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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197413515
Report Date: 01/16/2020
Date Signed: 01/16/2020 02:26:32 PM



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
12/02/2019 and conducted by Evaluator Jillinda Chandler
COMPLAINT CONTROL NUMBER: 30-CC-20191202092601
FACILITY NAME:GARDENA EARLY EDUCATION CENTERFACILITY NUMBER:
197413515
ADMINISTRATOR:CHILDRESS, CANDIEFACILITY TYPE:
850
ADDRESS:1350 WEST 177TH STREETTELEPHONE:
(310) 354-5091
CITY:GARDENASTATE: CAZIP CODE:
90248
CAPACITY:168CENSUS: DATE:
01/16/2020
UNANNOUNCEDTIME BEGAN:
08:19 AM
MET WITH:PrincipalTIME COMPLETED:
01:20 PM
ALLEGATION(S):
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1. Facility failed to notify of an outbreak at facility.
INVESTIGATION FINDINGS:
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On 1/16/2020 Licensing Program Analyst Chandler made an unannounced visit to the Gardena Early Education Center for the purpose of delivering the findings for an allegation that facility did not inform parents of an infectious outbreak.

Based on interviews conducted it was determined that the school was made aware of the outbreak and did not notify all parents.

It is therefore determined that the allegation is substantiated; substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
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-20191202092601
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: GARDENA EARLY EDUCATION CENTER
FACILITY NUMBER: 197413515
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/16/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/03/2020
Section Cited
CCR
101212(1)(E)(f)(1)
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(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.following:
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The center shall immediately notify all parents of the out break and provide information regarding out breaks. Staff shall be trained on procedures following out breaks. Adminstration shall ensure that staff is aware of reporting requirements. Staff shall review the requirements in their next that will be conducted 1/27/20110. Agendas, and
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(1) Events reported shall include:(E) Epidemic outbreaks to (f) parent.. and (1)health department, This standard was not met as evidence by: interviews conducted disclosed that staff did not notify the department,all parents. This is an possible health risk. A type B citation was issued
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attendance roster shall be sent to the department no later than 1/30/2020. Letters to all parents shall distributed regarding the out break and proof of distribution shall be provided to the department no later than 2/3/2020 or upon any child's return.
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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: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2