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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198013177
Report Date: 12/21/2022
Date Signed: 12/21/2022 04:31:37 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
12/15/2022 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20221215122129
FACILITY NAME:MARY ALICE O'CONNOR CCLCFACILITY NUMBER:
198013177
ADMINISTRATOR:AMANDA EDWARDSFACILITY TYPE:
830
ADDRESS:401 N. BUENA VISTA STREETTELEPHONE:
(818) 846-1063
CITY:BURBANKSTATE: CAZIP CODE:
91506
CAPACITY:20CENSUS: 11DATE:
12/21/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Meredith LapidesTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Physical Plant: Facility's security keypad is in disrepair.
INVESTIGATION FINDINGS:
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On 12/21/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced complaint investigation for the allegation above. LPA met with Director, Meredith Lapides. LPA observed 11 infants with 5 teachers.

During today's visit, LPA conducted a tour of the infant center and interviewed Director who stated the keypad to entrance door was temporarily not working, and Assistant Director, Lilian Dergevorkian, put tape on the door to allow parents to enter and exit without having to wait for faciltiy staff to allow parents in and out. Director stated the Assistant Director was supervising the door while the tape was added; however, the health and safety of children in care as well as staff was at risk because anyone at that time could have entered the facility. Director stated the tape was only in use for about 20 minutes, and the door has remained locked since. Currently, parents must ring the doorbell to enter. LPA observed a sign on the door that reads: "If the door is not opening, please ring doorbell." Director stated a locksmith is currently working on reparing the keypad.
[CONTINUE ON PAGE 2]
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022
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 3
Control Number 58-CC-20221215122129
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MARY ALICE O'CONNOR CCLC
FACILITY NUMBER: 198013177
VISIT DATE: 12/21/2022
NARRATIVE
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PAGE 2

Based on interviews, observation, and record review, there a preponderance of evidence to prove the alleged violation did occur. While the keypad is currently in process of repair, the allegation is SUBSTANTIATED. A Type B deficiency was cited during today's inspection (see LIC 9099-D for details).

An exit interview was conducted and a copy of this report along with the Notice of Site Visit and Appeal Rights were provided to Director, Meredith Lapides.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20221215122129
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MARY ALICE O'CONNOR CCLC
FACILITY NUMBER: 198013177
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/21/2022
Section Cited
CCR
101238(a)
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101238 Buildings and Grounds (a) The child care center shall be...in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement was not met as evidenced by:
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Director agreed to continue keeping the entrance door locked and allowing parents to enter and exit by means of the doorbell and facility staff. Director agreed to send LPA a copy of the repair information (invoice etc) from the technician once the repair is complete via email.
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Based on interviews, observation, and record review, tape was used to keep the entrance door open while the keypad was temporarily not working, which poses a potential health, safety, or personal rights risk to children in care.
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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: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Lillian J CasillasTELEPHONE: (424) 301-3097
LICENSING EVALUATOR SIGNATURE:

DATE: 12/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/21/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3