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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198011557
Report Date: 07/12/2019
Date Signed: 09/18/2019 09:59:29 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/19/2019 and conducted by Evaluator Armando J Lucero
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20190619104053
FACILITY NAME:KIRKWOOD CHRISTIAN SCHOOLSFACILITY NUMBER:
198011557
ADMINISTRATOR:ROSA SERRANOFACILITY TYPE:
850
ADDRESS:10822 BROOKSHIRE AVENUETELEPHONE:
(562) 862-4251
CITY:DOWNEYSTATE: CAZIP CODE:
90241
CAPACITY:100CENSUS: 39DATE:
07/12/2019
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Rosa Serrano, DirectorTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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9
Staff spoke inappropriately to day care child.
INVESTIGATION FINDINGS:
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13
This is an Amended Report
An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) A. Lucero in regards to the allegation above. LPA met with Director Rosa Serrano who guided LPA on a tour of the indoors and outdoors of the facility.

Complaint alleges staff spoke inappropriately to day care child. More specifically, it was alleged that staff #1 mimicked child #1's speech and tone of voice. LPA interviewed Director and staff; no disclosures were made during interviews.

It was stated during interviews with staff that staff will sometimes repeat what children say in an effort to meet the child at their level and to build bridges of communication; and is never done with the intent to be rude, malicious, or to demean the child in any way. Interviews were conducted with currently enrolled children and parents; no disclosures were made.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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-20190619104053
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KIRKWOOD CHRISTIAN SCHOOLS
FACILITY NUMBER: 198011557
VISIT DATE: 07/12/2019
NARRATIVE
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This is an Amended Report
This agency has investigated the complaint alleging staff spoke inappropriately to day care child. Although the above 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 at this time the above allegation is Unsubstantiated.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted with the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights (LIC 9058 01/16) was provided. The Licensee’s signature on this report acknowledges receipt of rights.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J LuceroTELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2