191800877-4-30-2025-33-CC-ACHO-DHHUTM-20250610155211

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191800877
Report Date: 04/30/2025
Date Signed: 04/30/2025 02:07:01 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/24/2025 and conducted by Evaluator Monique Jessica Ayala

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20250324083445

FACILITY NAME:	ATWATER PARK CENTER		FACILITY NUMBER:	191800877
ADMINISTRATOR:	CARLA POOLE		FACILITY TYPE:	850
ADDRESS:	3370 PERLITA AVE		TELEPHONE:	(323) 666-1377
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90039
CAPACITY:	54	CENSUS: 26	DATE:	04/30/2025
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Bertha Rodriguez, Program Manager		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Reporting Requirements: Staff do not ensure reporting requirements are being followed
Lack of Supervision: Staff do not ensure adequate care and supervision is being provided
Personal Rights: Child sustained unexplained bruises while in care

INVESTIGATION FINDINGS:

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On April 30, 2025, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced complaint investigation for the above allegations. LPA met with Program Manager, Bertha Rodriguez who guided LPA on a tour of the facility. LPA observed 26 children in care with 10 staff members.

During the investigation, LPA interviewed Child #2 (C2), interviewed Staff #1 (S1) to Staff #4 (S4), interviewed Parent #2 (P2) to Parent #3 (P3), obtained a copy of facility roster, obtained facility menu, LPA spoke with Reporting Party #1 (RP1) and LPA spoke with Regional Center representative. LPA was unable to contact Reporting Party #2 (RP2) as RP2 did not return LPA’s call. LPA was unable to interview Parent #1 (P1), as P1 did not answer/return LPA’s calls. LPA was unable to interview Child #1 (C1), as C1 no long attends the facility and P1 did not answer/return calls to LPA. LPA obtained a Regional Centers investigation findings.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

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 5

Control Number 33-CC-20250324083445

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ATWATER PARK CENTER	FACILITY NUMBER: 191800877
	VISIT DATE: 04/30/2025

NARRATIVE

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RP1 and RP2 alleged, “Staff do not ensure reporting requirements are being followed”. Per RP’s, staff are not documenting incidents that occur at the center. LPA interviewed S2 and S4 who indicated that there were no injuries with C1 while in care at the facility. Per S3, there are no know incidents that occurred with C1. LPA reviewed C1's file and did not observe any injury/incident reports in the file. LPA interviewed P2 and P3, who did not corroborate with the allegation. LPA was unable to interview P1.

RP1 and RP2 alleged, "Staff do not ensure adequate care and supervision is being provided". Per RP1 and RP2, C1 was getting bullied by other boys at the center by pulling her hair. LPA interviewed S1, S2 and-S4 who stated, that they feel the facility provides adequate care and supervision. However, S1, S2 and S4, did acknowledge that there are times when children pull hair. Per S1, S2 and S4, when that occurs, they talk to the children and notify the families of what occurred. S1, S2 and S4 stated that hair pulling has occurred, but did not occur with C1. LPA interviewed P2 and P3 who stated, that they feel the facility provides adequate care and supervision to the children. LPA was unable to interview P1.

RP1 and RP2 alleged, "Personal Rights: Child sustained unexplained bruises while in care". Per RP1 and RP2, C1 sustained multiple bruises on both the shins. Per RP's, they do not know where the bruises came from but suspected that it's from the other kids being mean and kicking C1 and the staff not paying attention. LPA interviewed S2 who stated that there are times when child kick if they fighting over a toy but S2 talks to the children, redirects the children and talk to the parents. Per S4, children may kick their leg up at times and accidentally kick another child, but also talks to the children about how kicking their leg up may harm another child. Per S1-S4 there were no observed kicking incidents with C1. LPA interviewed P2 and P3, who did not corroborate with the allegation. LPA was unable to interview P1.

Based on interviews conducted, the above allegations are deemed UNSUBSTANTIATED. There is not enough evidence or witnesses to substantiate, therefore, allegations are rendered Unsubstantiated at this time. A finding that the complaint is unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged allegations occurred.

An exit interview was conducted with Program Manager, Bertha Rodriguez and a copy of this report was provided along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

LIC9099 (FAS) - (06/04)

Page: 5 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/24/2025 and conducted by Evaluator Monique Jessica Ayala

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20250324083445

FACILITY NAME:	ATWATER PARK CENTER		FACILITY NUMBER:	191800877
ADMINISTRATOR:	CARLA POOLE		FACILITY TYPE:	850
ADDRESS:	3370 PERLITA AVE		TELEPHONE:	(323) 666-1377
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90039
CAPACITY:	54	CENSUS: 26	DATE:	04/30/2025
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Bertha Rodriguez, Program Manager		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Food Services: Staff do not ensure children's dietary meal plan is being followed

INVESTIGATION FINDINGS:

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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

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 5

Control Number 33-CC-20250324083445

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ATWATER PARK CENTER	FACILITY NUMBER: 191800877
	VISIT DATE: 04/30/2025

NARRATIVE

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RP1 and RP2 alleged, "Staff do not ensure children's dietary meal plan is being followed". Per RP's, "C1 has special needs when it comes to food intake and the portions need to be small so that C1 can chew and swallow the food servings. RP's, stated that C1 got sick and vomited due to eating to much food due to the staff not monitoring C1 food intake". LPA interviewed S1-S4 who stated they give the children small portions of snacks and if the child request more staff give the children are given additional small portions. LPA reviewed snack menus in all the classrooms. LPA interviewed P2-P3 who stated they receive a monthly snack menu. While reviewing the snack menu, LPA did not observe serving portions listed on the snack menu. LPA asked S1-S4 how they measure the snacks, S1-S4 stated they just provide a small portion and demonstrated with their hands, a hand full. LPA informed the director that snacks need to be measured in accordance to the age of the child and if the child has a dietary plan, that also needs to followed. LPA did not observe a meal/dietary plan in C1's file.

Based on observation and interviews conducted the above allegation is deemed SUBSTANTIATED. A finding of Substantiated means that the preponderance of evidence standard has been met. Although the facility has a snack menu available they are not following Title 22 Regulations, to ensure that the proper portions are being provided to the children.

The facility is being cited a Type B deficiency, see LIC9099D. The facility has provided LPA with a copy of May 2025 snack menu where portions sizes are now included.

An exit interview was conducted and a copy of this report was provided to Program Manager, Bertha Rodriguez along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 33-CC-20250324083445

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ATWATER PARK CENTER	FACILITY NUMBER: 191800877
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/30/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/30/2025 Section Cited CCR 101227(a)(3)	1 2 3 4 5 6 7	Food Services: In child care centers providing meals to children, the following shall apply: All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children... The minimum amounts of food components to be served as supplemental food as set forth...	1 2 3 4 5 6 7	The facility has now implemented measuring/portioning the children's snacks. LPA obtained a copy of May 2025 menu with servings/portions included.
	8 9 10 11 12 13 14	This requirement was not met as evidence by: Based on interviews conducted and observation, the facility was not measuring/portioning the children's snacks. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	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: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Monique Jessica Ayala	TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 04/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 5