191604266-8-31-2022-30-CC-MNEL-CJEPZR-20220919114556

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191604266
Report Date: 08/31/2022
Date Signed: 08/31/2022 03:33:49 PM

Substantiated

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
07/20/2022 and conducted by Evaluator Dalicia Adkins

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20220720161243

FACILITY NAME:	JOURNEY OF FAITH		FACILITY NUMBER:	191604266
ADMINISTRATOR:	NANCY KIM		FACILITY TYPE:	850
ADDRESS:	1243 ARTESIA BOULEVARD		TELEPHONE:	(310) 374-0583
CITY:	MANHATTAN BEACH	STATE: CA	ZIP CODE:	90266
CAPACITY:	165	CENSUS: 0	DATE:	08/31/2022
		UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Director, Nancy Kim		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

PERSONAL RIGHTS- Day care child wandered away from the day care facility

INVESTIGATION FINDINGS:

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

On 8/31/2022 at 10:40am Licensing Program Analyst (LPA) Dalicia Adkins conducted an unannounced complaint visit regarding the above-mentioned allegation. LPA met with director Nancy Kim and LPA explained the purpose of the visit. Licensee granted LPA entry and guided LPA on a tour of the facility. No children present during today's 8/31/22 visit.

On 07/26/2022 Licensing Program Analyst (LPA) Lisa Clayton conducted the initial 10-day complaint visit. During this visit LPA Clayton toured the facility, collected the facility roster and staff personnel roster.

On 8/31/2022 LPA Adkins conducted a subsequent inspection to deliver the findings of the investigation. During this visit LPA interviewed staff and conducted observations.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

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 4

Control Number 30-CC-20220720161243

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JOURNEY OF FAITH	FACILITY NUMBER: 191604266
	VISIT DATE: 08/31/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Based on evidence collected during the course of the investigation it has been determined that staff did not provide care and supervision as necessary to meet the child needs. It was determined that licensee did not ensure that children in care were accorded with a safe environment, which resulted in a violation of child's personal rights. During the investigation it was disclosed a that a group bicycle activity was held in the parking lot area (near play yard) on June 20,2022 and child had the ability to ride away from the group, exiting an unlocked gate and onto public sidewalk. Staff failed to ensure that the facility gate was locked and as a result the child had accessibility to ride outside of the facility grounds. Based on LPA’s observations, collection of supportive documents/records and interviews the preponderance of evidence standard has been met. Therefore, allegation of Personal Rights -Day care child wandered away from the day care facility is SUBSTANTIATED. This is a violation of Title 22- 101223 Personal Rights (a)(2), This is a Type A deficiency which poses an immediate health and safety risk to children in care. This is a violation of Title 22 101229 Responsibly for Providing Care and Supervision (a)(1), this is a Type A deficiency which poses an immediate and safety to children in care. This facility is being cited (2) Type A deficiencies. Refer to LIC 9099 D.

Upon receipt of this report, the licensee shall post the Notice of Site Visit and any licensing report documenting a type "A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or enrolled children for the next 12 months (1 year). The acknowledgment of Receipt LIC 9224 form must be maintained in each child's file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224).

LPA discussed Plan of Correction (POC) with licensee. Licensee agreed create and submit copy of plan of action to on how to ensure children supervision on playground by 9/20/2022.

page 2

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 30-CC-20220720161243

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JOURNEY OF FAITH	FACILITY NUMBER: 191604266
	VISIT DATE: 08/31/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Licensee agrees to conduct in-service training with all staff on supervision and provide the agenda & list of staff in attendance. All staff shall view supervision of Children in Care Video on CCLD website:
https://ccld.childcarevideos.org/child-care-center-operators/teacher-child-ratios-in-child-care-centers/
Licensee will send LPA a copy of signed roster by 9/20/2022

Exit interview conducted and appeal rights given. This report reviewed with Licensee and copy provided.

Notice of Site given and must remain posted for 30 days.

page 3

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 30-CC-20220720161243

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: JOURNEY OF FAITH	FACILITY NUMBER: 191604266
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/31/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/31/2022 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children’s needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, Supervision shall include visual observation. This requirement is not met as evidence by:	1 2 3 4 5 6 7	Licensee agreed to create and submit a copy of plan of action on how to ensure children supervision on playground. Licensee agreed to conduct in service training on supervision and provide agenda and list of staff in attendance to LPA by 9/20/2022 , via email. All staff shall view supervision of Children Video on CCLD website.
	8 9 10 11 12 13 14	Based on observations, interviews and record review the licensee did not ensure children were provided with care and supervision to meet the children needs. Child riding out of unlocked gate and onto public sidewalk, poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14
Type A 08/31/2022 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights (2) To be safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidence by:	1 2 3 4 5 6 7
	8 9 10 11 12 13 14	Based on observations, interviews and record reviews licensee did not ensure that child was accorded a safe environment. Child riding out of unlocked gate and onto public sidewalk, poses an immediate health and safety risk to children in care.	8 9 10 11 12 13 14

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: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

LIC9099 (FAS) - (06/04)

Page: 4 of 4