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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191870376
Report Date: 01/13/2023
Date Signed: 01/13/2023 03:01:57 PM

Unsubstantiated


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
10/17/2022 and conducted by Evaluator Laticia S Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20221017165700
FACILITY NAME:COMMUNITY CHILD DEV. CTR. OF LITTLE ANGELSFACILITY NUMBER:
191870376
ADMINISTRATOR:MASSENGALE, ANGELAFACILITY TYPE:
850
ADDRESS:3808 WEST 54TH ST.TELEPHONE:
(323) 299-0189
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:129CENSUS: 28DATE:
01/13/2023
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Sharon JohnsTIME COMPLETED:
03:01 PM
ALLEGATION(S):
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Staff are sharing parents confidential information
Facility has bed bugs (insects)
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced complaint inspection to the above facility on 1/13/2023. LPA arrived at 1:05PM and met with Sharon Johns, Assitant Director, who guided analyst on a tour of the facility. There were 28 children with 3 staff upon arrival.

During the investigation LPA interviewed staff, parents, obtained a copy of the children's roster and obtained copies of exterminator invoices.

Information provided by the reporting party indicates that facility has bed bugs (insects) and staff are sharing parents confidential information.

When interviewing Staff, Children, and parents it was disclosed that the facility does not have bed bugs. The facility has a contract with a professional exterminator to address children being bitten by mosquitos and not necessarily bed bugs.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023
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 58-CC-20221017165700
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: 01/13/2023
NARRATIVE
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 When interviewing Staff and Parents it was disclosed that the facility does not share parent’s confidential information.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

An exit interview was conducted with, Sharon Johns, Assistant Director. This report was reviewed with Sharon John, A copy of this report and Appeal rights were given to Assistant Director

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.

SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
10/17/2022 and conducted by Evaluator Laticia S Thompson
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20221017165700

FACILITY NAME:COMMUNITY CHILD DEV. CTR. OF LITTLE ANGELSFACILITY NUMBER:
191870376
ADMINISTRATOR:MASSENGALE, ANGELAFACILITY TYPE:
850
ADDRESS:3808 WEST 54TH ST.TELEPHONE:
(323) 299-0189
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:129CENSUS: 28DATE:
01/13/2023
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Sharon JohnsTIME COMPLETED:
03:01 PM
ALLEGATION(S):
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Staff do not safeguard daycare children's personal items
INVESTIGATION FINDINGS:
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On 1/13/2023, Licensing Program Analyst (LPA) Laticia Thompson conducted an unannounced visit to the above facility to deliver findings on a complaint investigation. LPA met with Sharon Johns, Assistant Director, who guided LPA on a tour of the facility. There were 28 children with 3 staff upon arrival.

Information provided by the Reporting Party indicates that staff do not safeguard children’s personal items. Per Reporting Party, staff are storing children’s face masks together and are not able to determine who they pertain to.

During the investigation LPA interviewed staff, parents, and children. LPA obtained a copy of the children's roster, and took pictures.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 58-CC-20221017165700
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: 01/13/2023
NARRATIVE
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Based on LPA’s observations and pictures taken of face masks on ground and the storage of masks in children’s cubbies, as well as interviews conducted with staff and parents it was disclosed that children’s personal items are not safeguarded by staff.

The preponderance of evidence standard has been met; therefore, the following allegation is found to be SUBSTANTIATED. California code of Regulations Title 22, Division 12 Chapter 1 Storage Space number 101238.4 is being cited on the Facility Evaluation Report LIC 9099D.

An exit interview was conducted with the Sharon Johns (Assistant Director, in which this report was read to her. A copy of this report and Appeal rights were given to Sharon Johns.

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.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 58-CC-20221017165700
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: 01/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/13/2023
Section Cited
CCR
101238.4(a)
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101238.4 Storage Space
(a) The licensee shall ensure that each child has an individual permanent or portable storage space for his/her clothing, personal belongings and/or bedding This requiremnt has not been met as evidence by
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The facility will provide plastic container for storage of chldren personal belonging and label them with children names. The faility will maintain all personal belongs in cubies labled with each children names. The cubies will provide storage for bedding items. Facility will do a survey to discuss if face mask will continue to be required.
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Based on staff and parents interviews that children face mask are not being stored properly and being worn by children that mask do not belong to. LPA's observation of mask on floor and in cubies, which posses a potential Health, Safety, or Personal Rights Risk to children in care.
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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: Rita RamosTELEPHONE: (424) -301-3061
LICENSING EVALUATOR NAME: Laticia S ThompsonTELEPHONE: (424) 301-3048
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5