEDTIME BEGAN:
02:38 PM
MET WITH:Martha Lopez, Licensee TIME COMPLETED:
03:01 PM
ALLEGATION(S):
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Staff speaks rudly to day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced complaint inspection and to delvier findings. LPA met with Licensee Martha Lopez who guided LPA on a tour of the facility. At 2:38 p.m. LPA entered the facility and observed 1 infant sleeping, 1 infant waking up from nap and 1 toddler playing. There were 3 children present duing today's inspection.

During the course of the investigation LPA Chavez conducted interviews with parents, of the three interviews conducted with parents, no disclosures were made regarding the above allegation. LPA Chavez interviewed Co-Complainant and they disclosed that the licensee is always making comments about the children in care. Co-Complaint does not recall the dates the comments were made by the licensee and did not know the children’s names. Co-Complainant did not disclose observing the licensee speak rudely to children. LPA Chavez attempted to interview child #1 on 10/6/22 and on 10/28/22 but the child was not present at the facility. LPA Chavez was unable to interview additional children because the children in care were infants and nonverbal.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023
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 54-CC-20220928152659
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LOPEZ FAMILY CHILD CARE
FACILITY NUMBER: 198400128
VISIT DATE: 01/18/2023
NARRATIVE
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LPA Chavez interviewed staff, of the two interviews conducted with staff, no disclosures were made regarding observing staff speak rudely to children in care.

This agency has investigated the complaint alleging staff speaks rudely to children in care. At this time, it is determined that Although the allegation 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 at this time the above allegation is unsubstantiated.

Exit interview was conducted with Licensee, Martha Lopez.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2