198007141-4-5-2023-30-CC-KSTS-CSYVYL-20230620165117

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198007141
Report Date: 04/05/2023
Date Signed: 04/05/2023 01:37:29 PM

Substantiated

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
03/22/2023 and conducted by Evaluator Shandra Powell

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20230322142712

FACILITY NAME:	CHILDREN'S COLLECTIVE - THE STATE		FACILITY NUMBER:	198007141
ADMINISTRATOR:	JEANETTE BANUELOS		FACILITY TYPE:	850
ADDRESS:	932 W 85TH ST		TELEPHONE:	(323) 789-1873
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90044
CAPACITY:	24	CENSUS: 18	DATE:	04/05/2023
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Tammy Mosby and Shawna Mizell		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

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Personal Rights - Facility staff yelled at child in care.

INVESTIGATION FINDINGS:

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On 04/05/2023 Shandra Powell made an unannounced visit to the facility above for the purpose of conducting an investigation for Personal Rights and to deliver the findings. LPA observed 18 children in care with one Teacher and one Aide during the initial start of the investigation.
During the course of this investigation LPA conducted interviews with staff, children and parent. Interviews with parent and children reported that Staff 1 and Staff 2 yell at children. However both staff stated they have tone is loud at times. Based on information obtained during this investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Substaintiated; A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
Exit interview conducted with Shawna Mizell copies of report and appeal rights given.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

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-20230322142712

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: CHILDREN'S COLLECTIVE - THE STATE	FACILITY NUMBER: 198007141
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/05/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/05/2023 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of	1 2 3 4 5 6 7	Per Educational Specialist all staff will view www.ccld.ca.gov website to review Personal Rights for children in care video. A staff meeting will follow to address concerns and the review of the
	8 9 10 11 12 13 14	pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to... This poses a potential risk to the health, safety and/or personal rights of children in care	8 9 10 11 12 13 14	personal rights video of children with staff. A copy of meeting agenda and record of those who attended will be submitted to LPA by POC due date of 04/07/2023 with a short written statement of the meaning of Personal Rights from each Staff.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 04/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2023

LIC9099 (FAS) - (06/04)

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