Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018431
Report Date: 07/15/2016
Date Signed 07/15/2016 10:51:04 AM


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
04/14/2016 and conducted by Evaluator Karen Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20160414143317
FACILITY NAME:CAO & CHIANG FAMILY CHILD CAREFACILITY NUMBER:
198018431
ADMINISTRATOR:CAO,LING YAN & CHIANG,BOBFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 513-0168
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:14CENSUS: 2DATE:
07/15/2016
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Ling Yan Cao & Bob ChiangTIME COMPLETED:
09:00 AM
ALLEGATION(S):
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Personal Rights - Adult hit a child resulting in an injury
INVESTIGATION FINDINGS:
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During the course of the investigation conducted by Complaint Specialist - LPA Karen Chambers, police reports were obtained. Interviews were conducted with the complainant and the Licensee's. An attempt was made to interview day-care children but to no avail.

During the interview conducted with the complainant, they stated that they were told by the Licensee that their child and another child ran into each other causing the injury. That when they questioned their child they were told that the "Licensee hit them in the face three times" Complainant also indicated that they made a request for an appointment to discuss a refund. That they were told that their request had been denied and that this is the reason for filing a complaint.

Inconclusive
Estimated Days of Completion:
SUPERVISOR'S NAME: Bertha ManzanaresTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Karen ChambersTELEPHONE: (323)854-7636
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2016
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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Control Number 33-CC-20160414143317
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: CAO & CHIANG FAMILY CHILD CARE
FACILITY NUMBER: 198018431
VISIT DATE: 07/15/2016
NARRATIVE
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During the interview with the Licensee's they both denied hitting child #1. That child #1 got hurt while child #1 and another child ran towards each other. That shortly after the incident the parent for child #1 arrived and they were notified as to what just occurred. That they received a request for a refund of the deposit made by the parent of child #1; which was returned. That a subsequent request was made for a refund of all tuition's paid. It was at this point a letter was sent to the parent of child #1 indicating that there demand was being dropped.

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 the allegation is inconclusive.

The notice of site visit was posted where the parent/guardian of children enter and exit the facility. This notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted with the Licensee, during which appeal rights were explained. A copy of the appeal rights (LIC9058 01/16) were provided. The Licensee’s signature on this reports acknowledges receipt of her rights.
SUPERVISOR'S NAME: Bertha ManzanaresTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Karen ChambersTELEPHONE: (323)854-7636
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2016
LIC9099 (FAS) - (06/04)
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