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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415094
Report Date: 01/27/2020
Date Signed: 01/30/2020 09:31:16 AM



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
09/24/2019 and conducted by Evaluator Shandra Powell
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190924133920
FACILITY NAME:CHAPPELL FAMILY CHILD CAREFACILITY NUMBER:
197415094
ADMINISTRATOR:CHAPPELL, RAYSHAUNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 973-8064
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:14CENSUS: 3DATE:
01/27/2020
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Rayshawn Chappell, LicenseeTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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Lack of supervision resulting in inappropriate interactions between day-care children
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA), Shandra Powell and Licensing Program Manager (LPM) Mary Ruiz, conducted an unannounced visit to the family child care home, on 01/30/2020, for the purpose of delivering the findings of the above allegation. LPA and LPM were greeted by Rashaun Chappell, a tour of the facility was conducted and census were taken.

On 01/28/2020 Licensing Program Analyst Shandra Powell and Mary Ruiz, LPM met with licensee at the El Segundo Regional Office to deliver findings for the above allegation.

During the course of the investigation conducted by IB Investigator Tiffany Brunelli, interviews were conducted with staff, parent of child #1, children, as well as a review of police reports and other pertinent reports.


Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
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 3
Control Number 30-CC-20190924133920
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: CHAPPELL FAMILY CHILD CARE
FACILITY NUMBER: 197415094
VISIT DATE: 01/27/2020
NARRATIVE
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Per interviews and documents obtained, it was determined that staff failed to provide visual supervision to children in care. Child #1 was inappropriated touch by child #2 on many occasions in the back yard of the home. THEREFORE, THE ALLEGATION OF LACK OF SUPERVISION IS BEING SUBSTANTIATED.

The following is being cited in accordance to Title 22 of the California Code of Regulations and Health & Safety Codes. Please refer to 809D for documentation of deficiencies.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Failure to maintain posting as required will result in a $100.00 civil penalty Appeal rights provided.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20190924133920
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: CHAPPELL FAMILY CHILD CARE
FACILITY NUMBER: 197415094
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/27/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/10/2020
Section Cited
CCR
102417(a)
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Operation of a Family Child Care Home.
The licensee shall be present in the home and shall ensure that children in care are supervised at all times. Throughout the investigation, department found that lack of supervision resulted in
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Per licensee, he will encourage even closer supervision among staff and the children and will ensure that the children are under constant supervision by staff as well. Licensee has made changes to play equipment in back yard area. with explanation of what supervision consist of.
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Children engaged in inappropriated play on many occasions in the back yard of the home.

This poses an immediate risk to the health and safety of children in care.
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Licensee will provide training to staff. Staff and Licensee will provide a declaration to LPA by email and or mail by POC date. LPM recommendation of the Technical Support Program (TSP) to licensee.
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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: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2020
LIC9099 (FAS) - (06/04)
Page: 3 of 3