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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191607790
Report Date: 08/09/2023
Date Signed: 08/10/2023 07:39:13 AM

Unsubstantiated


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
05/22/2023 and conducted by Evaluator Judy Laureano
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230522123526
FACILITY NAME:10TH STREET PRESCHOOLFACILITY NUMBER:
191607790
ADMINISTRATOR:WASSON, CINDYFACILITY TYPE:
850
ADDRESS:1444 10TH STREETTELEPHONE:
(310) 458-4088
CITY:SANTA MONICASTATE: CAZIP CODE:
90401
CAPACITY:43CENSUS: 12DATE:
08/09/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lacie Newlin Assistant DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
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9
Neglect/Lack of Supervision:Staff did not prevent daycare from being injured by another daycare child.
Personal Rights: Staff did not prevent daycare child from engaging in inappropriate behavior.
INVESTIGATION FINDINGS:
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2
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12
13
On 8/9/2023 Licensing Program Analyst (LPA) Judy Laureano conducted a complaint inspection to deliver findings regarding the above-mentioned allegations. LPA met with Lacie Newlin, Assistant Director, and explained the purpose of the inspection. There were 12 children and 3 staff members with Asistant Director providing care and supervision.

On 5/24/2023 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced complaint investigation regarding the above allegations. LPA met with the Assistant Director Lacie Newlin and Director Cindy Wasson. LPA toured the facility indoor and outdoors and observed 41 children in care and 6 staff present along with director and assistant director. LPA interviewed staff, director and assistant director. LPA reviewed children's roster, staff roster, parent hand book and copies of ouchie report/injury reports and other relevant documents.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
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-20230522123526
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: 10TH STREET PRESCHOOL
FACILITY NUMBER: 191607790
VISIT DATE: 08/09/2023
NARRATIVE
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Page 2

On 8/9/2023 LPA concluded interviews of all relevant parties. Based on the information received and interviews of staff, parents and children, NO INFORMATION was disclosed that facility did not provide sufficient supervision and that children’s personal rights were violated, therefore, the allegation is UNSUBSTANTIATED, meaning although the allegations may have happened or are valid, the preponderance of the evidence standard has not been met.

Exit interview was conducted and a copy of the report was provided with a Notice of Site Visit
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2