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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197410174
Report Date: 11/06/2024
Date Signed: 11/06/2024 10:55:05 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
05/08/2024 and conducted by Evaluator Jeanine Lipsey
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240508085025
FACILITY NAME:WOODS FAMILY CHILD CAREFACILITY NUMBER:
197410174
ADMINISTRATOR:WOODS, NICOLE M.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 298-1170
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:14CENSUS: 7DATE:
11/06/2024
UNANNOUNCEDTIME BEGAN:
08:01 AM
MET WITH:Licensee Nicole WoodsTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee did not ensure that day care child was picked up from school in a timely manner
Licensee does not transport day care children in a safe manner
Licensee uses inappropriate language while in the presence of children
Licensee does not provide adequate food service for daycare children
INVESTIGATION FINDINGS:
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On 11/6/2024 at, 8:01 am Licensing Program Analyst (LPA) Jeanine Lipsey made an unannounced visit for the purpose of delivering findings of a complaint received by the Department on 05/8/24 associated to Complaint Control Number 58-CC-20240508085025. Licensee was not present when LPA arrived, LPA met with Staff Deresha Porter, to whom the reason for the inspection was announced. LPA toured the facility and observed 7 children being supervised by 3 staff member. Licensee Nicole Woods arrived at 9am after dropping off her child at school. No children were present inside the home when LPA arrived. No children were present inside the home, the main childcare is provided in a separate building the backyard.

Throughout the course of the investigation, LPA Lipsey made observations, took photos, and conducted interviews with three children, parents and three staff members.

Pertaining to the allegation the allegation, “Licensee did not ensure that day care child was picked up from school in a timely manner”.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
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 6
Control Number 58-CC-20240508085025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WOODS FAMILY CHILD CARE
FACILITY NUMBER: 197410174
VISIT DATE: 11/06/2024
NARRATIVE
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Per reporting party, the children were not picked up from school when told they got out at 1:30pm. Licensee disclosed it was one time she did not pick up kids from school. Licensee states the parent called and due to being in a meeting, she was unable to take the call and did not confirm she was picking the children up. Licensee states the pickup was on an as needed basis. Per child #3 licensee normally picks them up at 2:30pm but they were still at school until 4pm, licensee forgot to pick them up from school and a neighbor had to bring them home.

Although the children were not picked up on time that one day, evidence does not prove that the licensee intentionally forgot to get them from school.

Pertaining to the allegation, Licensee does not transport day care children in a safe manner.

Per reporting party, the children disclosed that the licensee drives fast. Per child #3 licensee drives fast but does not know how fast. The child stated the licensee picks up about 5 children and they all must wear their seat belts. Per licensee she does not speed she is an excellent driver, and she makes sure everyone wears their seat belts. The speed of how a person drives is subjective. What a child make think is fast is not the same as what an adult would say is fast. The children were not harmed, nor personal right violated.

Pertaining to the allegation the allegation Licensee uses inappropriate language while in the presence of children.
Per reporting party, the children disclosed that the licensee curses. Per child #3 licensee was heard cursing while talking on the phone. Per staff and 2 of the children interviewed the licensee has not been heard cursing. All interviewed stated they did not hear licensee curse at the children. Per licensee, she does not curse nor do her staff. Although the licensee was heard cursing while talking on the phone; none of her words were towards the children, the children’s personal rights were not violated.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 58-CC-20240508085025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WOODS FAMILY CHILD CARE
FACILITY NUMBER: 197410174
VISIT DATE: 11/06/2024
NARRATIVE
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Pertaining to the allegation, Licensee does not provide adequate food service for daycare children.

Per reporting party licensee only provides the children chips all day. Per one of the children, they were fed snacks like, gushers, goldfish, and capri suns. Two other children interviewed stated they get fed breakfast, snack, and lunch which consists of waffles, yogurt, chicken nuggets, French fries, and dipping sauce. Per staff the children are fed spaghetti, vegetables, fruits snack, yogurt, gram crackers, milk, and cheese-it crackers. Per Licensee, she is a part of “Child Lane”, which is a food program that help to supply the food given. LPA observed and took photos of the cabinets of food, 2 refrigerators full of food, a deep the freezer of food, and a counter of snacks newly purchased. Licensee states the food observed was accumulation of her own food and the food supplied by the program. Licensee stated she provides breakfast, lunch, snacks, and dinner. The times are breakfast is 7-8 am, snack 10am, lunch at 12pm, snack 3:30pm, dinner at 6pm and another snack at 8:30pm. Licensee disclosed a parent complained that she did not like what she fed her big kids after they were picked up from school during the hours of 2:30-5:50pm. Licensee states, the school age children are only fed snacks and are usually gone before dinner was made. Although the school age children where not fed lunch or dinner during the hours they were there, the children were fed snacks. The child stated they did not ask for any food. There was no disclosure that children were only fed chip from any child.

Based upon evidence obtained during this investigation, the allegations “Licensee did not ensure that day care child was picked up from school in a timely manner”, “Licensee does not transport day care children in a safe manner”, “Licensee uses inappropriate language while in the presence of children” and “Licensee does not provide adequate food service for daycare children”, have been determined to be unsubstantiated. A finding that a complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

Notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee Nicole Woods.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
05/08/2024 and conducted by Evaluator Jeanine Lipsey
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240508085025

FACILITY NAME:WOODS FAMILY CHILD CAREFACILITY NUMBER:
197410174
ADMINISTRATOR:WOODS, NICOLE M.FACILITY TYPE:
810
ADDRESS:4924 4TH AVENUETELEPHONE:
(323) 298-1170
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:13CENSUS: 7DATE:
11/06/2024
UNANNOUNCEDTIME BEGAN:
08:01 AM
MET WITH:Licensee Nicole Woods TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Licensee does not provide a safe and clean environment for day care children.
INVESTIGATION FINDINGS:
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On 11/6/2024 at, 8:01 am Licensing Program Analyst (LPA) Jeanine Lipsey made an unannounced visit for the purpose of delivering findings of a complaint received by the Department on 05/8/24 associated to Complaint Control Number 58-CC-20240508085025. Licensee was not present when LPA arrived, LPA met with Staff Deresha Porter, to whom the reason for the inspection was announced. LPA toured the facility and observed 7 children being supervised by 3 staff member. Licensee Nicole Woods arrived at 9am after dropping off her child at school. No children were present inside the home, the main childcare is provided in a separate building the backyard.

Throughout the course of the investigation, LPA Lipsey made observations, took photos, and conducted interviews with three children, parents and three staff members.

Pertaining to the allegation the allegation Licensee does not provide a safe and clean environment for day care children.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
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 6
Control Number 58-CC-20240508085025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WOODS FAMILY CHILD CARE
FACILITY NUMBER: 197410174
VISIT DATE: 11/06/2024
NARRATIVE
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Per reporting party, the home is filthy with trash and hazardous items everywhere. Per the child interviewed they disclosed the house had a lot of clothes, boxes and snacks on the floor which made it hard for them to move around. Licensee disclosed she was going to be painting the home on the weekend and would be done by Monday (10/14/2024) and that’s why the house had boxes and stuff everywhere. LPA took photos and observed to the home to be full of clutter and cleaning products out of place. LPA observed cleaning products on a shelf to the entry to the kitchen Licensee states some work was being done under the sink and she move that set of cleaning products to the shelf. Cleaning products and a mop & bucket was seen at the side entry of the door, paper towels and tissue at the front door, cleaning products together with eatable items on a cabinet inside the home. LPA observed children food being prepared on the counter right next to automatic dish cleaner with a set of knives in a block. LPA observed a bedroom with clothes, shoes and boxes everywhere and air mattress halfway on the floor and halfway on the bed, there was no room to walk. On todays visit (11/6/24), LPA took photos and observed less clutter, the living room now had children size tables and chairs, 2 play yards, toddler toys and a high chair, however cleaning products were observed on the kitchen counter, the dinning room table was full of clutter, the stove was in the middle of the kitchen floor, a mop & bucket was on the floor, there were no safety gates to reindeer the kitchen off limits.

Per title 22 regulation 102423(a)(2) Personal Rights Each child receiving services from a family childcare home shall have certain rights that shall not be waived or abridged by the licensee… These rights include, but are not limited to, the following: (2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

Due to no children were not present in the home, a Type B deficiency was cited, see page 9099 D.

Based upon observations and evidence obtained during this investigation, the allegation of, Licensee does not provide a safe and clean environment for day care children have been determined to be Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standards has been met.

Notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Licensee Nicole Woods.

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SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 58-CC-20240508085025
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: WOODS FAMILY CHILD CARE
FACILITY NUMBER: 197410174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/06/2024
Section Cited
CCR
102423(a)(2)
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 Personal Rights
(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidence by:
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Licensee will put cleaning supplies back in thier perspective places the gates will be closed when children are present. The stove will be fixed an put back in place. All issues will be resolved by 11/13/24. Licensee will send photo proof by POC date.
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 Based on observation and interviews,
the licensee did not comply with the
section sited above in that the main home was full of clutter and hazzarduos chemicals in reach of children which poses a potential health, safety or personal 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.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 11/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6