197494263-1-29-2021-30-CC-PFLS-BXR26V-20210129160744

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197494263
Report Date: 01/29/2021
Date Signed: 01/29/2021 12:21:31 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
12/07/2020 and conducted by Evaluator Denise Miranda

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20201207140944

FACILITY NAME:	MAPLE TREE ACADEMY WLA-INFANT		FACILITY NUMBER:	197494263
ADMINISTRATOR:	CASPIAN, AMIR		FACILITY TYPE:	830
ADDRESS:	2920 S SEPULVEDA BL		TELEPHONE:	(310) 314-1111
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90064
CAPACITY:	70	CENSUS: 37	DATE:	01/29/2021
		UNANNOUNCED	TIME BEGAN:	11:47 AM
MET WITH:	Stephanie Chacon, Director and Ms. Stephanie Caspian		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff not meeting daycare child’s diapering needs resulting in a diaper rash
Facility toys are not sanitized daily

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 01/29/2021 11:48am, Licensing Program Analyst (LPA) Denise Miranda conducted an unannounced tele-inspection via facetime with Ms. Stephanie Chacon, Director, for the purpose of delivering the investigation findings for the above-mentioned allegations. The tele-inspection was conducted due to Covid-19 pandemic and the Safer at Home order issued by California State Governor Newson, this complaint was conduct via face time. LPA observed a total of 37 Infants and was supervised by a Director and 10 staff members
Based on the information gathered throughout the course of the investigation which include LPA’s observation and interviews, the allegations that the facility is Staff not meeting daycare child’s diapering needs resulting in a diaper rash and Facility toys are not sanitized daily are unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there are not a preponderance of the evidences to prove that the alleged violation occurred.
An exit interview was conducted. This report along with a copy of the appeal rights will be sent to the Stephanie Chacon, Director, via email with a read receipt or confirmation of receipt of email.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2021

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