198014213-5-16-2019-33-CC-CGUA-BDWQZ8-20190709123618

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198014213
Report Date: 05/16/2019
Date Signed: 05/16/2019 11:55:58 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
02/04/2019 and conducted by Evaluator Seung Lee

COMPLAINT CONTROL NUMBER: 33-CC-20190204085635

FACILITY NAME:	KEY'S WONDERLAND SCHOOL		FACILITY NUMBER:	198014213
ADMINISTRATOR:	ELIZABETH Y. KIM		FACILITY TYPE:	850
ADDRESS:	315 S. HOBART BLVD.		TELEPHONE:	(213) 382-7737
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90020
CAPACITY:	52	CENSUS: 42	DATE:	05/16/2019
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Elizabeth Kim		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Adult at facility is hitting the children in care.
Adult at facility inappropriately disciplines children in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Elizabeth KIm.

During the inspection LPA Lee conducted interviews in regards to the above allegation. The inspection conducted did not result in any new information in regards to the above allegation. Therefore, the findings remains unchanged at this time. The above allegations were found to be unsubstantiated based on the evidence collected during the investigation.

Exit interview conducted with Director Elizabeh Kim. Appeal rights discussed and explained.

The notice of site inspection must remain posted for a period of 30 days during hours of opeartion. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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