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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400479
Report Date: 05/15/2024
Date Signed: 05/15/2024 04:15:13 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
04/16/2024 and conducted by Evaluator Claudia Kam
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240416125622
FACILITY NAME:CHAN FAMILY CHILD CAREFACILITY NUMBER:
198400479
ADMINISTRATOR:CELEST CHANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 610-2584
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:14CENSUS: DATE:
05/15/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Celeste ChanTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Licensee is not present in the home resulting in inadequate supervision.
INVESTIGATION FINDINGS:
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On 5/15/24 at 11:00 AM Licensing Program Analyst (LPA) Claudia Kam followed up on a complaint inspection to the above facility. LPA met with licensee Celeste Chan, who guided analysts on a tour of the facility. There were 9 children present with 3 staff upon arrival.

During the investigation LPA obtained a obtained a facility roster, reviewed staff files, and obtained pictures of qualification documentation for assistants to verify that they are qualified as a substitute adult to provide care in the absence of licensee. LPA conducted interviews with staff, licensee, parents and follow up interviews with staff and licensee for clarification.

Information provided by the reporting party alleges that licensee is not present in the home resulting in inadequate supervision.



Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024
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-20240416125622
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CHAN FAMILY CHILD CARE
FACILITY NUMBER: 198400479
VISIT DATE: 05/15/2024
NARRATIVE
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Based on the LPAs observations and interviews which were conducted and record review it was found that there is adequate supervision provided by two assistants based on verified work schedule and qualifications. Licensees states she is present however, per licensee she is the responsible party for pick up and drop off and errands for the daycare business and is gone 10-15 hours per week. Licensee states that she is present and always has adequate supervision for the kids. Although the allegations 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.

No deficiencies will be cited today 05/15/2024.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted with licensee Celeste Chan, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2