191601006-12-12-2019-54-CC-TCON-BK8RFB-20191226115850

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191601006
Report Date: 12/12/2019
Date Signed: 12/12/2019 03:44:19 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/23/2019 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20191023121857

FACILITY NAME:	M A W CHILDREN'S CTR		FACILITY NUMBER:	191601006
ADMINISTRATOR:	SUSAN ROWE		FACILITY TYPE:	850
ADDRESS:	5510 CLARK AVE		TELEPHONE:	(562) 867-4083
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90712
CAPACITY:	56	CENSUS: 50	DATE:	12/12/2019
		UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:	Center Director		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Lack of Care and Supervision- Facility is not using safe cleaning precautions that caused a child in care to have rash on the lower part of the body.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs), Tiffanie Tran and Roxana Lopez conducted an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the above allegation. LPAs met with Center Director.
Based upon the evidence obtained during the course of the investigation through interviews, file reviews and observation. LPAs observed children's restroom is well maintain and trash can has a tight lid. The changing table observed to be clean and in good condition. Therefore, the evidence does not support, nor disprove the facility is operating in a non sanitaring condition causing a child to have rash on the lower part of the body occurred at the facility. Therefore allegations have been determined unsubstantiated. 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 violation occurred. The copy of this report was explained and issued to licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

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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