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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417299
Report Date: 01/21/2020
Date Signed: 01/21/2020 02:39:38 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
01/10/2020 and conducted by Evaluator Sabrina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200110161008
FACILITY NAME:UCLA WESTWOOD CHILD CARE CENTERFACILITY NUMBER:
197417299
ADMINISTRATOR:NICOLE FIORELLAFACILITY TYPE:
830
ADDRESS:10861 WEYBURN AVENUE #301TELEPHONE:
(310) 481-0664
CITY:LOS ANGELESSTATE: CAZIP CODE:
90024
CAPACITY:63CENSUS: 37DATE:
01/21/2020
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Nicole Fiorella, Center DirectorTIME COMPLETED:
02:06 PM
ALLEGATION(S):
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-Staff did not give child fresh drinking water.
INVESTIGATION FINDINGS:
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On 01/21/2020 at 12:15 pm, Licensing Program Analyst (LPA) Sabrina Martinez arrived at UCLA Westwood Child Care Center for the purpose of investigating the above mentioned allegatios. LPA met with Nicole Fiorella, Center Director, and discussed the purpose of the visit.

During this inspection, LPA conducted interviews with facility staff and conducted a tour of the facility. Based on the information obtained throughout the course of the investigation, it was revealed that on 01/03/2020, facility staff washed child's water bottle and failed to ensure that the water bottle was free of any residue. As a result, child drank soapy water from the water bottle. The allegation that staff did not give child fresh drinking water is substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The facility was issued a Type B citation today, 01/21/2020 (See LIC 9099-D for deficiency cited). An exit interview was conducted and a copy of this report, appeal rights and Notice of Site Visit were provided to Nicole Fiorella, Center Director.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020
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-20200110161008
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: UCLA WESTWOOD CHILD CARE CENTER
FACILITY NUMBER: 197417299
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/21/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/21/2020
Section Cited
CCR
101223(a)(2)
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Personal Rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by: On 01/03/2020, facility staff failed to ensure that child's water bottle was free of any residue prior to refilling the water bottle with water. As a result, child had drank
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Licensee has conducted a staff meeting on Monday, 01/06/2020 discussing procedure for handling water bottles from home. Per licensee, water bottles from home are no longer being washed in the classroom. LPA obtained a copy of the meeting agenda. Deficiency cleared today, 01/21/2020.

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soapy water. This is a Type B citation and poses a potential health and safety 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: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
01/10/2020 and conducted by Evaluator Sabrina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200110161008

FACILITY NAME:UCLA WESTWOOD CHILD CARE CENTERFACILITY NUMBER:
197417299
ADMINISTRATOR:NICOLE FIORELLAFACILITY TYPE:
830
ADDRESS:10861 WEYBURN AVENUE #301TELEPHONE:
(310) 481-0664
CITY:LOS ANGELESSTATE: CAZIP CODE:
90024
CAPACITY:63CENSUS: 37DATE:
01/21/2020
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Nicole Fiorella, Center DirectorTIME COMPLETED:
02:06 PM
ALLEGATION(S):
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9
Licensee does not keep the facility clean.
INVESTIGATION FINDINGS:
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On 01/21/2020 at 12:15 pm, Licensing Program Analyst (LPA) Sabrina Martinez arrived at UCLA Westwood Child Care Center for the purpose of investigating the above mentioned allegatios. LPA met with Nicole Fiorella, Center Director, and discussed the purpose of the visit.

During this inspection, LPA conducted interviews with facility staff and conducted a tour of the facility. Based on the information obtained throughout the course of the investigation, the allegation that licensee does not keep the facility clean is 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 ocurred.

An exit interview was conducted and a copy of this report was provided to Nicole Fiorella, Center Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3