<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198014073
Report Date: 07/28/2021
Date Signed: 07/28/2021 10:47:25 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/04/2021 and conducted by Evaluator Thelma Razo
COMPLAINT CONTROL NUMBER: 33-CC-20210504155527
FACILITY NAME:CAMELOT KIDS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198014073
ADMINISTRATOR:KATHERINE MANLYFACILITY TYPE:
850
ADDRESS:2880 ROWENA AVENUETELEPHONE:
(323) 662-2663
CITY:LOS ANGELESSTATE: CAZIP CODE:
90039
CAPACITY:121CENSUS: 79DATE:
07/28/2021
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Renae Plant, LicenseeTIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of supervision resulting in child engaging in inappropriate behavior with another child.
Staff did not follow hand washing guidelines.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Thelma Razo conducted a subsequent site visit to deliver complaint investigation findings. LPA Razo spoke with Renae Plant and discussed the purpose of the visit.

On 5/12/2021, LPA Razo made an initial complaint tele-inspection via Facetime due to COVID-19 and met with Director Katherine Manly. At 3:00PM, Director Manly guided LPA on a virtual tour of the facility that include classrooms and bathrooms. LPA observed 87 children and 17 teachers at the time of the inspection. LPA interviewed Director Manly.

On 6/11/2021, a subsequent unannounced onsite complaint investigation was conducted by LPA Razo and met with Director Katherine Manly and Licensee Renae Plant. LPA toured the facility with Ms. Plant and inspected 8 classrooms (little yellow dragon, aqua dragon, green dragon, rainbow dragon, purple dragon, blue dragon, red big dragon, orange dragon/little knights classroom), bathrooms and outdoor play areas. LPA interviewed Licensee, Child #1, Child #2, Child #3 and Child #4. LPA was unable to interview Child #5 (C5) who is no longer with the center. Parent was uncomfortable having C5 interviewed.
Page 1 of 3
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma RazoTELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
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 33-CC-20210504155527
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CAMELOT KIDS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198014073
VISIT DATE: 07/28/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Additional interviews were conducted by LPA Razo via phone with Reporting Party (5/12/2021 and 7/9/2021), Staff #1-3 (5/27/2021), Staff #4 (7/9/2021), Parent #1 (7/14/2021), Parent #2 (7/16/2021), Parent #3 (7/16/2021) and Parent #4 (7/27/2021).

LPA obtained staff and children's roster, and Camelot Kids Protocol and Procedures (employee handbook).

Allegation #1 Lack of supervision resulting in child engaging in inappropriate behavior with another child.
According to allegation, a child touched C5 inappropriately. Responsible party also mentioned that
C5 said "We will hurt C5 and C5 is going potty too slow". According to the Licensee and staff, children are always supervised and never left unattended. They have indicated that there have witnessed any inappropriate touching and have not heard inappropriate comments made to a child. LPA observed during on site inspection on 6/11/2021 that all children are with staff and in the line of sight by the staff while in the bathroom. Per Licensee, teachers use the word "hurt" all the time, saying please don't hurt your friend, be careful don't hurt yourself, do you see how it hurt your friend’s feeling. Per Licensee, children pick up vocabulary very quickly and merge into a sentence which is out of context. Parents interviewed (4/4) did not indicate any concerns regarding the staff or facility. Based on interviews, and observation, there were no supporting evidence to validate the allegation.
Although the 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 the allegation is unsubstantiated at this time.

Allegation #2: Staff did not follow hand washing guidelines
The allegation has indicated that Child #5 did not wash hands since C5 has the washable nail polish still on during snack time. Investigation has revealed that the center distributes a weekly newsletter to parents where it features children doing activities in the center. One of the pictures had C5 eating snack with nail polish on. According to Licensee Renae Plant and staff, they have hand washing protocol and procedures which is in the employee's handbook and is being followed accordingly. LPA reviewed the employee handbook and it has indicated the hand washing guidelines. Per handbook, children are to wash their hands after going to bathroom, before and after eating, after blowing their nose, coughing or sneezing, after touching garbage, when hands look or fell dirty or sticky, after helping someone who is sick, after touching or feeling a pet and after playing on the yard. It also listed the five steps to follow: wet hands with clean, running water and apply

Page 2 of 3
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma RazoTELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20210504155527
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CAMELOT KIDS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198014073
VISIT DATE: 07/28/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
two pumps, lather, scrub at least 20 seconds, rinse, dry using clean towel. Four out of four (4/4) children interviewed were all consistent with stating that they wash their hands. LPA requested two of the children to demonstrate how they wash their hands, and both were able to show the steps while LPA watched. LPA observed there were hand washing supplies such as hand soap, and paper towels in each bathroom and working sink to enable hand washing. LPA also observed staff have hand sanitizer in their possession during inspection. Parents interviewed (4/4) did not indicate any concerns regarding the staff or facility. Based on interviews, observation and information gathered, there were no supporting evidence to validate the allegation.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated at this time.

No deficiencies were cited under California Code of Regulations Title 22, Division 12 at this time.

The notice of site visit was posted where the parents/guardians enter and exit the facility. The notice of site visit shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview was conducted with Licensee and Appeal Rights (LIC9058) were explained. A copy of the Licensee’s appeal rights, and this report were provided during this visit.


Page 3 of 3
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma RazoTELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3