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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191201904
Report Date: 12/17/2021
Date Signed: 12/17/2021 10:07:13 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/22/2021 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20211022162429
FACILITY NAME:LAUREL HALL NURSERY SCHOOLFACILITY NUMBER:
191201904
ADMINISTRATOR:KESTER, SAMANTHAFACILITY TYPE:
850
ADDRESS:11850 CALVERT ST.TELEPHONE:
(818) 762-1370
CITY:N. HOLLYWOODSTATE: CAZIP CODE:
91606
CAPACITY:104CENSUS: 82DATE:
12/17/2021
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Samantha Kester/DirectorTIME COMPLETED:
10:05 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1) License-----Facility is operating out of ratio
2) Physical Plant-----Facility is in disrepair
3) Physical Plant-----Bathroom is dirty
4) Personal Rights------Children do not wear masks
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/17/2021 at 8:00 am, Licensing Program Analysts (LPA) Silva Garibyan conducted an unannounced complaint investigationfor the purpose of delivering the findings on the above allegations. LPA met with facility director, Samantha Kester , who guided LPA on a facility tour. Upon arrival LPA observed 82 children supervised by 13 qualified teachers at the time of the visit.
During this inspection, LPA conducted interviews with Staff #1 and Staff #2. LPA reviewed time-sheets and sign in and out sheets. LPA observed the facility operating within proper capacity and ratios. LPA observed the children properly supervised. Based on information obtained, interviews conducted, and LPA's observations the allegations are unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
Exit interview was conducted.
A copy of the report and appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Silva GaribyanTELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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