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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494026
Report Date: 07/26/2021
Date Signed: 07/28/2021 10:08:05 AM



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
04/30/2021 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210430113430
FACILITY NAME:SHIRAYURI YOUCHIENFACILITY NUMBER:
197494026
ADMINISTRATOR:AOYAMA,YOSHIOFACILITY TYPE:
830
ADDRESS:20706 NORMANDIE AVENUETELEPHONE:
(310) 715-1731
CITY:TORRANCESTATE: CAZIP CODE:
90502
CAPACITY:10CENSUS: DATE:
07/26/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Tomi AoyamaTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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1. Personal Rights: Staff yells at children
2. Lack of Supervision: Staff left daycare child unattended
3. License: Facility is out of ratio
4. Personal rights: Staff make inappropriate comments in the presence of day care children regarding their parents
5. License: Unenrolled child receiving care
INVESTIGATION FINDINGS:
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On 7/26/2021 at 11:57 AM, Licensing Program Analyst (LPA) Lillian Casillas conducted an unnannounced complaint tele-visit regarding the allegations above. LPA met with James Aoyama, Substitute Teacher.

On 6/3/2021, LPAs Lillian Casillas and Jillinda Chandler conducted an unannounced follow up complaint investigation regarding the allegations above. LPAs met with Tomi Aoyama (Teacher), Yoshio Aoyoma (Director), and James Aoyama (Substitute Teacher). LPAs toured the inside and outside of the facility and reviewed the following documents: sign-in/sign-out sheet for 6/3/2021, personnel files, and children's files.

On 5/4/2021, LPA Lillian Casillas conducted an unannounced 10-day complaint tele-investigation due to the allegations above. LPA toured the facility via FaceTime with Tomi Aoyama and obtained the following documents: children's roster, staff roster, admission agreement, staff phone numbers, sign-in/sign-out sheets for 5/3/2021 and 5/4/2021, and staff schedule for 5/3/2021 and 5/4/2021.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
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 2
Control Number 30-CC-20210430113430
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: SHIRAYURI YOUCHIEN
FACILITY NUMBER: 197494026
VISIT DATE: 07/26/2021
NARRATIVE
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Based on the investigation, which included interviews with relevant parties, observation, and record review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

Exit interview was conducted and a copy of the report was provided to James Aoyama via email who agreed to reply to the email in lieu of a signature.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2