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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493688
Report Date: 03/14/2023
Date Signed: 03/17/2023 10:34:34 AM

Substantiated


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
12/14/2022 and conducted by Evaluator Shandra Powell
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20221214143200
FACILITY NAME:ACADEMY AT MANHATTAN BEACH, THEFACILITY NUMBER:
197493688
ADMINISTRATOR:WESSEL, VIDAFACILITY TYPE:
850
ADDRESS:1114 22ND STREETTELEPHONE:
(310) 546-1700
CITY:MANHATTAN BEACHSTATE: CAZIP CODE:
90266
CAPACITY:125CENSUS: 43DATE:
03/14/2023
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Sylvia Ruiz, DirectorTIME COMPLETED:
03:26 PM
ALLEGATION(S):
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Personal Rights - Day care child(ren) was punched, hit and scratched by another child on multiple occasions while in care.
INVESTIGATION FINDINGS:
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**This is an amended version of a report that was created on 03/14/2023. The report is being amended to correct the Investigation Findings but the allegations remain the same**
The Licensing Program Analyst (LPA), Shandra Powell made an unannounced Complaint Inspection to the facility for the purpose of concluding the investigation of the above allegation regarding Personal Rights. LPA met with Sylvia Ruiz, Director. LPA observed 43 napping children and 3 staff during intial start of inspection.
Based on LPA's interviews, documentation received and Occurrence Reports 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. Child's personal rights have been violated by staff not stopping child on child hitting, and being scratched multiple times.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023
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 5
Control Number 30-CC-20221214143200
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: ACADEMY AT MANHATTAN BEACH, THE
FACILITY NUMBER: 197493688
VISIT DATE: 03/14/2023
NARRATIVE
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Neither child attend the facility any longer, therefore there is no longer a potential risk to the health and safety of children in care. However staff will remain in compliance at all times. Title 22 Regulation are being cited on the attached 9099D.

An exit interview was conducted and a copy of the LIC 9099, Notice of Site Visit and Appeal Rights were given to Director.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 30-CC-20221214143200
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: ACADEMY AT MANHATTAN BEACH, THE
FACILITY NUMBER: 197493688
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/20/2023
Section Cited
CCR
101223
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101223 Personal Rights
(2) To be accorded safe, healthful and comfortable accommodations... Child #1 was hit and scractched multiple times by child#2 while in care.
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Director and staff will review a video pertaining to the Personal Rights of Children on the Dept. website (www.ccld.ca.gov). Each staff will provide a statement of
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Child #1 and Child #2 no longer are attending the facility, therefore there is no longer a potential risk to the health and safety of children in care. However Staff must remain in compliance at all times.



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their takeaway or understanding of the video and the Director will provide a sign in sheet along with the short summaries from each staff member to the LPA by 03/20/23.
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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: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
12/14/2022 and conducted by Evaluator Shandra Powell
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20221214143200

FACILITY NAME:ACADEMY AT MANHATTAN BEACH, THEFACILITY NUMBER:
197493688
ADMINISTRATOR:WESSEL, VIDAFACILITY TYPE:
850
ADDRESS:1114 22ND STREETTELEPHONE:
(310) 546-1700
CITY:MANHATTAN BEACHSTATE: CAZIP CODE:
90266
CAPACITY:125CENSUS: 43DATE:
03/14/2023
UNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Sylvia Ruiz, DirectorTIME COMPLETED:
03:26 PM
ALLEGATION(S):
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Reporting Requirement - Facility staff are not following incident reporting requirements.
INVESTIGATION FINDINGS:
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**This is an amended version of a report that was created on 03/14/2023. The report is being amended to correct the Investigation Findings but the allegations remain the same** The Licensing Program Analyst (LPA), Shandra Powell made an unannounced Complaint Inspection to the facility for the purpose of concluding the investigation of the above allegation regarding Reporting Requirements. LPA met with Sylvia Ruiz, Director. LPA observed 43 napping children and 3 staff during intial start of inspection. Based on LPA interviews, documentation received and review of records. During inspection LPA observed records and self reporting from the facility on file. The above allegation Reporting Requirements are deemed unsubstantiated, meaning although the allegation are valid or may have happened, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of the LIC 9099, Notice of Site Visit and Appeal Rights were given to Director.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 30-CC-20221214143200
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: ACADEMY AT MANHATTAN BEACH, THE
FACILITY NUMBER: 197493688
VISIT DATE: 03/14/2023
NARRATIVE
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The above allegation Reporting Requirements are deemed unsubstantiated, meaning although the allegation are valid or may have happened, there is not a preponderance of the evidence to prove that the alleged violations occurred.
An exit interview was conducted and a copy of the LIC 9099, Notice of Site Visit and Appeal Rights were given to Director.
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra PowellTELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5