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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197408979
Report Date: 08/04/2022
Date Signed: 08/04/2022 01:50:08 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
05/25/2022 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220525163227
FACILITY NAME:LEARNING GARDEN PRESCHOOL, THEFACILITY NUMBER:
197408979
ADMINISTRATOR:ROSE MC CLELLANFACILITY TYPE:
850
ADDRESS:2165 W. 236TH STREETTELEPHONE:
(310) 326-1361
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY:36CENSUS: 20DATE:
08/04/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nassim AgangeTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Personal Rights: Staff requires daycare child to wear a mask
Personal Rights: Daycare child sustained injury while in care
INVESTIGATION FINDINGS:
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On 8/4/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced complaint visit for the purpose of initiating the investigation regarding the allegation above. LPA met with Administrator, Nassim Agange. LPA observed 20 children in care with 4 staff.

During today’s investigation, LPA toured the inside and outside of the facility, interviewed Administrator and Staff 1 (S1), and reviewed Child 1's (C1) file, which included a doctor's note dated 5/18/2022 regarding C1's allergies diagnosis. S1 stated she was aware C1 has allergies, but she did not know C1 "was not supposed to wear a mask." S1 stated that C1 had "a lot of green mucus so it was suggested she put on a mask." LPA also discussed the LIC 624 Unusual Incident Report (UIR) submitted to the Department on 4/17/2022.

[CONTINUE ON PAGE 2]
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
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 3
Control Number 30-CC-20220525163227
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: LEARNING GARDEN PRESCHOOL, THE
FACILITY NUMBER: 197408979
VISIT DATE: 08/04/2022
NARRATIVE
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PAGE 2

On 6/1/2022, LPA Veronica Wheatley initiated the complaint investigation. LPA Wheatley toured the inside and outside of the facility. LPA Wheatley interviewed the directors and 1 staff, and LPA obtained a copy of the LIC 9040 Child Care Roster.

Based on interviews with relevant parties, there is a preponderance of evidence to prove the alleged violation did occur. Therefore, the allegation is SUBSTANTIATED. A Type B deficiency was cited during today's inspection (see LIC 9099-D for details). LPA also issued a LIC 9102 Advisory Note regarding Title 22, regulation 101225 Health-Related Services, i.e. notifying parents of injuries.

An exit interview was conducted. A copy of this report was provided to Nassim Agange, along with Appeal Rights and LIC 9213 Notice of Site Visit.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20220525163227
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: LEARNING GARDEN PRESCHOOL, THE
FACILITY NUMBER: 197408979
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2022
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations...
This requirement was not met as evidenced by:
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Administrator agrees to ensure medical diagnoses and doctor's notes are shared with preschool staff to ensure children's medical accommodations are met. Administrator agrees to submit a LIC 855 Declaration signed by Licensee by 8/12/2022 via mail and email to LPA.
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Based on interviews with relevant parties and record review, S1 continued putting a mask on C1 as Licensee failed to inform S1 of C1's doctor's note and allergies diagnosis, which poses a potential health, safety, or personal rights risk to 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: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3