197418569-4-16-2019-30-CC-SJSN-BBR39W-20190430180350

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197418569
Report Date: 04/16/2019
Date Signed: 04/16/2019 09:23:38 AM

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
02/28/2019 and conducted by Evaluator Sabrina Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20190228163539

FACILITY NAME:	BEACHMOMS CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	197418569
ADMINISTRATOR:	CLINE, GALE		FACILITY TYPE:	850
ADDRESS:	1720 BROADWAY AVENUE		TELEPHONE:	(310) 453-1222
CITY:	SANTA MONICA	STATE: CA	ZIP CODE:	90403
CAPACITY:	30	CENSUS: 7	DATE:	04/16/2019
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Celia Fisher, Licensee		TIME COMPLETED:	09:03 AM

ALLEGATION(S):

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-Staff yelled at child in care.

INVESTIGATION FINDINGS:

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On 04/16/2019 at 08:40 am, Licensing Program Analyst (LPA) Sabrina Martinez arrived at the above mentioned facility for the purpose of delivering complaint investigation findings. LPA met with Celia Fisher, licensee, and discussed the purpose of the visit.

Based on the information that the Department obtained throughout the course of the investigation, the allegation that staff yelled at child has been substantiated. 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 is cited a Type A deficiency today, 04/15/2019. (See LIC 9099-D for deficiency cited).

Licensee was further informed of AB633 requirements. Licensee was provided form LIC9224 and instructed to provide copies of this report to all parents of children currently enrolled and to obtain the parent's signature on form LIC9224, as acknowledgement that they received a copy of this report. Form LIC9224 is

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 30-CC-20190228163539

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: BEACHMOMS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197418569
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/16/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 04/17/2019 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	Personal Rights. To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or	1 2 3 4 5 6 7	The licensee agrees to have a meeting with facility staff about the tone and pitch in which they speak or discipline the children. Licensee and facility staff will watch the CDSS CCLD RACE to the Top Video on Children’s Personal Rights https://ccld.childcarevideos.org/child-care-center-operators/). A copy of the staff meeting discussing
	8 9 10 11 12 13 14	withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by: Based on evidence obtained by the Department, it was revealed that facility staff yelled at day care children. This is an immediate health and safety risk to children in care.	8 9 10 11 12 13 14	Personal Rights as written in Title 22 and the minutes of that meeting are due by 04/17/19 and signed by all staff that attended. The document will be faxed to the El Segundo RO (424) 301- 3200. The licensee will also be scheduled to attend a Non Compliance Conference Meeting at the El Segundo RO.
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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-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2019

LIC9099 (FAS) - (06/04)

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Control Number 30-CC-20190228163539

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: BEACHMOMS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 197418569
	VISIT DATE: 04/16/2019

NARRATIVE

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to be retained in the child's file. Licensee was further instructed to complete this same process for all children who enroll in the facility within 12 months of this report date. Licensee was instructed to post this report, along with the Notice of Site Visit, at the main entrance of the facility for 30 days. Failure to comply with the above posting requirements may result in a civil penalty.

An exit interview was conducted and a copy of this report along with the Appeal Rights were explained and issued to Celia Fisher, Licensee.

SUPERVISOR'S NAME: Sharalyn Jenkins-Sweeten	TELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina Martinez	TELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:	DATE: 04/16/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2019

LIC9099 (FAS) - (06/04)

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