197494464-11-16-2021-30-CC-MNEL-C8W2F7-20211118162101

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197494464
Report Date: 11/16/2021
Date Signed: 11/16/2021 02:53:22 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
08/31/2021 and conducted by Evaluator Veronica Wheatley

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20210831131905

FACILITY NAME:	VENICE FAMILY CLINIC-HAWLAWN		FACILITY NUMBER:	197494464
ADMINISTRATOR:	SCARBOROUGH STACEY		FACILITY TYPE:	850
ADDRESS:	4754 W.120TH STREET		TELEPHONE:	(310) 401-2874
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY:	32	CENSUS: 19	DATE:	11/16/2021
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Chasiti Neal		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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1. Child sustained unexplained injuries while in care.
2. Facility is not reporting incidents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), V. Wheatley conducted an unannounced inspection. LPA met with site director Chasiti Neal. LPA toured the facility and took a census of 19 children. LPA observed the children napping and supervised by two teachers in each classroom with 4 children minimum. The maximum number in one class was 7 children.

LPA is completeing the investigation regarding the above allegations. LPA conducted an inspection on September 2, 2021 and observed the children being supervised properly by the qualified staff. During the inspection, LPA interviewed the director, Staff #1, #2, and Staff #3, and Staff #4. They all denied the allegations. Based on the interviews, none of the staff observed Child #1 with any marks or brusises on the last day of enrollment. Staff member changed the child's diaper several times and did not observe any marks or brusing therefore no ouch report was provided. On the last day, there were 6 children present with two teachers supervising the entire day. daily logs which are kept by staff to document when a child eats, sleeps, etc. LPA observed logs for Child #1.

See Page 2.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2021

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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Control Number 30-CC-20210831131905

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: VENICE FAMILY CLINIC-HAWLAWN	FACILITY NUMBER: 197494464
	VISIT DATE: 11/16/2021

NARRATIVE

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LPA reviewed the children's roster and contacted additional witnesses. LPA was unable to obtain any information to validate the allegations.

Based on information obtained and interviews conducted there is not a preponderance of evidence to substantiate the allegation, therefore the allegation is unsubstantiated. Meaning although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Veronica Wheatley	TELEPHONE: (424) 301-3051
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2021

LIC9099 (FAS) - (06/04)

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