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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492821
Report Date: 09/24/2025
Date Signed: 09/29/2025 06:31:16 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
07/09/2025 and conducted by Evaluator Judy Laureano
COMPLAINT CONTROL NUMBER: 30-CC-20250709130305
FACILITY NAME:MAPLE TREEFACILITY NUMBER:
197492821
ADMINISTRATOR:YOLANDA SANCHEZFACILITY TYPE:
830
ADDRESS:1814 14TH STREETTELEPHONE:
(310) 314-1111
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:40CENSUS: 35DATE:
09/24/2025
UNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Tina ColembelTIME COMPLETED:
02:31 PM
ALLEGATION(S):
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Physical Plant: Staff did not ensure the facility was kept free of pests
Physical Plant: Facility kitchen is unsanitary
Personal Right: Staff did not ensure a comfortable facility temperature was maintained for infants in care
Personal Rights: Staff did not wear gloves when changing infants diapers
Personal Rights: Staff did not wash infant's hands due to a lack of working washing stations at the facility.
Personal Rights: Staff provided dirty bigs to infants in care
Food Services: Staff did not wash infant's bottles due to the kitchen sink being in disrepair.
INVESTIGATION FINDINGS:
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On 9/24/2025 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of delivering findings. LPA was greeted by Tina Colembel, facility director and guided LPA on a complete facility tour.

LPA observed 35 children and 10 staff members providing care and supervision.

Facility was inspected and observed by LPA on multiple occasions: 7/14/2025, 8/5/2025 and 9/24/2025 and the following areas were observed: the kitchen, feeding area that included the working sink, kitchen floor and changing stations.

On 7/14/2024 LPA received and reviewed copies of the children's roster, staff roster, parent handbook, cleaning vendor invoice and the pest control invoice. LPA initiated interviews with staff members.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
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-20250709130305
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MAPLE TREE
FACILITY NUMBER: 197492821
VISIT DATE: 09/24/2025
NARRATIVE
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On 9/24/2025 LPA concluded interviews with all relevant parties.

Based on LPA Laureano’s multiple observation, (9/24/2025, 8/5/2025 and 7/14/2025), interviews with staff, parents and document review, no information was disclosed to prove or disprove the above mentioned allegations took place. Although the allegations may have happened or are valid, there is NOT a preponderance of evidence to prove that the above allegations did or did not occur. Therefore, the allegations are found to be unsubstantiated.

Exit interview conducted and report was reviewed with Director Tina Colombel. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2