197418871-6-22-2021-12-CC-CBEL-C4XLMW-20210715085321

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197418871
Report Date: 06/22/2021
Date Signed: 06/22/2021 03:30:41 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/07/2021 and conducted by Evaluator Isabel Ortega

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20210507085608

FACILITY NAME:	LITTLE STARS ACADEMY PRESCHOOL		FACILITY NUMBER:	197418871
ADMINISTRATOR:	SANDOVAL, SONIA		FACILITY TYPE:	850
ADDRESS:	14237 VAN NUYS BOULEVARD		TELEPHONE:	(818) 890-0220
CITY:	ARLETA	STATE: CA	ZIP CODE:	91331
CAPACITY:	69	CENSUS: 59	DATE:	06/22/2021
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Sonia Sandoval		TIME COMPLETED:	03:35 PM

ALLEGATION(S):

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Allegation: Lack of supervision: Day care child sustained multiple injuries while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ortega conducted an subsequent inspection for the purpose of delivering the findings related to the complaint investigation allegation above. LPA met with Director, Sonia Sandoval and informed the facility of the purpose for the inspection. A census of the children was taken, and a tour of the facility was conducted. The complaint investigation consisted of interviews with the licensee, children, parents and recording footage and pictures.

The investigation revealed that during day care child#1 tripped(incorrect shoe size), bumped her head(running) and fell multiple times since enrollment at the facility. Foster parent disclosed she was notified every time child was injured in writing or verbally. Observation of the recording submitted revealed staff standing in close proximity to child and attending to the child. Although, child#1 was injured by tripping or accidentally bumping her head, supervision was provided and injuries were accidental. The interviews revealed that injuries were not intentional nor lack of supervision that could corroborate that the facility failed to provide supervision that resulted in multiple child injured while in care.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

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 12-CC-20210507085608

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LITTLE STARS ACADEMY PRESCHOOL	FACILITY NUMBER: 197418871
	VISIT DATE: 06/22/2021

NARRATIVE

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Based on information obtained and interviews conducted, the allegations are deemed 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 allegation occurred. Notice of Site Visit was given to be posted for 30 days.

An exit interview was conducted and a copy of this report was given to the Facility Director.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

LIC9099 (FAS) - (06/04)

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