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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493072
Report Date: 04/18/2023
Date Signed: 04/18/2023 12:12:08 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 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
02/16/2023 and conducted by Evaluator Dalicia Adkins
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230216140754
FACILITY NAME:PACLEB FAMILY CHILD CAREFACILITY NUMBER:
197493072
ADMINISTRATOR:PACLEB, BYANKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 500-2960
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY:14CENSUS: 11DATE:
04/18/2023
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Licensee Byanka Pacleb TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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 Personal Rights - Staff not providing adequate supervision to children in care.
INVESTIGATION FINDINGS:
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On 4/18/2023 Licensing Program Analyst (LPA) Dalicia Adkins conducted an unannounced complaint subsequent visit regarding the above-mentioned allegation to deliver the findings. LPA met with licensee Byanka Pacleb. The purpose of the visit was explained to licensee and licensee guided LPA Adkins on a tour of the facility. LPA observed 3 staff and 11 children.

On 2/22/2023 LPA interviewed licensee and staff. LPA collected the following records: Children’s Roster, Personnel Record, Parent Handbook, and other supportive records. LPA took pictures of the outdoor play area.

Director and staff stated that children have outdoor time during their daily schedule. Staff supervise the children during outside playtime.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Dalicia AdkinsTELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
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-20230216140754
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PACLEB FAMILY CHILD CARE
FACILITY NUMBER: 197493072
VISIT DATE: 04/18/2023
NARRATIVE
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LPA observed staff monitoring children during outside playtime.

Based on interviews, observations, and record reviews no evidence was revealed to approve or disapprove the allegation of staff not providing adequate supervision to children in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above alleged violation did or did not occur, therefore the allegation of staff not providing adequate supervision to children in care is found to be unsubstantiated.

No deficiencies cited during the course of this investigation. Notice of site visit given and must be posted for 30 days. A copy of this report and appeal rights provided. Exit interview conducted.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Dalicia AdkinsTELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2