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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018148
Report Date: 06/11/2026
Date Signed: 06/11/2026 02:33:20 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
04/23/2026 and conducted by Evaluator Randy Derraco
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20260423123628
FACILITY NAME:HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
198018148
ADMINISTRATOR:HERNANDEZ, KARINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 674-7432
CITY:HAWAIIAN GARDENSSTATE: CAZIP CODE:
90716
CAPACITY:14CENSUS: 7DATE:
06/11/2026
UNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Licensee - Karina HernandezTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Licensee allowed staff to provide care and supervision to children in care without a criminal record clearance
Facility is not kept free of hazards
INVESTIGATION FINDINGS:
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**THIS INSPECTION WAS CONDUCTED IN SPANISH**
Licensing Program Analysts (LPAs) R. Derraco and J. Duran conducted an unannounced complaint insepction to the above mentioned facility at 11:50 AM. LPAs were met by licensee, Karina Hernandez, who guided analysts on a tour of the home. LPA J. Duran provided Spanish language translation for LPA R. Derraco and Licensee, Karina Hernandez. LPAs observed one additional adult and 7 children in care. Adults in the home have criminal background clearance and associated to the facility.

During the investigation, LPAs conducted interviews and made observations. Licensee states that Adult (A)1 would help with transportation of children. Licensee states that A1 has not transported children for 3 years, and when he did, it was for 3 days. Per licensee, he only transported children for 3 days and she was in the car with A1. Licensee states that A1 has criminal background clearance, however, A1 is not associated to the facility. Licensee also states that she did not retain A1s physical file. Licensee was
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
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 54-CC-20260423123628
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 198018148
VISIT DATE: 06/11/2026
NARRATIVE
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unable to remember what days or month A1 assisted with children pick ups. Individuals interviewed state that either the licensee, assistant, or their own family member would pick children after school and bring them to the facility. During the inspection, LPA observed that the outdoor play area had a garden hose unraveled throughout the ground of the play area. Sections of the back yard play are covered in an green artificial grass mat. LPAs observed holes in the mat located on the ground. The wooden playhouse was observed to be worn down with exposed splinters on the side. Plastic dramatic play sets were observed toppled over in the pathway in the back yard play area. Based on LPAs observations, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. LPA advised licensee that a citation under California Code of Regulation (CCR) section 102417(g) and Health and Safety Code Section 1596.871(c)(1)(A) will be issued.

LPA R. Derraco informed licensee Karina Hernandez that this report dated 06/11/26 documents one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA R. Derraco informed the licensee Karina Hernandez to provide a copy of this licensing report dated 06/11/26 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Notice of Site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with licensee, Karina Hernandez
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 54-CC-20260423123628
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 198018148
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/12/2026
Section Cited
HSC
1596.871(c)(1)(A)
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1596.871 Fingerprints and criminal record information of individuals in contact with child day care facility clients (c)(1)(A)... a person...who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption...This requirement is not met as evidenced by:
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Licensee states she will have adults that help her with the children obtain criminal background clearance and associated to her facility.
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Based on licensee interview, the licensee did not provide criminal records clearance for A1 which poses an immediate Health, safety and/or personal rights risk to persons in care.
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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: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 54-CC-20260423123628
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 198018148
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/19/2026
Section Cited
CCR
102417(g)
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102417 Operation of a Family Child Care Home (g) The home shall be free from defects or conditions which might endanger a child...This requirement is not met as evidenced by:
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Licensee states she will clean up back yard play area and remove or clean up items that are defective (hose, green artificial grass mat, splinters in play house). Licensee states she will send LPA pictures of corrections.
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Based on observation, the licensee did not keep the home fromm from defects or conditions that might endager and chld which poses a potential Health, safety and/or personal rights risk to persons in care.
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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: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4