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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198013463
Report Date: 04/05/2023
Date Signed: 04/05/2023 02:12:15 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, 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
03/29/2023 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230329120649
FACILITY NAME:COALICION DE LATINO AMERICANOS, INC.FACILITY NUMBER:
198013463
ADMINISTRATOR:ANA POPPERFACILITY TYPE:
850
ADDRESS:7413 JABONERIA ROADTELEPHONE:
(562) 928-5138
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY:48CENSUS: 15DATE:
04/05/2023
UNANNOUNCEDTIME BEGAN:
11:48 AM
MET WITH:Araceli Zavala, Site SupervisorTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Disinfectant is stored in a location accessible to children.
Outdoor play equipment is stored in a manner that creates a hazard to children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced complaint inspection on 04/5/23 to investigate the above allegation(s). LPA met with Araceli Zavala, Site Supervisor, who provided tour of the facility which included Classroom A and Classroom B. There were 0 children present upon arrival. During inspection 15 children arrived: 9 children and 2 staff in Room A and 6 children and 2 staff in Room B.

During this inspection. LPA observed a spray bottle of disinfecting solution on top of a 3 foot tall bookshelf by children's bathroom in Room A, possibly accesible to children in care. LPA observed equipment and supplies (including a basketball hoop and sand table on wheels) used for outdoor play stored in classroom A by exit door. This poses a potential risk to the safety of children in care.
Per Site supevisor, the equipment is maintained outdoors during hours of operation and stored inside classroom A only when children are not present.
----------- Page 1-Report continues

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
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)
Page: 1 of 3
Control Number 54-CC-20230329120649
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: COALICION DE LATINO AMERICANOS, INC.
FACILITY NUMBER: 198013463
VISIT DATE: 04/05/2023
NARRATIVE
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Based on the LPAs observations and interviews conducted the above allegations are substantiated.

Two (2) type B deficiencies are cited today in accordance with California Code of Regulations Title 22.

All deficiencies need to be cleared to ensure the health and safety of persons in care.



Exit interview was conducted with Araceli Zavala, Site Supervisor, including, but not limited to Appeal Procedures/appeal rights, Site Visit and agency’s consultative role.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
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
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20230329120649
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: COALICION DE LATINO AMERICANOS, INC.
FACILITY NUMBER: 198013463
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
101238(g)
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Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.

This requirement is not met as evidenced by:
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The Site Supervisor removed the disinfectant and paced in cabinet that is inaccessible to children in care. Per Site Supervisor, staff will scan the room daily to ensure cleaners and other hazards are removed before children arrive in the classroom. A written plan was provided by Site Supervisor during this inspection .
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LPA observed a cleaning solution on top of a three foot tall book shelf by the children's bathroom, this posses a potential risk to the health and safety of children in care.
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Type B
04/05/2023
Section Cited
CCR
101238(d)(1)
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General permanent or portable storage space shall be available for the storage of the center's equipment and supplies... Such equipment and supplies shall be stored in this space and shall not be stored in space used to meet other requirements specified in this chapter.
The requirement is not met as evidenced by:
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The play equipment was removed and placed outside. Per Site Supervisor, Araceli Zalvala. There will be a daily checklist for staff to ensure the play equipment is not stored in the classroom during hours of operation. A written plan was provided during this inspection .
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LPA observed large play equipemnt stored stacked in a corner of classroom A. This poses a potential risk to the health and safety of 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: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
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)
Page: 3 of 3