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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198007146
Report Date: 05/31/2024
Date Signed: 07/24/2024 02:36:51 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/11/2024 and conducted by Evaluator Franchesca White
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240311112101
FACILITY NAME:EDGEWATER PRESCHOOLFACILITY NUMBER:
198007146
ADMINISTRATOR:ELIANA CARBAJALFACILITY TYPE:
850
ADDRESS:5270 ATHERTON STREETTELEPHONE:
(562) 597-5913
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:55CENSUS: DATE:
05/31/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Stephanie Nord, Administrator TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Lack of Supervision
INVESTIGATION FINDINGS:
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On 05/31/2024 at 11:30 AM Licensing Program Analyst (LPA’s) F. White and K. Dunlap arrived at the above facility for the purpose of delivering findings for the above allegation. LPA White announced the purpose of the visit and was granted entry into the facility by Administrator Stephanie Nord. There are 55 children enrolled in the facility, and 49 present at the time of inspection. There were staff present at the time of inspection.

LPAs F. White and K. Dunlap toured the facility. LPA Dunlap conducted a census of staff to child ratio for each class to ensure proper supervison for children in care (Census is documented on LIC 812). LPA's observed all classes to be fully staffed with for the amount of children in care.

During the course of the investigation, LPA White conducted interviews of staff, parents, and children. No corroborating information was provided during interviews in regards to the allegation
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
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 54-CC-20240311112101
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: EDGEWATER PRESCHOOL
FACILITY NUMBER: 198007146
VISIT DATE: 05/31/2024
NARRATIVE
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 LPA White’s observations were conducted during various times of the day, and LPA did not observe any LACK OF SUPERVISION violations at time of inspections.

This Agency has investigated the above complaint and found that although the allegation may have happened or is valid; based on observations and interviews there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegations are deemed UNSUBSTANTIATED.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 05/31/2024



A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Facility Administrator, Stephanie Nord .



...................................................................Report Ends - Page 2 of 2.......................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2