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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493751
Report Date: 09/09/2021
Date Signed: 09/09/2021 05:51:08 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
06/14/2021 and conducted by Evaluator Dalicia Adkins
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210614103701
FACILITY NAME:L.A.S.S. CRENSHAW (1)FACILITY NUMBER:
197493751
ADMINISTRATOR:NICHOLAS, CHRISTINEFACILITY TYPE:
850
ADDRESS:4508 CRENSHAW BLVDTELEPHONE:
(323) 296-6280
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:30CENSUS: 2DATE:
09/09/2021
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Site Supervisor Nicholas ChristineTIME COMPLETED:
06:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not informing authorized representative of incidents
Staff did not change day care child timely
Staff is treating child different than other day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/9/21 at 3:30pm Licensing Program Analyst (LPA) Dalicia Adkins conducted a unannounced complaint inspection. LPA informed office manager the purpose of the visit and was guided on tour of the facility. There were 2 children present (4yrs-5yrs old) and 1 teacher.
The purpose of today’s inspection is to conclude complaint investigation and deliver findings.
During today's visit LPA Adkins interviewed children.
Based on record reviews, observations and interviews it was determined that the above-mentioned allegations are unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.
Exit interview conducted. A copy of this report and notice of site visit was given.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karren StarksTELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia AdkinsTELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
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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