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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191597832
Report Date: 12/12/2024
Date Signed: 12/12/2024 04:42:06 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
10/21/2024 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20241021161838
FACILITY NAME:MAOF CHILD CARE CENTER - DOWNEYFACILITY NUMBER:
191597832
ADMINISTRATOR:ARACELY GARCIAFACILITY TYPE:
850
ADDRESS:8100 TELEGRAPH ROADTELEPHONE:
(562) 806-5054
CITY:DOWNEYSTATE: CAZIP CODE:
90240
CAPACITY:80CENSUS: 42DATE:
12/12/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Samantha JimenezTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Personal Rights- Staff delayed a child from receiving proper medical care for a head injury requiring medical attention.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), T. Tran arrived at the above licensed facility to conduct a subsequent complaint inspection for the purpose of concluding a personal rights violation.
On 10/11/2024, about 10:35AM, during the choice time at the block area, C1 tripped and fell hit the head on the edge of a wooden shelf. C1 sustained a deep open wound in the head requiring immediate medical attention. Facility contacted child’s parent at 10:37AM and parent requested staff to call 911. Despite parent request, staff delayed 25 minutes for C1 to receive proper medical treatment then called 911 at 11:02AM. Paramedics arrived at 11:05AM assessing the child might be needing stitches. At around 11:13AM, child was transferred to PIH Health Downey Hospital and received two staples to close the wound. Therefore, the above personal rights allegation of facility staff delayed C1 from receiving proper medical treatment was substantiated. A finding means that the complaint is substantiated, and the allegation is valid because the preponderance of the evidence standard has been met.
Facility was cited type A deficiency, (see Complaint Investigation Report LIC 9099D). Upon receipt of a Type A deficiency, facility shall post and provide copies of this licensing report to parent/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Exit interview was conducted, and a notice of site visit was provided to Samantha J.


Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Tiffanie Tran
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
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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Control Number 54-CC-20241021161838
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: MAOF CHILD CARE CENTER - DOWNEY
FACILITY NUMBER: 191597832
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/03/2025
Section Cited
CCR
101223(a)(3)
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Personal Rights-This requirement is not met as evidenced by interview, record reviews facility staff despite parent immediate request to call 911. Staff delayed 25 minutes to contact 911 for C1 with a severe head injury which poses an immediate health and safety risk to children in care.
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Facility will address and provide training with center staff regarding children's personal rights and review the policy and procedure pertaining to parent request then submit to LPA the training materials and staff attendance to LPA by or before 1/03/25 to clear this citation.

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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.
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Tiffanie Tran
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2024
LIC9099 (FAS) - (06/04)
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