191870904-11-30-2022-54-CC-TCON-CLPPU6-20221201103701

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191870904
Report Date: 11/07/2022
Date Signed: 11/30/2022 01:09:22 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
08/31/2022 and conducted by Evaluator Denise Gibbs

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20220831140011

FACILITY NAME:	WADSWORTH AVENUE EARLY EDUCATION CENTER		FACILITY NUMBER:	191870904
ADMINISTRATOR:	HUMBERTO BENITEZ		FACILITY TYPE:	850
ADDRESS:	1047 EAST 41ST STREET		TELEPHONE:	(323) 232-0581
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	111	CENSUS: 48	DATE:	11/07/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Humberto Benitez, Principal		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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On November 7, 2022, at 9:30 a.m., Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced follow-up complaint inspection and met with Principal Humberto Benitez. LPA disclosed the purpose of the inspection and was granted entry into the facility by Principal.

There were 48 children and 18 staff present when the visit began.

During the course of this investigation, LPA observed the facility, conducted interviews and obtained pertinent documentation. Interviews with staff informed that there is a school policy that staff verbally assist children in the restroom. They talk them through the steps of wiping themselves and washing their hands. Per staff they do not wipe the children. When children have accidents, staff use gloves to hand the children items they need to clean themselves and bag the soiled clothing. If further assistance is needed, another staff member is called to witness the interaction between staff and the child. Children interviewed confirmed that when they use the restroom, they wipe themselves, staff does not help them wipe. ------------------Page 1

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022

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 54-CC-20220831140011

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: WADSWORTH AVENUE EARLY EDUCATION CENTER	FACILITY NUMBER: 191870904
	VISIT DATE: 11/07/2022

NARRATIVE

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Children made no disclosures of staff poking them while assisting in the restroom. Per the incident referenced in the complaint, interviews disclosed that staff member did take child to the restroom. Staff disclosed that they do not remember taking the child to the restroom but knows that they did not wipe that child at any time. Per classroom staff, child was having previous challenges in the restroom, documented by physician. Parent was aware of restroom challenges.

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 11/7/22.

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 Principal. A copy of this report and appeal rights were discussed and left with Principal, Humberto Benitez, whose signature on this form confirm receipt of these documents.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022

LIC9099 (FAS) - (06/04)

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