198011812-7-20-2026-33-CC-KCHE-DW8TMJ-20260722145110

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198011812
Report Date: 07/20/2026
Date Signed: 07/20/2026 11:06:12 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
06/24/2026 and conducted by Evaluator Joanne Solorio Campos

COMPLAINT CONTROL NUMBER: 33-CC-20260624145730

FACILITY NAME:	CAJINA FAMILY CHILD CARE		FACILITY NUMBER:	198011812
ADMINISTRATOR:	CAJINA, ZOYLA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(213) 268-2004
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY:	14	CENSUS: 8	DATE:	07/20/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Zoyla Cajina, Licensee		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Licensee administers non-prescription medication without authorized representative's written consent

INVESTIGATION FINDINGS:

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On Monday July 20, 2026, Licensing Program Analysts (LPA) Joanne Solorio-Camps conducted an unannounced complaint investigation for the above allegation to deliver findings. LPA met with Licensee Zoyla Cajina who guided LPA on a tour of the facility. LPA observed a total of 8 children and 2 assistants present.

During the investigation, LPA interviewed Licensee, Staff #1 (S1), Child #1 (C1) through Child #3 (C3), Parent #1 (P1) through Parent#5 (P5) and the Reporting Party (RP). LPA Also obtained the Children’s Roster and photos.

Allegation: Licensee administers non-prescription medication without authorized representative's written consent.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026

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 33-CC-20260624145730

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CAJINA FAMILY CHILD CARE	FACILITY NUMBER: 198011812
	VISIT DATE: 07/20/2026

NARRATIVE

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According to the Reporting Party (RP), the licensee applied sleeping patches on a child without the parent’s consent. RP states that the parent observed the patches on two separate occasions. The RP further stated that after the first incident, the parent asked the Licensee to stop using the patches, however the parent reportedly observed the patches on the child for a second time. Per RP, the parent observed unusual sleep behaviors in the child following the use of the patches and sought medical evaluations due to these concerns.

During the interview conducted with the Licensee, the Licensee disclosed information that corroborated the above allegation. Licensee stated that she has been applying mosquito repellent patches on the children in care due to the increased presence of mosquitoes on the premises. Licensee further stated that the parents were aware, however, the Licensee was unable to provide written consent from the children’s authorized representatives.

Per S1 interview, S1 disclosed that the patches are used to prevent mosquitoes from biting children. S1 proceeded to show LPA what the patches looked like by taking out the package and stated that they usually place the patches on the back of the children’s shirts. S1 stated that some children are allergic to mosquito bites and that all parents are aware that they are using them and some parents request the patches to take home as well.

Per children’s interviews, Child #1 through Child #3 disclosed information to corroborate the above allegation. C1, C2 and C3 all stated that the patches are used for mosquitos and that they are placed on their shirts when they go outside.

Parent interviews disclosed information to corroborate the above allegation. Two out of five parents stated that they were unaware of the use of mosquito repellent patches on their children while attending the facility. The parents reported that the licensee had previously informed them that she did not administer any medication to children in care and, based on that information, they understood that no products were/are being provided or applied to their children. P1 stated that they observed unusual behaviors in their child and were not certain if it was a side effect from the use of the patches as they were unaware of what the patches were intended for. This caused concern therefore P1 sought a medical evaluation for their child. P1 and P4 stated they did not/have not provided consent or authorization for their children to use the patches. P4 further stated, “I would not lie and say the Licensee was putting something on the kids without her telling us”.

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 33-CC-20260624145730

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CAJINA FAMILY CHILD CARE	FACILITY NUMBER: 198011812
	VISIT DATE: 07/20/2026

NARRATIVE

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However, three out of the five parents stated they were aware that mosquito repellent patches were being used on their children while in care. P3 expressed that they were grateful due to the patches helping their child whom when bit the bites swell up. These parents stated they understood the purpose of the patches was for mosquito repellent and did not express any concern regarding their use.

During the investigation the LPA was able to observe the mosquito repellent patches and the original packaging provided by the Licensee. The packaging indicated that the patches were suitable for both children and adults when used as directed. When asked to provide documentation demonstrating authorization for the use of the patches, the License was unable to provide written consent from the children’s authorized representative granting permission for the patches to be applied prior to use.

Based on interviews, observations and disclosures made during the department investigation, the preponderance of evidence and the standard has been met, therefore, the allegation is found to be substantiated. California Code of Regulations (Title 22 Division & Chapter), are being cited on the attached deficiencies page LIC 9099-D. These incidents pose a potential risk to the Health and Safety of the children in care.

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. Appeal Rights provided. Exit interview conducted, report provided to Licensee Zoyla Cajina.

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 33-CC-20260624145730

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CAJINA FAMILY CHILD CARE	FACILITY NUMBER: 198011812
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/20/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/20/2026 Section Cited CCR 102423	1 2 3 4 5 6 7	102423(a)(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative This regulation was not met as evidenced by:	1 2 3 4 5 6 7	Licensee will obtain parents written consent for non prescription medication by POC due date.
	8 9 10 11 12 13 14	Based on observations, interviews and record review, Licensee did not obtain parent written consent for the use of mosquito pathes prior to use.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2026

LIC9099 (FAS) - (06/04)

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