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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 406215855
Report Date: 03/07/2023
Date Signed: 03/07/2023 02:00:15 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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/19/2022 and conducted by Evaluator Gigi Reyes
COMPLAINT CONTROL NUMBER: 17-CC-20221219080826
FACILITY NAME:LOPEZ FCC AKA HAPPY TRIBEFACILITY NUMBER:
406215855
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
03/07/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Perla LopezTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Child sustained unexplained scratches while in care
Licensee does not provide proper supervision to children in care
Licensee denied entry to child's authorized representative
INVESTIGATION FINDINGS:
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On March 7, 2023 at 9:30 AM, Licensing Program Analyst conducted an unannounced inspection to deliver the final findings on the above allegations. LPA asked pre screning questions realted to COVID-19 and Licensee's repsonses indicate there are no COVID-19 exposure on site. LPA observed 4 children present including the licensee's school age child.

Regarding the allegation child sustained unexplained scratches while in care. Complainant alleged that Child # 1 (C1) sustained scratches around C1's neck at the facility but complainant does not know the cause of the scratches. LPA interviewed licensee and denied that C1 sustained any injuries under her care. Based on the interview conducted and report reviewed, injuries and scratches did not occur or happen at the day care.

Regarding the allegation Licensee does not provide proper supervision to children in care. It was alleged that on 10/17/2022, at 10:45 AM, Licensee was already outside the apartment in a separate floor. On 12/15/2022, complainant reported that licensee was gone for 5 minutes.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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 3
Control Number 17-CC-20221219080826
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME: LOPEZ FCC AKA HAPPY TRIBE
FACILITY NUMBER: 406215855
VISIT DATE: 03/07/2023
NARRATIVE
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 LPA's interview with Licensee on 3/3/2023 and 3/7/2023 revealed that one time when she was about to go outside of the apartment to remotely check if the car is locked (which is parked 15 ft away from the apartment) Parent # 1 arrived to pick up C1. Licensee stated she did not leave the apartment and handed C1 to Parent # 1. Licensee stated that there was not one occasion she left day care children unattended.

Regarding the allegation licensee denied entry of Parent # 1 and did not allow Parent to look inside the apartment. Complainant stated the Parent # 1 had never been inside the day care area. LPA's interview with licensee on 3/3/2023 and 3/7/2023 revealed that she did not allow Parent # 1 inside because the parent was taking videos of the day care when the children were present. In 3 separate occasions, Licensee stated she offered Parent #1 to fill out an addendum Emergency and Identification card and offered to tour the home but Parent# 1 refused to do so.

The investigation consists of interview with parents of currently and previously enrolled daycare children, interview with licensee and concerned individuals, document review and LPA observation. None of the parents and individuals interviewed corroborated with the allegations.

Although the above allegations may have happened or is/are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegations are Unsubstantiated.

Appeal Rights were issued and discussed.

Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Report was reviewed and exit interview conducted with Licensee Perla Lopez.
SUPERVISORS NAME: Maria Mueller
LICENSING EVALUATOR NAME: Gigi Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
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