<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192006499
Report Date: 11/14/2023
Date Signed: 11/14/2023 12:49:14 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, 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
08/28/2023 and conducted by Evaluator Judy Laureano
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230828141408
FACILITY NAME:MOFFETT STATE PRESCHOOLFACILITY NUMBER:
192006499
ADMINISTRATOR:ULLOA, ANAFACILITY TYPE:
850
ADDRESS:11050 LARCH AVETELEPHONE:
(310) 680-3500
CITY:LENNOXSTATE: CAZIP CODE:
90304
CAPACITY:105CENSUS: 0DATE:
11/14/2023
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Faviola Salcedo Site SupervisorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights: Staff handled children in a rough manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/14/2023 Licensing Program Analyst (LPA) Judy Laureano arrived at the above mentioned facility for the purpose of delivering findings for the above mentioned allegation. LPA met with Faviola Salcedo and did not observed any children present during today's inspection.

On 9/5/2023 Licensing Program Analysts (LPA) Judy Laureano and Cristina Castellanos arrived at above mentioned facility for the purpose of investigating the above-mentioned allegation. Upon arrival, LPAs met with Favola Salcedo, Site Supervisor and discussed the purpose of the visit. LPAs toured the facility and observed 0 child in care. At the end of the inspection 28 children and 5 staff members with Site Supervisior providing care and supervision. LPAs requested the following documents: children's roster and parent handbook. LPAs interviewed staff members, site supervisor and children.

On 9/5/2023 interviews of director, staff and children were initiated. On 11/3/2023 LPA completed interviews of all relevant parties.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2023
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 30-CC-20230828141408
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MOFFETT STATE PRESCHOOL
FACILITY NUMBER: 192006499
VISIT DATE: 11/14/2023
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
Page 2

Based on record review, interviews of all relevant parties, no information was disclosed that children’s personal rights were violated, therefore the allegation is unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disapprove of the allegations, therefore the allegations are found to be unsubstantiated.

Exit interview was conducted and a copy of the report was provided.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2