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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191603376
Report Date: 05/05/2025
Date Signed: 05/05/2025 12:22:31 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 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
04/30/2025 and conducted by Evaluator Doris Whitmore
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20250430081201
FACILITY NAME:RODRIGUEZ FAMILY DAY CAREFACILITY NUMBER:
191603376
ADMINISTRATOR:RODRIGUEZ, SECUNDINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 673-8280
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY:14CENSUS: 6DATE:
05/05/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Secundina Rodriguez- LicenseeTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Personal Rights-Provider is not following safe sleep practices
INVESTIGATION FINDINGS:
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On 05/05/2025 Licensing Program Analyst (LPA) Doris Whitmore initiated the complaint investigation and met with Secundina Rodriguez , licensee.LPA toured the facility indoors and outdoors, there were a total of 6 children in care and licensee daughter. LPA interviewed the Licensee. LPA obtained a copy of the Facility Roster, Safe Sleep logs, from the year 2023 and 2024, & schedule. When interviewing Staff 1 disclosed that when the babies go to sleep that she puts their face up nothing around just a little blanket. During the interview and record keeping licensee showed LPA documentation of the sleep logs from 2023 and 2024. Licensee did not have a current sleep log for 2025.LPA checked files and disiclosed during the interview there is no LIC 9227 form. LPA was shown a blank copy LIC 9227 form.
Based up on LPA observations, and interviews and record review, the preponderance of evidence standard has been met, therefore the allegation is found to be substantiated.An exit interview was conducted, copy of this report was read, appeal rights along with Notice of Site Visit were provided. Notice of Site Visit is required to be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
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 30-CC-20250430081201
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: RODRIGUEZ FAMILY DAY CARE
FACILITY NUMBER: 191603376
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/09/2025
Section Cited
CCR
102425(b)
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(b) Cribs or play yards shall be free from all loose articles and objects. This requirement is not met met as made evident: The licensee puts light blanket around infants.
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The licensee will take a picture of infant sleeping and send picture to LPA without nothing around the infant.
Type B
05/09/2025
Section Cited
CCR
102425(c)(1)(2)
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(c) An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 month of age the provider has in care and maintained at the facility in the infant’s file.(1) This plan shall be signed and dated by the infant’s authorized,,,,,,,,,
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Licensee will have the parent s to complete the LIC9227 form and email a copy of forms to LPA Whitmore
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(2) The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained in the infant’s file and shall be available to the Department for review. This requirement is not met as made evident by: The licensee did not have a copy of the LIC9227 form
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Type B
05/05/2025
Section Cited
CCR
10425(D)
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(D) Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include..... This requirement was not met as made evident by: Licensee did not have current sleep logs of 15 minutes checks.
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Lincesse will check infants every 15 minutes and docuemet. Lincemsee will email a copy off 15 minchecks to LPA Whitmore
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: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2025
LIC9099 (FAS) - (06/04)
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