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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493018
Report Date: 01/06/2022
Date Signed: 01/06/2022 02:18:48 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
12/30/2021 and conducted by Evaluator Margarit Sislyan
COMPLAINT CONTROL NUMBER: 30-CC-20211230094652
FACILITY NAME:INGLEWOOD UNIFIED SCHOOL DISTRICT CHILD DEV. CTRFACILITY NUMBER:
197493018
ADMINISTRATOR:JOANNA CLIFTONFACILITY TYPE:
850
ADDRESS:10409 10TH AVENUETELEPHONE:
(310) 419-2691
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY:131CENSUS: 22DATE:
01/06/2022
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Marleen BrownTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Personal Rights - Facility staff are not adhering to COVID protocol.
Reporting Requirements - Facility staff did not inform parents of COVID positive case.
Reporting Requirements - Facility staff did not inform parents of COVID positive case.
Physical Plant - Facility is in disrepair.
INVESTIGATION FINDINGS:
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Margarit Sislyan, Licensing Program Analyst (LPA) conducted an unannounced site visit to investigate the above allegations and deliver the investigation findings.

LPA met with Lead Teachers, Marleen Brown and Linda Anderson. LPA toured the facility. LPA interviewed people relevant to the above allegations.
Based on LPA’s observation, interviews conducted and preponderance of evidence the above allegations are 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 violation occurred.

Exit interview
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2022
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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