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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493819
Report Date: 09/26/2022
Date Signed: 09/26/2022 04:36:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/02/2022 and conducted by Evaluator Denise Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20220802081835
FACILITY NAME:MORALES FAMILY CHILD CAREFACILITY NUMBER:
197493819
ADMINISTRATOR:MORALES, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 350-1860
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:14CENSUS: 11DATE:
09/26/2022
UNANNOUNCEDTIME BEGAN:
03:31 PM
MET WITH:Maria Morales, Licensee and 2 Licensee's assistant TIME COMPLETED:
04:41 PM
ALLEGATION(S):
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Licensee does not live in the home
INVESTIGATION FINDINGS:
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On 09/26/2022 at 3:31PM, Licensing Program Analyst (LPA) Denise Miranda conducted an unannounced visit, at Morales Family Child Care Home located at 11840 Gilmore Street, North Hollywood, CA 91606, for the purpose of delivering final findings of the above allegation.
LPA observed 11 children, being supervised by Maria Morales, Licensee and two assistants. LPA verified that all adults present in the home have obtained criminal record clearances and are associated to the facility.
Information provided by the reporting party indicates that Adult #1 does not reside in the home. Reporting party states that Adult #1 is a co-licensee.
Per Licensee, Adult #1 does not reside in the home because they are not a co-licensee. Licensee stated that Adult #1 use to be a co-licensee when they resided in the home but they no longer reside in the home and are no longer a co-licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022
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 58-CC-20220802081835
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MORALES FAMILY CHILD CARE
FACILITY NUMBER: 197493819
VISIT DATE: 09/26/2022
NARRATIVE
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Based on the information obtained throughout the course of the investigation which involve
observation facility, interviews, the allegation that Adult #1 does not live in the home is
unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to provide the violation did or did not occur.
An exit interview was conducted, and a copy of this report was provided to Maria Morales, Licensee along with Notice of Site Visit and Appeal rights.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2