197403133-8-28-2020-30-CC-VBAA-BT52B7-20200903171437

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197403133
Report Date: 06/18/2020
Date Signed: 08/28/2020 11:01:44 AM

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
02/05/2020 and conducted by Evaluator Dalicia Adkins

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20200205170251

FACILITY NAME:	BURBANK CENTER FOR THE RETARDED		FACILITY NUMBER:	197403133
ADMINISTRATOR:	MARIA DI LIBERTO		FACILITY TYPE:	840
ADDRESS:	230 E. AMHERST DRIVE		TELEPHONE:	(818) 843-4907
CITY:	BURBANK	STATE: CA	ZIP CODE:	91504
CAPACITY:	36	CENSUS: 0	DATE:	06/18/2020
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Director Edward Parker		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

1. Facility does not have a qualified director

INVESTIGATION FINDINGS:

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

On 6/18/20 at 11am, Licensing Program Analyst(LPA) Dalicia Adkins conducted tele-inspection with Director Edward Parker. LPA's Adkins and Thompson conducted the 10 day complaint visit on 2/13/20. The purpose of today's visit it to conclude complaint investigation and deliver finding. Director was informed about the purpose today's tele-investigation.

Center is currently closed due to COVID-19 pandemic, no children were present during today’s tele-inspection.

During complaint visit on 2/13/20 LPA's Adkins and Thompson interviewed Director, collected and reviewed the following supportive records: Director Edward Parker college academic transcripts, employment history and training certifications.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2020

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 5

Control Number 30-CC-20200205170251

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: BURBANK CENTER FOR THE RETARDED	FACILITY NUMBER: 197403133
	VISIT DATE: 06/18/2020

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

Although director has a master’s degree from an accredited college/university with courses in child development, director do not have the specified administration/staff relation course or teaching experience in a licensed child care center (or comparable group child care program) that is required by Title 22 Regulation -101215.1- Child Care Center Directors Qualifications and Duties.

Based on record reviews and interview with Edward it was determined that the above mentioned allegation to be substantiated, meaning the above allegation is valid based upon the preponderance of evidence.

In accordance with California Code of Regulations, Title 22 Child Care Regulation this facility is cited (1) deficiency during today's tele-inspection 6/18/20, this a type B violation which pose a potential health and safety risk to children in care. Please refer to LIC 9099-D.

Exit interview conducted and appeal rights explained. A copy of appeals rights sent via email along with Report LIC 9099, with read receipt notification to verify that director received this report. Director Edward was advised to reply to email if unable to sign and scan this report.

PAGE 2

SUPERVISOR'S NAME: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 30-CC-20200205170251

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: BURBANK CENTER FOR THE RETARDED	FACILITY NUMBER: 197403133
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/18/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/18/2020 Section Cited CCR 101215.1(h)(3)(A)	1 2 3 4 5 6 7	(h) Child care center directors shall have completed one of the following prior to employment:(3) A bachelor's degree from an accredited or approved college or university with a major or emphasis in early childhood education or child development; and at least one year of teaching experience in a licensed child care center or comparable group child care program. (A) Three semester or equivalent quarter units shall be in administration or staff relations. This requirement is not met as evidence by:	1 2 3 4 5 6 7	By 7/2/20 Edward Parker agrees to sumbit a written declaration to the department stating the hiring of a new qualified director who meet all required qualificatons in accordance with title 22 regulations. Or notify CCL of closing of facility.
	8 9 10 11 12 13 14	Based on record review director does not have specific education courses to meet this regualtion. This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14	This is an amended report page.
	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: Victor Bautista	TELEPHONE: (424) 301-3008
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2020

LIC9099 (FAS) - (06/04)

Page: 5 of 5