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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198014885
Report Date: 07/15/2022
Date Signed: 07/15/2022 02:58:41 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
05/27/2022 and conducted by Evaluator Katrina Chicote
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20220527100955
FACILITY NAME:UNIQUE'S PRESCHOOLFACILITY NUMBER:
198014885
ADMINISTRATOR:LETICHA TONEYFACILITY TYPE:
850
ADDRESS:9322 S. MAIN STREETTELEPHONE:
(323) 779-2595
CITY:LOS ANGELESSTATE: CAZIP CODE:
90003
CAPACITY:25CENSUS: 15DATE:
07/15/2022
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Johnnie McWilliams Johnson, AdministratorTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Personal Rights - Facility staff members hit day care child.
Personal Rights - Facility staff members inappropriately disciplined day care child.
INVESTIGATION FINDINGS:
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On 07/15/2022 at 1:45pm, LPA met with Johnnie McWilliams Johsnon, Administrator, for the purpose of an unannounced complaint investigation to deliver findings for the above allegations. LPA observed 15 day care children (12 napping) in care at the time of inspection with two adults present.

LPA conducted observations, obtained pertinent documents, and conducted multiple interviews of staff, children, and parents. Information gathered from multiple interviews disclosed corroborating information in regards to above allegations.

Based on the available information, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

The following citations are being cited today on the attached LIC 9099D.
Report Continues - Page 1 of 2

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022
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 54-CC-20220527100955
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: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885
VISIT DATE: 07/15/2022
NARRATIVE
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Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

Exit interview was conducted and report was reviewed with the Licensee (or facility representative), Johnie Johnson.


Report Ends - Page 2 of 2
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20220527100955
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: UNIQUE'S PRESCHOOL
FACILITY NUMBER: 198014885
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
07/26/2022
Section Cited
CCR
101223.2(a)
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101223.2 (a) Discipline
Any form of discipline or punishment that violates a child's personal rights as specified in Section 101223 shall not be permitted regardless of authorized representative consent or authorization.
This regulation was not met by:
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Facility Administrator states she will provide discipline policy and training signed by staff to LPA by POC date
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Based on multiple interviews, the Licensee did not provide appropriate discipilne and violated personal rights to children in care.

This poses an immediate 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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3