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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191870697
Report Date: 04/19/2022
Date Signed: 04/19/2022 12:31:26 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 CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/05/2022 and conducted by Evaluator Denise Gibbs
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20220405113723
FACILITY NAME:EASTMAN AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870697
ADMINISTRATOR:ELIZABETH MARESFACILITY TYPE:
850
ADDRESS:1266 S. GAGETELEPHONE:
(323) 268-7408
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:114CENSUS: 48DATE:
04/19/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Elizabeth Mares, Facility RepresentativeTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Physical Plant- Strong odor at faciity
INVESTIGATION FINDINGS:
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This was a complaint inspection conducted by Denise Gibbs, Licensing Program Analyst (LPA) on 4/19/22 at 11:30AM. This complaint was conducted with Elizabeth Mares, Facility Representative (FR) for the purpose of delivering findings.

There were 40 children and 20 staff present when the visit began.

During the course of this investigation, LPA conducted interviews. All pertinent documentation was collected. LPA observed that the the FR submitted required Unusual Incident form, LIC624, in regard to the current floor remodel on 3/23/22, before remodel began. During annaul insection on 3/23/22 LPA observed classroom 3 being cleared in preperation for remodel. The Unusual Incident report discusssed a plan for children during remodel. LPA observed a memo sent out via BlackBoard Connect to all famiies informing them of the remodel, sent out on 3/18/22. LPA also observed a calendar for April documented with daily remodel plans. During initial ------------------Page 1
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022
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 2
Control Number 54-CC-20220405113723
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: EASTMAN AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870697
VISIT DATE: 04/19/2022
NARRATIVE
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inspection LPA Chicote did not smell an odor in the facility and during today's inspection LPA did not smell an odor. Phone interviews conducted did not disclose any information regarding allegation.

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

No deficiencies will be cited today 4/19/22.

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.

Exit interview was conducted with Emily Ramirez,Facility Representative, during which appeal rights were explained. -----------PAGE 2
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2