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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415689
Report Date: 10/23/2019
Date Signed: 10/23/2019 12:26:30 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
09/16/2019 and conducted by Evaluator Helen Estrella
COMPLAINT CONTROL NUMBER: 30-CC-20190916151313
FACILITY NAME:PLAYHOUSE PRESCHOOLFACILITY NUMBER:
197415689
ADMINISTRATOR:PERERA, SHIRANIFACILITY TYPE:
830
ADDRESS:526 S. IRENA AVENUETELEPHONE:
(310) 316-8449
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90277
CAPACITY:12CENSUS: 11DATE:
10/23/2019
UNANNOUNCEDTIME BEGAN:
11:57 AM
MET WITH:Shirani PereiraTIME COMPLETED:
12:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
RATIO - Facility is operating out of ratio
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/23/19, Licensing Program Analyst (LPA) Helen Estrella made an unannounced visit for the purpose of concluding a complaint investigation. LPA met with the licensee Shirani Pereira and was informed of the nature of the visit. There were (8) infants and (3) toddlers in care during the inspection.

Based upon the evidence obtained throughout the course of the investigation which includes interviews with relevant parties and records review and observations, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Therefore, this allegation has been determined 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 the evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of this report along with the Notice of Site Visit were provided to Shirani Pereira, Licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3073
LICENSING EVALUATOR NAME: Helen EstrellaTELEPHONE: (424) 301-3073
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2019
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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