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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191870741
Report Date: 12/17/2021
Date Signed: 12/17/2021 04:00:51 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
10/04/2021 and conducted by Evaluator Keyona Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20211004102749
FACILITY NAME:HAWAIIAN AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870741
ADMINISTRATOR:AGUET, DEBORAHFACILITY TYPE:
850
ADDRESS:501 HAWAIIAN AVE.TELEPHONE:
(310) 834-7186
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY:117CENSUS: 34DATE:
12/17/2021
UNANNOUNCEDTIME BEGAN:
02:27 PM
MET WITH:Raquel Sheppard- PrincipalTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
QUALIFICATIONS: Facility does not provide day care children adequate supervision.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Keyona Scott, conducted an unannounced inspection to the Child Care Center for the purpose to deliver findings regarding complaint control number: 30-CC-20211004102749. Upon arrival, LPA met with Principal Raquel Sheppard on 12/17/2021 at 2:34 PM. LPA observed 34 children in care with the proper teacher-child ratios.

It was alleged that day care children are not adequately supervised. Facility observation, record review and interviews were conducted. Based on information obtained, the allegation of QUALIFICATIONS, facility does not provide day care children adequate supervision, is UNSUBSTANTIATED, meaning although the allegations may have happened or are valid, the preponderance of the evidence standard has not been met.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Principal Raquel Sheppard.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Keyona ScottTELEPHONE: (424) 301-3091
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
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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