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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494348
Report Date: 06/15/2021
Date Signed: 06/15/2021 04:22:35 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
04/26/2021 and conducted by Evaluator Lisa Rios
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210426154106
FACILITY NAME:BRELLA PLAYA VISTA PRESCHOOLFACILITY NUMBER:
197494348
ADMINISTRATOR:KENNER RAKOVFACILITY TYPE:
850
ADDRESS:12746 W JESFFERSON BL. #3-3100TELEPHONE:
(213) 300-5962
CITY:PLAYA VISTASTATE: CAZIP CODE:
90094
CAPACITY:43CENSUS: DATE:
06/15/2021
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Kenner RakovTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Over capacity
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 15th, 2021, Licensing Program Analsyt Lisa Rios met with the facility Director Kenner Rakov (via tele-visit due to Covid-19) to go over the findings of the investigation for the allegation that the facility is operating Over Capacity.

Based on interviews conducted and documents received, the facility has closed one of their classrooms and facility have submitted to the Department on 5/3/21 an application for Increase in Capacity.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was emailed to the Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Peter FloresTELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Lisa RiosTELEPHONE: (424) 301-3072
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2021
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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