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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197412105
Report Date: 08/02/2022
Date Signed: 08/02/2022 10:32:19 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
05/10/2022 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220510141429
FACILITY NAME:CCRC HEAD START - ROSCOE CANYONFACILITY NUMBER:
197412105
ADMINISTRATOR:PAMELA YOUNGBLOODFACILITY TYPE:
850
ADDRESS:13060 ROSCOE BLVD.TELEPHONE:
(818) 902-5935
CITY:SUN VALLEYSTATE: CAZIP CODE:
91356
CAPACITY:60CENSUS: 0DATE:
08/02/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:PAMELA YOUNGBLOODTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Allegation: Staff handled child in a rough manner.
INVESTIGATION FINDINGS:
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On 8/2/2022, Licensing Program Analyst (LPA), Loyce Phillips, conducted an unannounced site visit for the purpose of delivering the finding on the above allegation. LPA was granted entry by Director, Pamela Youngblood. No children were present today.

During the investigation, LPA conducted interviews and documented observations regarding allegation, staff handled child in a rough manner. Several children that were interviewed, reported they like their teachers and felt safe at the facility. Children did not report any issues or concerns. Staff that were interviewed, reported the facility do no use physical discipline and have not witnessed other staff using physical discipline towards a day care child.


9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: 424-301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
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 2
Control Number 30-CC-20220510141429
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: CCRC HEAD START - ROSCOE CANYON
FACILITY NUMBER: 197412105
VISIT DATE: 08/02/2022
NARRATIVE
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Based on the information provided, LPA was unable to corroborate the Allegation, staff handle child in a rough manner. Therefore, the allegation is deemed Unsubstantiated. A finding that the 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 did or did not occur.

No deficiencies are being cited accordance to Title 22 of the California Code of Regulations and/or Health & Safety Codes.

An exit interview was conducted, a copy of this report, appeals rights and a notice of site visit were discussed and provided to Director.

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: 424-301-3206
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2