191609040-6-21-2019-30-CC-JFEA-BDQUS8-20190703154956

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191609040
Report Date: 03/14/2019
Date Signed: 06/21/2019 04:31:07 PM

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
03/12/2019 and conducted by Evaluator Jillinda Chandler

COMPLAINT CONTROL NUMBER: 30-CC-20190312082923

FACILITY NAME:	DEBBIE'S CHILD CARE DEVELOPMENT CENTER PRESCHOOL		FACILITY NUMBER:	191609040
ADMINISTRATOR:	DEBRA JOHNSON YOUNG		FACILITY TYPE:	850
ADDRESS:	521 SO. OSAGE AVENUE		TELEPHONE:	(310) 671-4440
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90301
CAPACITY:	77	CENSUS:	DATE:	03/14/2019
		UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Director		TIME COMPLETED:	02:33 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Neglect/Lack of Care and Supervision- Children engaged in appropriate activities due to a lack of supervision.

INVESTIGATION FINDINGS:

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

*************************** This is an amendment of the original*************************************

On 3/14/2019 Licensing Program Analyst (LPA) Chandler made an unannounced visit of the facility above for the purpose of conducting a case management complaint investigation.

During todays investigation children were interviewed and the evidence showed that children engaged in inappropriate activities due to a lack of supervision

Per title 22 Children are to be supervised at all times and an based on the above children were not provided proper supervision. Therfore the allegation was found to be substantiated meaning the preponderance of evidence standard was met.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2019

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 6

Control Number 30-CC-20190312082923

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: DEBBIE'S CHILD CARE DEVELOPMENT CENTER PRESCHOOL	FACILITY NUMBER: 191609040
	VISIT DATE: 03/14/2019

NARRATIVE

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Statements provided by child #1 and 2 met the perponderance of evidence standards and therefore the allegation was substantied.

The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If facility was cited type A violations or complaint is found to be substantiated or unsubstantiated, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Licensee must inform the parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC-9224 Acknowledgement of Receipt of Licensing Reports.

An exit interview was conducted, a copy of this report was provided along with the appeal rights.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 6

Control Number 30-CC-20190312082923

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: DEBBIE'S CHILD CARE DEVELOPMENT CENTER PRESCHOOL	FACILITY NUMBER: 191609040
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/14/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/13/2019 Section Cited CCR 1012290(a)(1)	1 2 3 4 5 6 7	*This is a amendment of the original (a) The licensee shall provide care and supervision... (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This standard was not met as evidenced by:	1 2 3 4 5 6 7	Licensee shall immediately provide training regarding supervision. Taining materials and attendee roster shall be provided to the department. Licensee and staff shall visit the departments website at www.ccld .ca.gov and review video Supervising Children in Child Care Centers. the video is located under resoures for providers
	8 9 10 11 12 13 14	statement of witnesses that the children engaged in inappropiate activities due to a lack of supervision. This is an immediate risk to the personal rights of children in care.	8 9 10 11 12 13 14	Licensee shall ensure that class room is designed to ensure visual supervision at all times, and adequate staffing is provided when activities require additional supervision photos may be provided of classroom # once class has been arranged. All staff shall self - certify that they have reviewed the video and understand it contents.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 6

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
03/12/2019 and conducted by Evaluator Jillinda Chandler

COMPLAINT CONTROL NUMBER: 30-CC-20190312082923

FACILITY NAME:	DEBBIE'S CHILD CARE DEVELOPMENT CENTER PRESCHOOL		FACILITY NUMBER:	191609040
ADMINISTRATOR:	DEBRA JOHNSON YOUNG		FACILITY TYPE:	850
ADDRESS:	521 SO. OSAGE AVENUE		TELEPHONE:	(310) 671-4440
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90301
CAPACITY:	77	CENSUS:	DATE:	03/14/2019
		UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Director		TIME COMPLETED:	02:33 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights

INVESTIGATION FINDINGS:

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

***************************** This is an amendment of the original*******************
On 3/14/2019 Licensing Program Analyst (LPA) Chandler made an unannounced visit of the day care center listed above for the purpose of conducting a case management complaint investigation.

Based on interviews and witnesses statements evidenice shows that children engaged in inappropriate activities which were found to be a violation of the personal rights standards

Per title 22 children are to be accorded dignity in his/her personal relationships with staff and other persons.

Therfore the allegation was found to be substantiated meaning the perponderance of evidence standard was met

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 6

Control Number 30-CC-20190312082923

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: DEBBIE'S CHILD CARE DEVELOPMENT CENTER PRESCHOOL	FACILITY NUMBER: 191609040
	VISIT DATE: 03/14/2019

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

An exit interview was conducted, a copy of this report was provided along with the appeal rights.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2019

LIC9099 (FAS) - (06/04)

Page: 6 of 6

Control Number 30-CC-20190312082923

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: DEBBIE'S CHILD CARE DEVELOPMENT CENTER PRESCHOOL	FACILITY NUMBER: 191609040
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/14/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/15/2019 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	*This is an Amendment of the Original** 101223(a)The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This standard was not met as	1 2 3 4 5 6 7	Licensee shall seek training regarding the following subjects: 1. How to care and supervise children with behavioral challenges and special needs. 2. Developmental stages of children. Licensee shall pursue the training and provide training to staff. Licensee was advised to visit the local resource center as an option to
	8 9 10 11 12 13 14	evidence: during interviews, statements provided evidence that children engaged in inappropriate activities.This is a potential personal rights risk to children in care. A type B citation was issued.	8 9 10 11 12 13 14	find training. Certification of training shall be provided to LPA no later than 4/15/19. Licensee shall also provide training materials and attendee roster of all staff.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2019

LIC9099 (FAS) - (06/04)

Page: 5 of 6