197419346-9-25-2019-30-CC-JFEA-BGXTQ3-20191014145517

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419346
Report Date: 09/25/2019
Date Signed: 09/25/2019 03:43:27 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
06/17/2019 and conducted by Evaluator Karren Starks

COMPLAINT CONTROL NUMBER: 30-CC-20190617084057

FACILITY NAME:	CHILDREN'S COLL INC/HOPE MEMORIAL CDC, THE		FACILITY NUMBER:	197419346
ADMINISTRATOR:	BACH, ROCIO		FACILITY TYPE:	850
ADDRESS:	3401 SOUTH SOMERSET DRIVE		TELEPHONE:	(310) 733-4388
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90016
CAPACITY:	30	CENSUS: 11	DATE:	09/25/2019
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Michelle Dixon		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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PERSONAL RIGHTS - Child got unexplained scratches while in care.

INVESTIGATION FINDINGS:

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On 09/25/19, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of concluding a complaint investigation. LPA met with new Director, Michele Dixon who had 1 teacher and 1 teacher's assistant along with 11 children.

Based on information received and interviews conducted the allegation of the child receiving unknown scratches while in care is deemed unsubstantiated. Meaning although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

No deficiency cited. Copy of report and Notice of Site Visit issued.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019

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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