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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197403964
Report Date: 04/15/2021
Date Signed: 04/16/2021 11:40:51 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
03/22/2021 and conducted by Evaluator Lisa Rios
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210322111544
FACILITY NAME:ST. BERNARDINE OF SIENA CHILDREN'S CENTERFACILITY NUMBER:
197403964
ADMINISTRATOR:CHARLENE BARKESFACILITY TYPE:
850
ADDRESS:24425 CALVERT AVENUETELEPHONE:
(818) 716-4730
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:151CENSUS: 89DATE:
04/15/2021
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Director Charlene BarkesTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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PERSONAL RIGHTS:
Staff spoke to day-care child in an inappropriate manner.
INVESTIGATION FINDINGS:
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On April 16th, 2021, Licensing Program Analyst Lisa Rios contacted via phone (due to Covid-19) the Director Charlene Barkes in regards to the above allegations.

Based on the interviews conducted during the investigation process, statements obtained and documents reviewed, the above allegation can be SUBSTANTIATED. (see LIC812's dated 3/30/21).

The Department has concluded, based on the preponderance of the evidence obtained during this investigation, that the allegation of (indicate the complaint allegation) is SUBSTANTIATED.

The following deficienies are cited per California Code of Regulations, TITLE 22, DIVISION 12, CHAPTER 1 Articles 1-7. 1 Type A 101223 (a) (3).
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2021
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 30-CC-20210322111544
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: ST. BERNARDINE OF SIENA CHILDREN'S CENTER
FACILITY NUMBER: 197403964
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/14/2021
Section Cited
CCR
101223(a)(3)
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Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:(3) 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...
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A staff meeting with all teachers will be conducted that discusses corporal punishment and unusual puncishment of children. The Director will also review Mandated Reporter requirements and direct all staff to report any further incidents to CCLD at 1-888-Let-Us-No Both the agenda and signatures of all teachers in attendance will be submitted to the ESRO no later than 5/16/21 via email to LPA Rios at lisa.rios@dss.ca.gov
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This requirement is not met as evidenced by:
Based on interviews with staff 2 & 3 and witness to the incident and the Director's report on the incident, a child's teacher told him to "Shut the F*^@k Up" while he was crying.
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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: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20210322111544
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: ST. BERNARDINE OF SIENA CHILDREN'S CENTER
FACILITY NUMBER: 197403964
VISIT DATE: 04/15/2021
NARRATIVE
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Health & Safety Code 1596.8595 (a)(1) Each licensed child day care facility shall post a copy of any licensing report pertaining to the facility that documents either a facility visit or a complaint investigation that results in a citation for a violation that, if not corrected, will create a direct and immediate risk to the health, safety, or personal rights of children in care. The licensing report provided by the department shall be posted immediately upon receipt, adjacent to the postings required pursuant to Section 1596.817 and on, or immediately adjacent to, the interior side of the main door to the facility and shall remain posted for 30 consecutive days.

Exit interview was conducted with the licensee. Appeal Rights were issued, and a copy of this report was emailed to the Director.
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR SIGNATURE:

DATE: 04/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3