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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418475
Report Date: 06/29/2022
Date Signed: 06/29/2022 12:03:04 PM

Unsubstantiated


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
06/15/2022 and conducted by Evaluator Alicia Bailey
COMPLAINT CONTROL NUMBER: 54-CC-20220615154428
FACILITY NAME:CRYSTAL STAIRS INC.- SULLIVANFACILITY NUMBER:
197418475
ADMINISTRATOR:JONES-LOWE, CONNIEFACILITY TYPE:
850
ADDRESS:725 W. RAYMOND STREETTELEPHONE:
(310) 933-0760
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY:120CENSUS: 52DATE:
06/29/2022
UNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Dionne Bennett - Site Supervisor TIME COMPLETED:
11:48 AM
ALLEGATION(S):
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Staff restrained day care child.
Food service not provided in the quantity necessary to meet the needs of the children in care.
Facility did not report unusual incident(s) that threatened the physical or emotional health or safety of children in care.
INVESTIGATION FINDINGS:
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A Complaint investigation was conducted by Licensing Program Analyst (LPA), Alicia Bailey on June 29, 2022, at 10:33 am to deliver the findings of the above allegations. LPA Bailey met with Site Supervisor Dionne Bennett on this day and gave a tour of the facility. The census for the facility during today’s inspection staff 16 to 52 children ratio was met.

During this investigation, LPA Bailey collect children’s roster and other pertinent documentation. LPA Bailey reviewed records and observations. An Interview was conducted with the Site Supervisor who deny the allegations. There were no corroborating statements made. LPA Bailey reviewed incident reports did not violate reporting requirements. LPA did not observe any report regarding child being restrained. The facility staff workload, the children enrolled in a full day program, the discard of food at the end of the school day does not violate tittle 22. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the above allegations are unsubstantiated.
Unsubstantiated
Estimated Days of Completion: 15
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022
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 2
Control Number 54-CC-20220615154428
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: CRYSTAL STAIRS INC.- SULLIVAN
FACILITY NUMBER: 197418475
VISIT DATE: 06/29/2022
NARRATIVE
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The exit interview was conducted with Dionne Bennett Site Supervisor including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Alicia BaileyTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2