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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494865
Report Date: 10/19/2021
Date Signed: 10/19/2021 10:14:49 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
09/30/2021 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210930081723
FACILITY NAME:WISEBURN PRESCHOOL ENRICHMENTFACILITY NUMBER:
197494865
ADMINISTRATOR:KAREN CHAPKHANEHFACILITY TYPE:
850
ADDRESS:12501 ISIS AVENUETELEPHONE:
(310) 725-2100
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:111CENSUS: 57DATE:
10/19/2021
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Karen ChapkhanehTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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9
Physical Plant: Facility is unsanitary
INVESTIGATION FINDINGS:
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13
On 10/19/2021, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced complaint visit for the purpose of concluding the investigation regarding the allegation above. LPA met with Site Supervisor, Karen Chapkhaneh. LPA observed 57 children with 11 staff.

On 10/6//2021, LPA Casillas inititated the complaint investigation due to the allegation above. LPA toured the inside and outside of the facility and interviewed Site Supervisor and Staff 1. LPA also obtained copies of the following documents: children’s roster (LIC9040), personnel roster (LIC500), and sign-in/sign-out sheets for 9/29-10/5/2021.

Based on the investigation, which included interviews with relevant parties and observation, 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.
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: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
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-20210930081723
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: WISEBURN PRESCHOOL ENRICHMENT
FACILITY NUMBER: 197494865
VISIT DATE: 10/19/2021
NARRATIVE
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An exit interview was conducted and a copy of this report along with the Notice of Site Visit and Appeal Rights were provided to Site Supervisor.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 10/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2