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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191609404
Report Date: 02/15/2024
Date Signed: 02/26/2024 09:56:50 AM

Substantiated


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 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
11/07/2023 and conducted by Evaluator Jeanette Estrada
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20231107104117
FACILITY NAME:RUIZ-CHAVARIN FAMILY CHILD CAREFACILITY NUMBER:
191609404
ADMINISTRATOR:CONCEPCION RUIZ CH.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 406-2106
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:12CENSUS: 4DATE:
02/15/2024
UNANNOUNCEDTIME BEGAN:
10:06 AM
MET WITH:Licensee Concepcion Ruiz-Chavarin TIME COMPLETED:
12:25 PM
ALLEGATION(S):
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Adult in the home sexually abused day care child.
INVESTIGATION FINDINGS:
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*This is an AMENDED REPORT for the purpose of documenting that this report and citations were interpreted in Spanish to Licensee on 2/15/24. A copy of original report was provided to Licensee on 2/15/24.*
This inspection was conducted on 2/15/24 by Licensing Program Analysts (LPAs) Jeanette Estrada and Jonnisha Culbert. The purpose of this inspection is to deliver findings for the above allegation for the complaint received 11/07/2023. There were two children and one adult (licensee) present upon arrival. Two additional children arrived at 10:41 AM. Licensee provided a tour of the facility upon arrival.
The complaint investigation was conducted by Community Care Licensing Investigation Branch (IB), Investigator, J. Santana. IB Investigator Santana’s investigation consisted of interviews conducted with the victim, witnesses, former facility clients, former facility employees, Licensee, an observation of a live forensic interview conducted by the Children’s Advocacy Center (CAC) and a review of records.
The investigation revealed that now-former facility client Child 1 was forced by Adult 1, to orally copulate him when Child 1 was 5-6 years old. Through review of records and interviews, IB investigator identified Adult 1. Child 1 recalls the abuse occurring more than once while in care.*CONTINUED ON PAGE 2*
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024
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 4
Control Number 54-CC-20231107104117
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: RUIZ-CHAVARIN FAMILY CHILD CARE
FACILITY NUMBER: 191609404
VISIT DATE: 02/15/2024
NARRATIVE
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Page 2
IB investigator Santana interviewed former facility clients who revealed that children in care have been in close contact with Adult 1 in areas of the facility that have been labeled as off limits on the facility sketch. Interviews conducted with current children confirmed being in the garage with Adult 1 watching movies despite the Licensee stating the garage has always been off-limits. In addition, the parent of one formerly enrolled child observed their child in a bedroom alone with Adult 1 watching television while the Licensee was elsewhere with other children in care. The Licensee acknowledged Adult 1 has interacted with children in care in the past, but she denied knowledge of inappropriate interactions. Adult 1 declined to provide a statement even though he was given the opportunity to have an attorney present, upon his request.

IB investigator Santana found that Child 1 was consistent in their disclosure to their parents, an LASD Deputy, the forensic interviewer from the Children’s Advocacy Center and was credible in their extensive detail. The preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated.


California Code of Regulations, (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 9099D.

Adult 1 is identified on Confidential Names form (LIC811) and provided to Licensee.

The notice of site visit was posted where the parent/guardian of children enter and exit the facility.

A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

A Non-Compliance Conference is scheduled for February 21, 2024. Licensee was also advised that a copy of this report will be provided to the Resource and Referral Agency per an agreement between CDSS and the R&R network.

Exit interview conducted and a copy was given to the Licensee Concepcion Ruiz.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 54-CC-20231107104117
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RUIZ-CHAVARIN FAMILY CHILD CARE
FACILITY NUMBER: 191609404
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/16/2024
Section Cited
CCR
102423(a)(1)
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Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licenseeThese rights include, but are not limited to, the following:To be treated with dignity in his/her personal relationship with staff and other persons.
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Licensee stated she will watch CCLD videos: Supervising children in family child care and Children;s personal rights in child care and will provide a statment of understanding.
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This requirement is not met as evidenced by: Based on interview, the Licensee did not ensure that Child 1 was treated with dignity while in care at the facility which poses an immediate health, safety or personal rights risk to children in care.
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 Licensee stated she wll provide a statement regardng plan of supervision that will include how she will ensure children's personal rights are being upheld, how she will prevent access to off limit areas, and prevent access to Adult 1. Proof of statement will be provided to LPA by due date.
Type A
02/16/2024
Section Cited
CCR
102417(a)
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102417(a) The licensee...shall ensure that children in care are supervised at all times.
This requirement is not met as evidenced by
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Licensee stated she will watch CCLD videos: Supervising children in family child care and Children;s personal rights in child care and will provide a statment of understanding.
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Based on interview and record review the Licensee allowed children in care to be alone with Adult 1 while in off limit areas of the home which poses an immediate safety or personal rights risk to children in care.
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Licensee stated she wll provide a statement regardng plan of supervision that will include how she will ensure children's personal rights are being upheld, how she will prevent access to off limit areas, and prevent access to Adult 1. Proof of statement will be provided to LPA by due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 54-CC-20231107104117
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: RUIZ-CHAVARIN FAMILY CHILD CARE
FACILITY NUMBER: 191609404
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/16/2024
Section Cited
HSC
1596.8897(a)(3)
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1596.8897(a)(3)The department may prohibit any licensee fromallowing in a licensed facility, allowing contact with clients of a licensed facility…any person who is not a client who has:Engaged in conduct that is inimical to the...safety of an individual...receiving services from the facility.
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Licensee stated she will watch CCLD videos: Supervising children in family child care and Children;s personal rights in child care and will provide a statment of understanding.
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This requirement is not met as evidenced by Based on interview, the Licensee did not ensure that Child 1 was not in contact with Adult 1 who engaged in conduct that was inimical to the safety of Child 1which posed an immediate safety and personal rights risk to children in care.
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Licensee stated she will watch CCLD videos: Supervising children in family child care and Children;s personal rights in child care and will provide a statment of understanding.
Proof of statement will be provided to LPA by due date.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4