197407376-5-4-2022-30-CC-MNEL-CE54QV-20220504191855

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197407376
Report Date: 05/04/2022
Date Signed: 05/04/2022 01:17:45 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
02/04/2022 and conducted by Evaluator Dalicia Adkins

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20220204093950

FACILITY NAME:	TSINMAN FAMILY CHILD CARE		FACILITY NUMBER:	197407376
ADMINISTRATOR:	TSINMAN, GRIGORIY & RITA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 851-5935
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90046
CAPACITY:	14	CENSUS: 8	DATE:	05/04/2022
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Licensee, Rita Tsinman		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Lack of supervision resulting in day care child biting another child.

INVESTIGATION FINDINGS:

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On 4/28/2022 at 10:30am Licensing Program Analyst (LPA) Dalicia Adkins conducted a complaint visit regarding the above-mentioned allegation. LPA met with licensee Rita Tsinman, LPA explained the purpose of the visit and was granted entry into the facility. LPA was guided on a tour of the facility there were 8 children, licensee and one child care assistant.

On 2/10/2022 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced 10-day complaint visit. LPA Judy interviewed staff and collected the following records; Children’s Roster (LIC 9040), Children’s File and Daily Schedule.

On 3/17/2022 LPA Adkins conducted an unannounced subsequent complaint visit. LPA interviewed staff, observed the facility, collected and reviewed Children’s Activity Schedule.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

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 4

Control Number 30-CC-20220204093950

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: TSINMAN FAMILY CHILD CARE	FACILITY NUMBER: 197407376
	VISIT DATE: 05/04/2022

NARRATIVE

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During interviews it was revealed that C1 was taken to the doctor due to bite marks sustained. Doctor examined C1 and determined bites sustained were from a child (size of a child’s mouth). Interviews disclosed that C1 was bitten on the back and arm while in care at the facility. LPA was provided with photos of the bites. LPA observed images of C1 with four bites; three on the back and one on the arm. LPA Adkins observed the following: 3 circular (about 2 inches) red bite marks on C1’s back. Two of the bites appeared to have broken skin and bites appeared to be scabbing. LPA observed one bite on the upper right arm.

During interview S2 stated that she did not notice any bite marks on C1 and C2 bites through the clothes.

During interview S1 disclosed that the day of the incident C1 and C2 were playing in the playhouse located in the back-play yard. S1 stated that she did not see because C1 was playing in the play house. S1 demonstrated how she provide supervision for children while playing the playhouse; where she stands and the location of the playhouse. Based on this information and LPA observation LPA determined that S1 did not have a clear view of children while playing in the playhouse. LPA observed small play house pushed against the back wall, LPA view obstructed and did not have a clear view into the play house.
Based on observations, record reviews, interviews and pictures the facility did not provide proper care and supervision resulting in a violation of the child’s personal rights, the allegation is therefore substantiated. Meaning the allegation is valid because the preponderance of the evidence has been met.

In accordance with California Code of Child Care Title 22 regulation this facility is cited (1) deficiency; this is a violation of Title 22 Child Care Regulation- Personal Rights 102423 (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization for the child’s authorized representative. These rights include but are not limited to the following; (2) to receive safe, healthful, and comfortable accommodations, furnishing and equipment. This is a Type A violation, which poses an immediate safe and health risk to children in care.
Refer to Licensing Report LIC 9099 D.

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SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 30-CC-20220204093950

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: TSINMAN FAMILY CHILD CARE	FACILITY NUMBER: 197407376
	VISIT DATE: 05/04/2022

NARRATIVE

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Upon receipt of this report, the licensee shall post the Notice of Site Visit and any licensing report
documenting a type "A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or enrolled children for the next 12 months (1 year). The acknowledgment of Receipt LIC 9224 form must be maintained in each child's file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224).

LPA discussed with licensee the importance of Conducting Health Screening Checks/Body Checks upon arrival and document body marking. LPA discussed the important of incident reporting and licensee reporting requirements. LPA reviewed Licensing Report 624 with licensee and copy provided. LPA discussed with licensee that children biting in this age group (infant-2 years old) is typical behavior and strategies shall be implemented to prevent biting. LPA provided licensee with link for more information- Understanding and responding to Children Who Bite:
https://www.naeyc.org/our-work/families/understanding-and-responding-children-who-bite.
LPA advised licensee to development an action plan with parents who have a child who bites. Licensee can use the above link to use as guidance on how to develop this plan.
LPA Discussed Plan of Correction (POC). Licensee will create and submit copy of plan of action to LPA by May 16, 2022. Proof of Correction (POC) discussed with licensee. Licensee agrees to conduct training on supervision and watch supervision of Children in Care Video on CCLD website:
https://ccld.childcarevideos.org/child-care-center-operators/teacher-child-ratios-in-child-care-centers/
Licensee will send LPA a copy of signed roster by May 16, 2022.

Exit interview conducted. This report reviewed with Licensee and copy provided.

Please note: This is a recreation of unannounced site visit conducted on 4/28/2022 from
10:30am-2 :30pm. Original report lost on Community Care Licensing database.

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SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 30-CC-20220204093950

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: TSINMAN FAMILY CHILD CARE	FACILITY NUMBER: 197407376
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/04/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/04/2022 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged...These rights include but are not limited to the following; (2) to receive safe, healthful, and comfortable acommodations, furnishing and equipment.This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Licensee agree to create and submit copy of plan of action to LPA by May 16, 2022.Licensee agrees to conduct training on supervision and watch supervision of Children in Care Video on CCLD website. Licensee will submit a copy to LPA by May 16, 2022.
	8 9 10 11 12 13 14	Based on interviews, record reviews, images and observations, licensee did not ensure that C1 was provided with a safe and healthful environment. C1 bitten four times penetrating the skin. This poses an immediate Health, Safety or Personal Rights risk to children in care.	8 9 10 11 12 13 14
	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: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2022

LIC9099 (FAS) - (06/04)

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