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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416279
Report Date: 05/29/2020
Date Signed: 05/29/2020 02:42:32 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/27/2020 and conducted by Evaluator Denise Gibbs
COMPLAINT CONTROL NUMBER: 54-CC-20200427135603
FACILITY NAME:NU BUILDING BLOCKS DAY CARE CENTERFACILITY NUMBER:
197416279
ADMINISTRATOR:SOLOMON, CHERYLFACILITY TYPE:
850
ADDRESS:2313 WEST JEFFERSON BOULEVARDTELEPHONE:
(323) 732-5439
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:58CENSUS: 15DATE:
05/29/2020
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Larry Solomon, DirectorTIME COMPLETED:
11:30 PM
ALLEGATION(S):
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Facility staff did not ensure that the facility is free of pests.
INVESTIGATION FINDINGS:
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This was a complaint inspection conducted by Denise Gibbs, Licensing Program Analyst (LPA) on 5/29/20 at 11:00 AM. Due to COVID-19 and precautionary measures, this complaint was conducted with Larry Solomon, Director via Zoom for the purpose of delivering findings.

During the course of this investigation, LPA interviewed Director, staff, parents, and other relevent parties. All pertinent documentation was collected. No disclosures were made by parents interviewed regarding this allegation. Director and staff confirmed that there have been insects, such as spiders and ants at the facility on occasions. Facility staff disclosed that an exterminator services the facility once a month. LPA confirmed that an exterminator has been serviing the the facility since 3/7/2020, to insure the facility is free of pests.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove
the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
-----Page 1
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2020
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 54-CC-20200427135603
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: NU BUILDING BLOCKS DAY CARE CENTER
FACILITY NUMBER: 197416279
VISIT DATE: 05/29/2020
NARRATIVE
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No deficiencies will be cited today 5/29/2020.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Larry Solomon, via Zoom, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the Director via email with a read receipt or confirmation of receipt of email, which will act as the Director's signature. -----------PAGE 2
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise GibbsTELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2