198015106-12-1-2021-54-CC-TCON-C9S33B-20211216165315

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198015106
Report Date: 12/01/2021
Date Signed: 12/01/2021 03:24:56 PM

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
09/17/2021 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20210917131622

FACILITY NAME:	EUCLID HEAD START		FACILITY NUMBER:	198015106
ADMINISTRATOR:	MARCIE HOUCHEN		FACILITY TYPE:	850
ADDRESS:	817 S. EUCLID AVENUE		TELEPHONE:	(323) 264-9220
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90023
CAPACITY:	30	CENSUS: 26	DATE:	12/01/2021
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Samira Alvarez, Site Supervisor		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Personal Rights- Staff did not change the child's diaper all day.
Personal Rights- Facility staff handled child in a rough manner
Personal Rights- Child sustained an unexplained injury while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), T. Tran conduct an unannounced inspection at the above licensed facility to conclude the aforementioned complaint allegations. Upon arrival, LPA met with Samira Alvarez, Site Supervisor.
Based upon the evidence obtained through the course of record reviews and interviews, there was insufficient evidence to support or disprove the above allegations of Personal Rights occurred at this facility. Record reviewed indicates, child's diaper was changed at least three times on Sept.14,15,16, &17. In addition, there were no witnesses to the allegations of a staff pushed/grabbed forcing a child to take a nap. As a result, child sustained red marks on the wrist. Therefore, the allegations of Personal Rights violation has been determined unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
The copy of this report was explained and issued to the noted person.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

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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