191870376-10-9-2019-30-CC-SJSN-BGWDGW-20191013024658

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191870376
Report Date: 10/09/2019
Date Signed: 10/09/2019 04:06:35 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
09/23/2019 and conducted by Evaluator Christopher Garlington

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20190923142649

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:	146	CENSUS: 63	DATE:	10/09/2019
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Dr. Angela Massengale		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Staff denied parent access to daycare child’s records

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christopher Garlington conducted an unannounced Complaint Investigation at the facility and met with Dr. Angela Massengale, Co-Director and was guided on a tour of the facility per facility sketches.

Based upon interviews, documents collected and in consultation with Community Care Licensing Division Management the aforementioned allegation has been determined Substantiated.

Substantiated – A finding that the complaint is substantiated has been made; the preponderance of the evidence standard has been met.

Continued

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher Garlington	TELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019

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 30-CC-20190923142649

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: COMMUNITY CHILD DEV. CTR. OF LITTLE ANGELS	FACILITY NUMBER: 191870376
	VISIT DATE: 10/09/2019

NARRATIVE

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The following Type 'B' deficiency was issued:
Section and Title: 101221(e) Child's Records - A child's records shall also be open to inspection by the child's authorized representative.
This requirement was not met by: On 09/13/2019 an authorized representative (parent) requested to view information contained in the child's file held by the facility after presenting a court order establishing joint custody. The other parent listed on the court order was consulted and denied permission for the facility to share information with the requesting parent.

LPA provided a copy of this report, deficiency issued, appeal rights, and a copy of the Notice of Site Visit to the facility.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher Garlington	TELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 30-CC-20190923142649

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: COMMUNITY CHILD DEV. CTR. OF LITTLE ANGELS	FACILITY NUMBER: 191870376
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/09/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/11/2019 Section Cited CCR 101221(e)	1 2 3 4 5 6 7	Section and Title: 101221(e) Child's Records - A child's records shall also be open to inspection by the child's authorized representative.This requirement was not met by: On 09/13/2019 an authorized representative (parent) requested to view information contained in the child's file held	1 2 3 4 5 6 7	The facility is required to study the specific regulation, consult with the facility's legal representation, and institute staff training to assess, verify, and disclose appropriate information when presented proof of a child's authorized representaive.
	8 9 10 11 12 13 14	by the facility after presenting a court order establishing joint custody. The other parent listed on the court order was consulted and denied permission for the facility to share information with the requesting parent.	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: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher Garlington	TELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019

LIC9099 (FAS) - (06/04)

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