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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197407183
Report Date: 06/16/2022
Date Signed: 06/16/2022 03:59:20 PM

Substantiated


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
06/14/2022 and conducted by Evaluator Miriam Cohen
COMPLAINT CONTROL NUMBER: 30-CC-20220614144733
FACILITY NAME:SEIAI YOCHIENFACILITY NUMBER:
197407183
ADMINISTRATOR:ATSUKO FUJIMURAFACILITY TYPE:
850
ADDRESS:25506 NARBONNE AVENUETELEPHONE:
(310) 530-0049
CITY:LOMITASTATE: CAZIP CODE:
90717
CAPACITY:43CENSUS: 34DATE:
06/16/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Aki Fujimura, OwnerTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Child wandered away from facility.
INVESTIGATION FINDINGS:
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On 06/16/2022 @ 1:00 PM, Licensing Program Analyst (LPA) Miriam Cohen conducted an unannounced complaint visit for the purpose of notifying the preschool director concerning the above-mentioned allegation and to perform an investigation. Upon arrival, LPA Cohen observed five adults providing care for 34 children. LPA Cohen met with preschool director, Aki Fujimura.

On 06/14/2022, ESCRO received a complaint regarding a child wandering away from the facility, standing alone from the sidewalk. Director stated that staff member in charge of securing the gate forgot to lock the gate with the key and Child #1 (C1) walked outside of the facility via the unlocked gate.
Based on the investigation, including interviews with relevant parties and observations by the LPA, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated - A finding that a complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
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-20220614144733
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: SEIAI YOCHIEN
FACILITY NUMBER: 197407183
VISIT DATE: 06/16/2022
NARRATIVE
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The facility was cited a Type A deficiency according to California Code of Regulations Title 22 (See LIC 9099D report for deficiencies). Licensee is to post notice of Site Visit for 30 Days, failure to do so will result in $100 immediate civil penalty. This report must be copied and given to all parents and to the parents of any child enrolling within the next 12 months.

A copy of Lic 9224 must be signed and retained in the file.
A plan of correction was discussed and provided to the director.
An exit interview and a copy of this report along with Appeal Rights were explained and provided to
Aki Fujimura.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 30-CC-20220614144733
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: SEIAI YOCHIEN
FACILITY NUMBER: 197407183
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/24/2022
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time...
Supervision shall include visual observation
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*Director agrees to provide a written statement (LIC 855/Declaration Form) on intention to keep children safe at all times including alteration of two gates to make them automatic or self latching. Declaration to be submitted to
to LPA by 6/24/2022, end of business day.
*Director agrees provide an in-service to all
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This requirement was not met as evidenced by Child #1(C1) found wandering outside of the facility. Director admitted that C1 was found outside facility and returned by a passerby. This poses an immediate risk to the health, safety, or personal rights of children in care.
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staff members to include watching the following CCL videos:
https://ccld.childcarevideos.org/child-care-center-operators/supervising-children-in-child-care-centers/
https://ccld.childcarevideos.org/child-care-center-operators/childrens-personal-rights-in-child-care/
*Director agrees to provide a written statement of completion, using LIC 855 (Declaration Form), from all staff members. Declaration to be sent to LPA, via email, by 6/24/2022, end of business day.
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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: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam CohenTELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3