191890056-9-2-2021-33-CC-JMOA-C6GSJS-20210902135537

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191890056
Report Date: 09/02/2021
Date Signed: 09/02/2021 01:55:47 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	TINKER TOTS CHILD CARE		FACILITY NUMBER:	191890056
ADMINISTRATOR:	CHABRA, MALA		FACILITY TYPE:	850
ADDRESS:	5743 HUNTINGTON DRIVE		TELEPHONE:	(323) 222-6040
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90032
CAPACITY:	43	CENSUS: 9	DATE:	09/02/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Rubina Chadha		TIME COMPLETED:	02:20 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) conducted a case management inspection due to an incident that occurred on 08/30/21. LPA met with Rubina Chadha, Assistant Director, who guided LPA to the office. LPA took a census of the children at approximately 09:30 AM. Administrator, Mala Chabra, arrived during this inspection. The incident that occurred on Monday 08/30/21 (Incident #1), was reported to the Department on Tuesday, 08/31/21 via email. The incident was reported to the department within 24 hours. During this inspection the Administrator disclosed to LPA that 02 other incidents were observed after viewing the footage from 08/30/21. Footage was initially observed on 09/01/21 becoming aware of the incidents on 09/01/21. LPA completed incident reports for these incidents during the inspection. LPA Mora conducted staff interviews, obtained documentation and observed video footage from 08/30/21 during this visit. LPA was sent video footage obtained. Based on the information provided during this visit, it was found that S1 (Staff #1) bopped a child on the head and face several times with a cushion pillow due to the child not listening. It was then observed that S3 (Staff #3) pulled the same child's ear across the room. Furthermore, it was observed on the video footage that prior to these two incidents occurring, approximately 4-5 minutes before, S1 pulled child #2's hair in an attempt to sit the child down. S1 then grabbed the child by the arm to forcefully sit the child down. The three incidents which occurred are a violation of each child's personal rights. Each child in care shall be accorded the following: to be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. These incidents were an immediate risk to the health and safety of children in care. *REPORT CONTINUES ON NEXT PAGE

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy Mora	TELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TINKER TOTS CHILD CARE	FACILITY NUMBER: 191890056
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/02/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/03/2021 Section Cited	1 2 3 4 5 6 7	Personal Rights To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or
	8 9 10 11 12 13 14	withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by video footage observed by LPA and Administrator. Based on the information provided during this visit, it was found that S1 (Staff #1) bopped a child on the head and face several times with a cushion pillow due to the child not listening. It was then observed that S3 (Staff #3) pulled the same child's ear across the room. Furthermore, it was observed on the video footage that prior to these two incidents occurring, approximately 4-5 minutes before, S1 pulled child #2's hair in an attempt to sit the child down. S1 then grabbed the child by the arm to forcefully sit the child down. This was an immediate risk to the health and safety of each child in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy Mora	TELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TINKER TOTS CHILD CARE	FACILITY NUMBER: 191890056
	VISIT DATE: 09/02/2021

NARRATIVE

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Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov

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.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809d. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Exit interview was conducted with Administrator Mala Chabra. Appeal rights explained & provided.

*END OF REPORT

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy Mora	TELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:	DATE: 09/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2021

LIC809 (FAS) - (06/04)

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