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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416919
Report Date: 04/18/2024
Date Signed: 04/18/2024 03:34:39 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
03/06/2024 and conducted by Evaluator Katrina Chicote
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240306115201
FACILITY NAME:SPIRIT CHILD DEVELOPMENT CENTERFACILITY NUMBER:
197416919
ADMINISTRATOR:KEENA TAYLORFACILITY TYPE:
850
ADDRESS:4061 WEST WASHINGTON BOULEVARDTELEPHONE:
(323) 737-2467
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY:60CENSUS: 44DATE:
04/18/2024
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Keena Taylor, Assistant DirectorTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Personal Rights - Staff yells at day care children
Personal Rights - Staff makes inappropriate comments towards day care children
INVESTIGATION FINDINGS:
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On 04/18/2024 at 3:00 PM Licensing Program Analyst (LPA) Katrina Chicote conducted an Unannounced Complaint Inspection for the purpose of delivering findings to the above allegations. Census was taken.

During the course of the investigation, LPA made observations on multiple visits, conducted a variety of interviews of staff, children, and parents both currently and no longer attending, and obtained records. Multiple interviews provided corroborating information regards to above allegations with A4 being observed exhibiting these types of behaviors. Based on interview with Assistant Director, staff did disclose incidents involving A4 and LPA observed Assistant Director’s signed written statement in regards to disclosures made by staff.

Based on the available information, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. A substantiated finding means that the allegation is valid because the preponderance of the evidence standard has been met.
Report Continues - Page 1 of 2
Substantiated
Estimated Days of Completion: 90
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
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 5
Control Number 54-CC-20240306115201
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: SPIRIT CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 197416919
VISIT DATE: 04/18/2024
NARRATIVE
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The following citations are being cited today on the attached LIC 9099D.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Facility Representative, Keena Taylor.


Report Ends - Page 2 of 2
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 54-CC-20240306115201
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SPIRIT CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 197416919
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/17/2024
Section Cited
CCR
101223(a)(1)
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101223(a)(1) Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.
This regulation was not met as evidenced by:
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FR has provided training to A4 in regards to dealing with challenging behaviors. Interviews with staff state having observed A4's behavior towards the children improve since meeting. Clearing deficiency on this date.
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Based on LPA interviews and record review, Licensee did not meet above requirement with multiple interviews disclosing having observed A4 violating Personal RIghts of children in care. This is a potential health, safety, and personal rights risk to children in care.
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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: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5