197415051-6-27-2024-58-CC-BBEL-D6NRTD-20240628131806

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197415051
Report Date: 05/08/2024
Date Signed: 06/27/2024 11:53:25 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
01/30/2024 and conducted by Evaluator Jeanine Lipsey

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20240130141329

FACILITY NAME:	BUCKNER EDUCATIONAL CHRISTIAN ACADEMY		FACILITY NUMBER:	197415051
ADMINISTRATOR:	LESLIE BUCKNER		FACILITY TYPE:	830
ADDRESS:	2330 W. FLORENCE AVENUE		TELEPHONE:	(323) 789-6154
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90043
CAPACITY:	16	CENSUS: 9	DATE:	05/08/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Leslie Buckner		TIME COMPLETED:	04:14 PM

ALLEGATION(S):

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Staff allowed a sick child to remain in care resulting in an outbreak

INVESTIGATION FINDINGS:

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This is an amendment of the original report created on 5/8/24. This is to amend the findings.

On 06/20/24, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced visit to amend a report. LPA toured the facility with Leslie Buckner and observed 3 children being supervised by 1 staff.
Throughout the course of the investigation, LPA Lipsey made observations, obtained a copy of the children’s roster, charts, sign in and sign out sheets, and conducted interviews with five parents and four
staff members.

Pertaining to the allegation that “Staff allowed a sick child to remain in care resulting in an outbreak”, per
Reporting Party: staff allowed a sick child with blisters and rash to remain in the same room with other children.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Jeanine Lipsey	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 58-CC-20240130141329

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: BUCKNER EDUCATIONAL CHRISTIAN ACADEMY	FACILITY NUMBER: 197415051
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/08/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES	PLAN OF CORRECTIONS(POCs)
Type B CCR	1 2 3 4 5 6 7	1 2 3 4 5 6 7
	8 9 10 11 12 13 14	8 9 10 11 12 13 14
ILS	1 2 3 4 5 6 7	1 2 3 4 5 6 7
	1 2 3 4 5 6 7	1 2 3 4 5 6 7

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: Betty Bell	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Jeanine Lipsey	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 58-CC-20240130141329

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: BUCKNER EDUCATIONAL CHRISTIAN ACADEMY	FACILITY NUMBER: 197415051
	VISIT DATE: 05/08/2024

NARRATIVE

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Staff #1 disclosed that they usually isolate sick children in the back room; however, on that day, Child # 1 was fussy and did not appear to be sick, there were no physical signs of illness, so C1 remained with the other children. Staff 1 stated the parent called the next morning saying the C1 was diagnosed with Hand, Foot, Mouth disease (HFMD).

LPA interviewed five parents, and four staff, all denied seeing a child with red rash and blisters. Center for Disease Control (CDC) states symptoms usually appear 3 to 6 days after being in contact with the virus. Although the child was later to be diagnosed with the disease, there is no evidence the staff intentionally let a sick child remain in care.

Based on the information obtained through observations and interviews, the allegation that “Staff allowed a sick child to remain in care resulting in an outbreak” has 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 Director Leslie Buckner.

SUPERVISOR'S NAME: Betty Bell	TELEPHONE: (424) 301-3063
LICENSING EVALUATOR NAME: Jeanine Lipsey	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024

LIC9099 (FAS) - (06/04)

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