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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191609574
Report Date: 12/08/2022
Date Signed: 12/09/2022 12:59:30 PM

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
10/04/2022 and conducted by Evaluator Veronica Wheatley
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20221004123924

FACILITY NAME:CHILDREN COMMUNITY ACADEMYFACILITY NUMBER:
191609574
ADMINISTRATOR:ETHEL L. HENSONFACILITY TYPE:
850
ADDRESS:4729 W. SLAUSON AVE.TELEPHONE:
(323) 290-0022
CITY:LOS ANGELESSTATE: CAZIP CODE:
90056
CAPACITY:90CENSUS: 30DATE:
12/08/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Nori Henson & Wymon HensonTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Firearm on premises of daycare center
INVESTIGATION FINDINGS:
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On December 8, 2022, Licensing Program Analyst (LPA), V. Wheatley conducted an unannounced inspection regarding the above allegation. LPA was greeted by Staff #1 Nori Henson who was observing parents sign their children out today.

Nori Henson called the licensee Ethel Henson who stated she was on her way to the facility to meet with the LPA. The licensee did not come to the facility however sent her son, Wymon Henson a.k.a. Monty to meet with the LPA. Mr. Henson provided a tour of the entire preschool. LPA observed several rooms which are used for storage. LPA observed the front building with the peach door which is used for storage. LPA did not observe any firearms in this room or any other rooms on the premises. LPA interviewed staff who stated they have not observed any firearms.

On 10/13/2022, an inspectoin of the premises was conducted by LPA Dalicia Adkins, Investigations Branch (IB) representatives, Peter Zertuche and supervisor John Canto. The Department representatives did not observe any firearms on the premises. Licensee was informed about the purpose of the visit and was granted entry into the facility.and the Police Department. There were no firearms observed.

See Page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20221004123924
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: CHILDREN COMMUNITY ACADEMY
FACILITY NUMBER: 191609574
VISIT DATE: 12/08/2022
NARRATIVE
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PAGE 2

Based on the LPA's observance and information obtained, the above allegation is unsubstantiated. Meaning although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.


Exit interview conducted. A copy of this report was provided to the licensee's granddaughter Nori Henson.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3