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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191871007
Report Date: 04/20/2022
Date Signed: 04/20/2022 02:02:07 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
01/05/2022 and conducted by Evaluator Mayra Rivera
COMPLAINT CONTROL NUMBER: 54-CC-20220105133213
FACILITY NAME:CHILDREN'S COLLECTIVE, INC. THEFACILITY NUMBER:
191871007
ADMINISTRATOR:CHENIEKA MORGAN-MILLFACILITY TYPE:
850
ADDRESS:3817 S. SAN PEDRO ST.TELEPHONE:
(323) 231-1367
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:48CENSUS: 24DATE:
04/20/2022
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Tameka Devine, Site SupervisorTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff not preventing the spread of illness
INVESTIGATION FINDINGS:
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This complaint inspection was conducted by Licensing Program Analyst (LPA) Mayra Rivera. LPA arrived at the facility to deliver the findings to the complaint investigation. LPA met with Site Supervisor, Tameka Devine who guided the LPA on a tour of the facility. At approximately 12:20 p.m. LPA observed 17 preschoolers in classroom Full Day 1 with two staff getting ready for nap and at approximately 12:25 p.m. LPA observed 7 preschoolers in classroom Full Day 2 with two staff and children napping.

During the course of the investigation LPA Mayra Rivera interviewed parents, staff and site supervisor and the information disclosed indicated the facility followed the procedures to prevent spread of illness.

Based on interviews conducted the department is unable to determine if the allegation occurred. Therefore, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur.

Report continues on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
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-20220105133213
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: CHILDREN'S COLLECTIVE, INC. THE
FACILITY NUMBER: 191871007
VISIT DATE: 04/20/2022
NARRATIVE
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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 conducted with site supervisor Tameka Devine. Appeal rights were given and explained.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2