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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197417543
Report Date: 05/03/2022
Date Signed: 05/03/2022 02:35:37 PM

Substantiated


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
02/15/2022 and conducted by Evaluator Judy Laureano
COMPLAINT CONTROL NUMBER: 30-CC-20220215110340
FACILITY NAME:A PLACE TWO GROW, INC.FACILITY NUMBER:
197417543
ADMINISTRATOR:CARSON RACHELLEFACILITY TYPE:
840
ADDRESS:3770 SANTA ROSALIA DRIVETELEPHONE:
(323) 295-3114
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:7CENSUS: 0DATE:
05/03/2022
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Rachelle CarsonTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Criminal Record Clearance- Adults on the premises without fingerprint clearance
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/3/2022 LPA Laureano arrived at A Place to Grow, INC at 3770 Santa Rosalia Drive, Los Angeles, CA 90008 for the purposes of delivering findings for the above-mentioned allegations. LPA met with director Rachelle Carson.

On 3/15/2022 LPA and LPM met with Sharon Wright, assistant to the director, and discussed the purpose of the visit. LPA toured the infant classroom, outdoor area and additional outdoor space. LPA observed no school age children in care.

On 2/18/2022 Licensing Program Analyst (LPA) Judy Laureano arrived at A Place to Grow, INC at 3770 Santa Rosalia Drive, Los Angeles, CA 90008 for the purpose of investigating the above-mentioned allegations. LPA observed no school age children in care. LPA received and children’s roster, staff roster’s and property lease.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
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-20220215110340
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: A PLACE TWO GROW, INC.
FACILITY NUMBER: 197417543
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
05/03/2022
Section Cited
CCR
102370(d)(1)
1
2
3
4
5
6
7
Criminal Record Clearance - All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (d1) Obtain a California clearance or a criminal record exemption as required by the Department
1
2
3
4
5
6
7
Licensee agrees to have adults living in the unit above facility, complete the live scan process and submit receipt to LPA via email by May 3, 2022.
8
9
10
11
12
13
14
This requirement is not met as evidence by:
Based on observation, interviews and record review, the licensee did not ensure a criminal record clearance was obtain for adults living in the unit above facility, which poses an immediate Health, Safety, or Personal Rights to the children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 30-CC-20220215110340
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: A PLACE TWO GROW, INC.
FACILITY NUMBER: 197417543
VISIT DATE: 05/03/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On 2/18/2022 LPA Laureano conducted investigative interviews with S1, S2, S3, S4, A1 and A3. On 3/4/2022 interviewed A2 and on 3/15/2022 LPA concluded all interviews.

Based on LPA observation and interviews and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. This poses an immediate risk to the health and safety of children in care an immediate civil penalty of $100.00 will be assessed, California Code of Regulations, Title 22 Regulation are being cited on the attached 9099D.

An exit interview was conducted with Licensee. Licensee was provided a copy of this report, Notice of Site Visit and Appeal rights.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
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
02/15/2022 and conducted by Evaluator Judy Laureano
COMPLAINT CONTROL NUMBER: 30-CC-20220215110340

FACILITY NAME:A PLACE TWO GROW, INC.FACILITY NUMBER:
197417543
ADMINISTRATOR:CARSON RACHELLEFACILITY TYPE:
840
ADDRESS:3770 SANTA ROSALIA DRIVETELEPHONE:
(323) 295-3114
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY:7CENSUS: DATE:
05/03/2022
UNANNOUNCEDTIME BEGAN:
11:58 AM
MET WITH:TIME COMPLETED:
11:59 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Criminal Record Clearance- Adults on the premises without fingerprint clearance
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy LaureanoTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2022
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