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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197407841
Report Date: 09/06/2019
Date Signed: 09/09/2019 10:49:37 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
08/29/2019 and conducted by Evaluator Veronica Wheatley
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190829121638

FACILITY NAME:CHILDREN'S PLACE, THEFACILITY NUMBER:
197407841
ADMINISTRATOR:PRECIOUS JOHNSONFACILITY TYPE:
850
ADDRESS:1215 CRENSHAW BLVDTELEPHONE:
(310) 328-6313
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:59CENSUS: 16DATE:
09/06/2019
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Jennifer RichardsTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Children's toilet is not working
INVESTIGATION FINDINGS:
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Licensing Program Analyst, V. Wheatley conducted an inspection and investigation regarding the above allegations and met with the licensee/ director Jennifer Richards at 1:45PM.

LPA observed four toilets in the children's restroom. LPA observed one of the four toilets not working. LPA tried to flush the second toilet and it did not flush. LPA was informed by the director who states that she arrived this morning and was informed by the staff that the toilet was not working properly because it is leaking water. Director states the toilet was working fine yesterday.

LPA interviewed staff.

Based on the LPA's observations and information which was obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Exit interview and copy of report provided.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20190829121638
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: CHILDREN'S PLACE, THE
FACILITY NUMBER: 197407841
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/06/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/09/2019
Section Cited
CCR
101239(e)(4)
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Fixtures, Furniture, Equipment and Supplies - All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition. Additional equipment, aids and/or conveniences shall be provided as needed in centers that serve children with physical disabilities.
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The licensee/ director states the facility maintenance man will fix the toilet this weekend. The director will submit a plan of correction to the department by Monday, September 9, 2019. The licensee/ director will ensure the equipment is working properly.
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LPA observed a toilet is not working in the children's restroom. LPA was unable to flush the toilet. This is a potential risk to the health and safety of children in care.
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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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Veronica WheatleyTELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3