191200465-9-6-2023-58-CC-MNEL-CXTR99-20231122114907

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191200465
Report Date: 09/06/2023
Date Signed: 09/06/2023 06:49:02 PM

Substantiated

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
08/30/2023 and conducted by Evaluator Veronica Wheatley

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20230830145842

FACILITY NAME:	SHERMAN OAKS LUTHERAN CHILDREN'S CENTER		FACILITY NUMBER:	191200465
ADMINISTRATOR:	DIANE NIXON		FACILITY TYPE:	850
ADDRESS:	14847 DICKENS STREET		TELEPHONE:	(818) 784-9480
CITY:	SHERMAN OAKS	STATE: CA	ZIP CODE:	91403
CAPACITY:	78	CENSUS: 39	DATE:	09/06/2023
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Kimberly Ogas		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 9/6/2023 at 11:00am Licensing Program Analyst (LPA) V. Wheatley met with Director Kimbery Ogas and Administrator Leslie O'Byrne. LPA tour of the entire preschool. LPA observed 39 children playing inside of the classrooms and on in the outdoor play space. LPA observed the staff supervising within proper ratios and capacity.

LPA interviewed the director regarding the above allegation. The director stated that Child #1 has been assessed and that parent was trying to obtain a shadow for the child. LPA did not observe any documentation and advised that this documentation is required for children in care. LPA interviewed several staff witnesses who stated that Child #1 has exhibited inappropriate behavior towards other day care children and staff.

Based on the information obtained through information obtained and interviews which were conducted, the allegation is substantiated. A substantiated finding means that the complaint is substantiated and the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview. A copy of the report will be provided.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

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 58-CC-20230830145842

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: SHERMAN OAKS LUTHERAN CHILDREN'S CENTER	FACILITY NUMBER: 191200465
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/06/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/07/2023 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	101223(a)(1)Personal Rights -To be accorded dignity in his/her personal relationships with staff and other persons.	1 2 3 4 5 6 7	Plan of Correction - The director will submit a plan of correction to clear the violation by 9/7/23. The director will have an In-Service Training meeting within two weeks with the staff regarding personal rights and the process for handling children with behavior issues.
	8 9 10 11 12 13 14	This is evidenced by: The investigation revealed that Child #1 has been pulling other children's hair and other inappropriate behaviors that violate children's perrsonal rights. This is an immediate risk to the health and safety of children in care.	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: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2