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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400020
Report Date: 05/12/2023
Date Signed: 05/12/2023 12:51:39 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/14/2023 and conducted by Evaluator Katrina Chicote
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230314083103
FACILITY NAME:HOLLIMAN FAMILY CHILD CAREFACILITY NUMBER:
198400020
ADMINISTRATOR:PAULA A. HOLLIMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 897-5222
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:14CENSUS: 10DATE:
05/12/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Personal Rights: Day care children sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On 05/12/2023 at 12:00 PM, LPA met with Paula Holliman, Licensee, for the purpose of an Unannounced Complaint Investigation to deliver finding for the above allegation. LPA announced purpose of visit to Licensee and was granted entry to faciilty. LPA observed ten children, four of which were infants, transitioning to nap time upon arrival to the facility.

During the course of investigation, LPA obtained pertient documents and interviewed Licensee, Staff, children, and parents. Interviews with Licensee and Staff provide consistent information in regards to discipline policy of redirection and keeping children busy to manage behaviors. Licensee and Staff all state providing injury reports, texts, or calls when children are injured. LPA obtained examples of injury reports during investigation. Interviews with children and parents did not provide any corroborating information in regards to allegation, and parent interviews consistently state being satisified with level of care provided and not having issues in regards to unexplained injuries at the facility.
Report Continues - Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
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 2
Control Number 54-CC-20230314083103
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HOLLIMAN FAMILY CHILD CARE
FACILITY NUMBER: 198400020
VISIT DATE: 05/12/2023
NARRATIVE
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This Agency has investigated the above complaint allegation and found that although the allegation may have happened or is valid; based on observations and interviews there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegation is deemed UNSUBSTANTIATED.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 05/12/2023.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with the Licensee, Paula Holliman.


Report Ends - Page 2 of 2
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2