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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191806528
Report Date: 03/15/2021
Date Signed: 03/15/2021 04:30:14 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CHILDREN'S HOSPITAL CHILD DEVELOPMENT CENTER (PS)FACILITY NUMBER:
191806528
ADMINISTRATOR:VERONICA MONTANO SANCHEZFACILITY TYPE:
850
ADDRESS:4601 SUNSET BOULEVARDTELEPHONE:
(323) 361-4601
CITY:LOS ANGELESSTATE: CAZIP CODE:
90027
CAPACITY:89CENSUS: DATE:
03/15/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:52 PM
MET WITH:Vernoica Montano SanchezTIME COMPLETED:
04:29 PM
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Licensing Program Analyst (LPA) Justin Dorsey conducted an unannounced Case Management Visit. Due to COVID-19 preventative measures, the visit was conducted via Zoom on this date. LPA met with Veronica Montano Sanchez, supervisor whom the purpose of this tele-visit was explained, and guided LPA on a tour of the facility.

The purpose of this visit is to follow up on an incident reported to the Department on 07/28/20 via email. The Unusual Incident/ Injury Report was reviewed, stating: On 07/27/20 while Child #1 was taking a bath at home they told Parent #1 that Teacher #1 inappropriately touched them on the breasts and vagina while rendering first aid to an injury. On 07/28/20, Parent #1 reported the incident to the facility, who then reported the incident and began an internal investigation. The incident was sent to the Department's Investigation Bureau (IB) on 07/30/20 and was accepted as a full investigation assigned to Investigator Dennis Douglas.

During IB's investigation, facility staff (including Staff #1) and children were interviewed. Investigator Douglas also made contact with Detective #1 from the Los Angeles Police Department Abused Child Unit. After interviews and concluding the investigation, Investigator Douglas found the incident to be unsubstantiated.

Based on IB interviews and observations, there were no violations of Title 22 requirements.

An exit phone interview was conducted with supervisor Veronica Montano Sanchez and a copy of this report was signed by LPA Dorsey. This report along with the LIC 9213 will be sent via email to supervisor Veronica Montano Sanchez who agrees to sign and date the report. This report was sent via email and an electronic read receipt confirms receiving the report. The facility representative was provided with the mailing address for the Monterey Park Regional office and agrees to send the original report by mail.
SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (323) 558-2710
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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