Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492759
Report Date: 12/09/2016
Date Signed 12/13/2016 10:45:45 AM


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/03/2016 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20161003083737
FACILITY NAME:ESCOBAR FAMILY CHILD CAREFACILITY NUMBER:
197492759
ADMINISTRATOR:ESCOBAR, HEIDYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 216-7137
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:14CENSUS: 8DATE:
12/09/2016
UNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Heidy EscobarTIME COMPLETED:
04:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/Lack of Supervision
Lack of supervision resulting in inappropriate interactions between children in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
The Licensing Program Analyst (LPA) Silva Garibyan made an unannounced visit to the facility for the purpose of concluding the investigation of the above allegation.
The investigation consisted of interviews with relevant parties ( licensee, assistants, police officer, school teachers, children, parents). The LPA has evaluated and weighed all of the evidence provided. This compliant allegation has been found to be "inconclusive". A finding that the complaint is “inconclusive” means that although the allegation could have happened or could (possibly) be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.” There is no citation on inconclusive findings.
Inconclusive
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (310) 337-4826
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (310) 337-3754
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2016
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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