Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018224
Report Date: 07/26/2017
Date Signed 07/26/2017 03:50:51 PM


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
07/21/2017 and conducted by Evaluator Cynthia Reyes
COMPLAINT CONTROL NUMBER: 33-CC-20170721145520
FACILITY NAME:SMITH FAMILY CHILD CAREFACILITY NUMBER:
198018224
ADMINISTRATOR:SMITH, HARRIETFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 756-3332
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY:14CENSUS: 5DATE:
07/26/2017
UNANNOUNCEDTIME BEGAN:
01:41 PM
MET WITH:Harriet SmithTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Licensee hit children
Licensee failed to provide healthful accommodations to children
Licensee restrained children for extended periods of time
Licensee exposed child to violent behavior
INVESTIGATION FINDINGS:
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Cynthia Reyes, LPA arrived unannounced at the facility to conduct a complaint investigation for the allegations listed above. LPA met with Licensee, Harriet Smith who took LPA on a tour of the home.

Interviews conducted and documents reviewed. Licensee stated she has never spanked a child or hit a child or hurt a child at all, licensee stated she changed diapers on a towel on the rug in the dinning room floor and stated no babies are left in a porta crib all day, they play on the floor with the other children and on a sheet on the rug. other interview stated they are not sure where the babies diapers are changed and yes the babies play on the floor in the family room some times and are not always in the crib. No one said they saw the licensee hit or spank a child. Their was one disclosure that the licensee flicked a child with her finger one time but did not hit or spank a child. The licensee also denied flicking a child. Other interviews stated a child just heard a spank but did not see and it was also verbally told that babies are in cribs all day long and diapers changed on the kitchen table however they did not witness that. There were no collaborating statements by anyone of these incidents that may have occurred.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323)981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2017
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 33-CC-20170721145520
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: SMITH FAMILY CHILD CARE
FACILITY NUMBER: 198018224
VISIT DATE: 07/26/2017
NARRATIVE
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Although the allegation 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 at this time.

Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted with Harriet Smith , Licensee including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323)981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2017
LIC9099 (FAS) - (06/04)
Page: 2 of 2