197494264-1-25-2021-30-CC-PFLS-BXN9SZ-20210126223818

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197494264
Report Date: 01/25/2021
Date Signed: 01/25/2021 04:15:39 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
11/20/2020 and conducted by Evaluator Denise Miranda

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20201120153956

FACILITY NAME:	MAPLE TREE ACADEMY WLA PRESCHOOL		FACILITY NUMBER:	197494264
ADMINISTRATOR:	CASPIAN, AMIR		FACILITY TYPE:	850
ADDRESS:	2920 S SEPULVEDA BLVD		TELEPHONE:	(310) 314-1111
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90064
CAPACITY:	80	CENSUS: 52	DATE:	01/25/2021
		UNANNOUNCED	TIME BEGAN:	01:46 PM
MET WITH:	Amy Siciliano, Director		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff yells at day care children.
Staff do not provide space between children while napping.
Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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On 01/25/2021 1:46pm, Licensing Program Analyst (LPA) Denise Miranda conducted an unannounced tele-inspection via facetime with Ms. Amy Siciliano, 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.
LPA observed a total of 52 children during nap time and was supervised by a Director and 6 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 are: Staff yells at day care children, Staff do not provide space between children while napping and Facility is operating out of ratio 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 Aimee Siciliano, Director, via email with a read receipt or confirmation of receipt of email.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Denise Miranda	TELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2021

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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