191890056-9-30-2021-33-CC-CGUA-C8LNN2-20211109093558

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191890056
Report Date: 09/30/2021
Date Signed: 09/30/2021 02:25:50 PM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/20/2021 and conducted by Evaluator Judy Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20210920150249

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:	09/30/2021
		UNANNOUNCED	TIME BEGAN:	12:34 PM
MET WITH:	Mala Chabra		TIME COMPLETED:	02:40 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Parent was not notified of the incident which occurred at the school that the facility was cited for.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Judy Mora conducted an unannounced inspection to investigate the above complaint allegation. LPA met with Licensee, Mala Chabra, who guided LPA on a tour of the facility at approximately 12:40 PM. LPA observed 9 napping children with 02 staff in the nap area.

During the course of the investigation LPA conducted an interview with the Licensee and reviewed children's records. LPA also obtained a copy of the Facility Children's Roster (LIC 9040). Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be Substantiated. California Code of Regulations, Health and Safety Code Section 1596.8595(c)are being cited on the attached LIC. 9099D. LPA observed that one child out of seventeen children did not have the LIC 9224, Acknowledgment of Receipt of Licensing Report on file. Licensee admitted that she did not inform the parent but it was not intentional and was an oversight on her part.

*REPORT CONTINUES ON NEXT PAGE

Substantiated

Estimated Days of Completion: 30

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Judy Mora	TELEPHONE: (323) 896-6847
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

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 3

Control Number 33-CC-20210920150249

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TINKER TOTS CHILD CARE	FACILITY NUMBER: 191890056
	VISIT DATE: 09/30/2021

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
26
27
28
29
30
31
32

This poses a potential Health & Safety risk to clients in care.

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

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

Exit interview was conducted with Mala Chabra. Appeal rights and procedures were explained.

*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: 09/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20210920150249

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: TINKER TOTS CHILD CARE	FACILITY NUMBER: 191890056
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/30/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/06/2021 Section Cited HSC 1596.8595(c)	1 2 3 4 5 6 7	Posting licensing report by child care facility or home; duration of posting; civil penalty for failure to comply; reports to be provided to parents or guardian of each child receiving services A licensed child care facility or home shall provide to the parents of each child receiving services in the facility copies of	1 2 3 4 5 6 7	Director states she will notify all families of children that are present today and hand out the LIC 9224. Director states she has some children that will not be present until next week. Director states she will provide copies of the LIC 9224's to LPA by POC due date of 10/06/21.
	8 9 10 11 12 13 14	any licensing report that documents any Type A citation that represents an immediate risk to the health, safety, or personal rights of children in care as specified in paragraph (1) of subdivision (a) of Section 1596.893b. This requirement was not met as evidenced by children's record review. LPA observed that 1 child out of 17 children was missing the LIC 9224, Acknowledgement of Receipt of Licensing Reports. This is a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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: 09/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 3