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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192006567
Report Date: 12/30/2020
Date Signed: 12/30/2020 04:05:15 PM



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
10/22/2020 and conducted by Evaluator Stella Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20201022144849
FACILITY NAME:ACACIA LEARNING CENTERFACILITY NUMBER:
192006567
ADMINISTRATOR:MARSHALL, WILLIAM T.FACILITY TYPE:
840
ADDRESS:2900 VERNON AVENUETELEPHONE:
(323) 298-1172
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:49CENSUS: 1DATE:
12/30/2020
UNANNOUNCEDTIME BEGAN:
03:40 PM
MET WITH:TIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/Lack of Supervision
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/30/2020 at 3:40 PM Licensing Program Analyst, Stella Gutierrez contacted Acacia Learning Center via telephone call for the purpose to deliver findings of an investigation of a compliant received on 10/22/2020. Phone call was switched to FaceTime at 3:50 PM to conduct an unannounced televisit. LPA, met with Brook Ashford.
During the televisit LPA, Gutierrez observed 1 child in care with 2 staff providing supervision and care. All adults present during today's visit are fingerprinted and are associated to the Acacia Learning Center.
Based on observations, evidence received and interviews conducted the the above mentioned allegation of neglect/lack of supervision is deemed unsubstantiated, meaning although the allegations may have happened, there is no preponderance of evidence to prove that the alleged allegations occurred. No Deficiencies Cited.
A copy of this report along with appeal rights were provided to Laverne Wilson via email that serves as a signature in response to COVID-19 State of Emergency.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Stella GutierrezTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2020
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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