191870376-4-3-2024-58-CC-KSTS-CTP44M-20230712184632

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191870376
Report Date: 07/10/2023
Date Signed: 04/03/2024 03:08:41 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
04/14/2023 and conducted by Evaluator Loyce Phillips

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20230414170001

FACILITY NAME:	COMMUNITY CHILD DEV. CTR. OF LITTLE ANGELS		FACILITY NUMBER:	191870376
ADMINISTRATOR:	MASSENGALE, ANGELA		FACILITY TYPE:	850
ADDRESS:	3808 WEST 54TH ST.		TELEPHONE:	(323) 299-0189
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90043
CAPACITY:	129	CENSUS: 24	DATE:	07/10/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Sharon Johns, DIrector		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Allegation #1: Neglect/Lack of Supervsion-Day care child was bit by a snake due to lack of supervision.

INVESTIGATION FINDINGS:

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On 4/3/2024 LPA Tatiana Bickham delivered an ammended report based, this report supersedes the prior item delivered, on 07/10/2023. "On 07/10/2023, Licensing Program Analyst (LPA) Loyce Phillips and Licensing Program Manager (LPM) Karen Starks conducted a visit to deliver the findings regarding the above complaint allegations. LPA and LPM met with Sharon Johns, Director. A tour was conducted, LPA and LPM observed 24 preschool children with 4 staff.

During the course of this investigation, LPA conducted interviews with staff and other pertinent parties. The staff that were interview disclosed during the petting zoo school event, child 1 was bitten by one of the animals. Staff responsible for child 1 stated she stepped away and did not know how child got bit, but knew it was one of the animals. Other staff stated child 1 was not in their group and could not say how child was bitten.

9099-C"

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tatiana Bickham	TELEPHONE: 424-301-3206
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023

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

LIC9099 (FAS) - (06/04)

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Control Number 58-CC-20230414170001

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: COMMUNITY CHILD DEV. CTR. OF LITTLE ANGELS	FACILITY NUMBER: 191870376
	VISIT DATE: 07/10/2023

NARRATIVE

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Given that the injury sustained was a minor injury requiring first aid only, which was applied by the facility staff. It has not been established that it was caused by a snake. "Based on statements from staff the allegations of Neglect/Lack of Supervision resulting in child being bitten by a snake is deemed substantiated. Substantiated findings mean that the allegation is valid because the preponderance of the evidence standard has been met.
Type B citation for Neglect/Lack of Supervision has been issued. See LIC 9099D for deficiencies cited per California Code of Regulations Title 22, Division 12.

The notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of 100.00.

An exit interview was conducted, and a copy of this report and appeals rights was provided to Director."

This report is an amended and supersedes 7/10/2023 report.

SUPERVISOR'S NAME: Raul Navarro	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tatiana Bickham	TELEPHONE: 424-301-3206
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024

LIC9099 (FAS) - (06/04)

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Control Number 58-CC-20230414170001

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: COMMUNITY CHILD DEV. CTR. OF LITTLE ANGELS	FACILITY NUMBER: 191870376
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/10/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 07/11/2023 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229(a)(1) Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs.(1)No child(ren) shall be left without the supervision of a teacher at any time...	1 2 3 4 5 6 7	Director stated they will continue to ensure and monitor adult/child ratio. Director will implement a training where staff will provide verbal notification when walking away from their group. Director will email, mail or fax training sign in sheet to LPA by POC date
	8 9 10 11 12 13 14	This requirement is not met as evidence by: Staff 1 who was responsible for child 1, stated she stepped away and did not know how child got bit, but knew it was one of the animals. Other staff reported they did not know how child 1 was bitten resulting in a lack of supervision which poses an immediate health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14	Amended report supersedes the prior document.
HSC	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	8 9 10 11 12 13 14		8 9 10 11 12 13 14

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: Raul Navarro	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Tatiana Bickham	TELEPHONE: 424-301-3206
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024

LIC9099 (FAS) - (06/04)

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