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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493354
Report Date: 01/05/2021
Date Signed: 01/05/2021 03:32:34 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
08/27/2020 and conducted by Evaluator Sabrina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20200827164048
FACILITY NAME:KAUFMAN FAMILY CHILD CAREFACILITY NUMBER:
197493354
ADMINISTRATOR:KAUFMAN, ANITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 822-6181
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:12CENSUS: 0DATE:
01/05/2021
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Anita Kaufman, LicenseeTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Enhanced Civil Penalty: Unlawful Corporal Punishment
INVESTIGATION FINDINGS:
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***This is a supplemental report to the Complaint Investigation Report (LIC-9099) that was issued to Anita Kaufman, licensee, on 01/04/2021. The Enhanced Civil Penalty was under review at the time the Temporary Suspension Order (TSO) was served. ***

On 01/05/2021, the Department has approved the Enhanced Civil Penalty of $2,000.00 to the facility for a Personal Rights violation of unlawful corporal punishment of a day care child that was substantiated on 01/04/2021. (See attached LIC 421E page). The Department obtained evidence that on or about June 30, 2020, Anita Kaufman, licensee, yelled, slapped, choked, and punched Child #1’s chest three (3) times, as a form of unlawful corporal punishment. This is a Type A deficiency as it poses an immediate hazard to the health and safety of children in care.

Licensee was informed that any further communication should be directed to our Department's Legal Division
Substantiated
Estimated Days of Completion: 1
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2021
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 3
Control Number 30-CC-20200827164048
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: KAUFMAN FAMILY CHILD CARE
FACILITY NUMBER: 197493354
VISIT DATE: 01/05/2021
NARRATIVE
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The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

In addition, a copy of this report must be provided to the authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months. The Acknowledgement of Receipt of Licensing Reports form (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided to the authorized representative no later than the next business day or the next day the child is in care.

An exit interview was conducted with Anita Kaufman, licensee. A copy of this report and appeal rights are being emailed to licensee and LPA explained that a reply to the email shall be considered a substitute for the hard-copy signature.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20200827164048
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: KAUFMAN FAMILY CHILD CARE
FACILITY NUMBER: 197493354
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/05/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/05/2021
Section Cited
HSC
1597.58f1B-f2
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Enhanced Civil Penalty...(f)(1)(B) For a violation that the department determines constitutes physical abuse or resulted in serious injury...to a child, the civil penalty shall be assessed as follows: Two thousand dollars ($2,000) for a large family day care home...(f)(2) For purposes of...unlawful corporal punishment...
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The Temporary Suspension Order (TSO) was served on 01/04/2021.
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This requirement is not met as evidenced by: On or about June 30, 2020, Anita Kaufman, licensee yelled, slapped, choked, and punched Child #1’s chest three (3) times, as a form of unlawful corporal punishment. This is a Type A deficiency as it poses an immediate hazard to the health and safety of 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: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3