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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419718
Report Date: 06/04/2019
Date Signed: 06/04/2019 11:46:35 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
04/23/2019 and conducted by Evaluator Sophia Lord-Richard
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20190423141720
FACILITY NAME:MOORE'S DAYCARE PREP, INC.FACILITY NUMBER:
197419718
ADMINISTRATOR:MOORE, LAKUITAFACILITY TYPE:
840
ADDRESS:1700 W. 120TH STREETTELEPHONE:
(323) 242-9500
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:8CENSUS: 4DATE:
06/04/2019
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Lakuita Moore, LicenseeTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Qualification- Unqualified staff providing care to day care children
INVESTIGATION FINDINGS:
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LPA Sophia Lord-Richard conducted an unannounced subsequent complaint inspection for the purpose of concluding the investigation into the above allegations. LPA met with Lakuita Moore, Director/Licensee.

Based upon the weight of evidence obtained during the course of this investigation, the above allegations have been determined 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.

A copy of this report was explained and issued to Lakuita Moore, Licensee.
Substantiated
Estimated Days of Completion: 34
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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 30-CC-20190423141720
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: MOORE'S DAYCARE PREP, INC.
FACILITY NUMBER: 197419718
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/14/2019
Section Cited
CCR
101516.2(c)
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School-Age Child Care Center Teacher Qualification and Duties-Verification of education allowed by Health and Safety Code Section 1597.21 shall be by transcript or certificate (with hours completed shown on the certificate). To verify course or training program approval, a certification
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LPA required Licensee to provide a Declaration, stating the task of Qualifying all Staff is to be completed prior to employment with Official documents as proof of qualifications. This is to be completed by 6/14/2019.
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on accredited educational institution letterhead that the course or training program has been approved shall accompany the completion certificate.

LPA observed Staff providing care and supervision in School Age Program and LPA was unable verify qualifications, which poses a potential Health and safety risk to children in care.
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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-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sophia Lord-RichardTELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
LIC9099 (FAS) - (06/04)
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