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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197415856
Report Date: 08/13/2019
Date Signed: 08/13/2019 01:04:12 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/21/2019 and conducted by Evaluator Suzanne Smith
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20190521153801
FACILITY NAME:LOS ANGELES MISSION COLLEGE CHILD DEV.CENTERFACILITY NUMBER:
197415856
ADMINISTRATOR:DIANE STEINFACILITY TYPE:
830
ADDRESS:13356 ELDRIDGE AVENUETELEPHONE:
(818) 364-7865
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:30CENSUS: 0DATE:
08/13/2019
UNANNOUNCEDTIME BEGAN:
10:58 AM
MET WITH:Diane SteinTIME COMPLETED:
01:18 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Allegation #1: Personal Rights--Staff restrains child.
Allegation #2: Personal Rights--Staff isolates child while in care.
Allegation #3: Reporting Requirements--Facility failed to report an epidemic in a timely manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst's (LPA's) Smith and Thompson-Miller conducted an unannounced complaint inspection to deliver investigation findings for the aforementioned allegations. LPA's met with Director Diane Stein. During the inspection, there were no children in care. Allegation #1: Based on LPA Ramirez observations and LPA's Smith and Ramirez interviews conducted with staff and parents, the allegation is deemed unsubstantiated. There is not a preponderance of evidence that staff restrained a child. Allegation #2: Based on LPA Ramirez observations and LPA's Smith and Ramirez interviews conducted with staff and parents, the allegation is deemed unsubstantiated. There is not a preponderance of evidence that staff isolates a child/children while in care. Allegation #3: Based on LPA Ramirez and LPA Smith interviews conducted with staff and parents, the facility was not required to report an outbreak of an epidemic (contagious viral infection) due to only one child in care contracting the infection. Therefore, the allegation is rendered Unsubstantiated at this time. 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 allegations occurred. Exit interview conducted and a copy of this report was explained and provided to Director, Diane Stein. A notice of site visit was provided and must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Suzanne SmithTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2019
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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