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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015106
Report Date: 06/07/2023
Date Signed: 06/07/2023 02:10:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 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
04/30/2023 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230430180627
FACILITY NAME:EUCLID HEAD STARTFACILITY NUMBER:
198015106
ADMINISTRATOR:MARCIE HOUCHENFACILITY TYPE:
850
ADDRESS:817 S. EUCLID AVENUETELEPHONE:
(323) 264-9220
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:30CENSUS: 21DATE:
06/07/2023
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Dany GutierrezTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Personal Rights-Day care child sustained injuries while in care.
Neglect/Lack of Superviision-Facility staff are not adequately supervising day care children.
Personal Rights-Facility staff did not notify parent in a timely manner after child sustained head injury.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), T Tran arrived at the above licensed facility to conduct an unannounced subsequent visit for the purpose of delivering the above complaint allegations. Upon arrival, LPA met with Teacher, Dany Gutierreze and we toured the facility. LPA observed proper care and supervision during nap time.
Based upon the evidence obtained during the course of the investigation through interviews, and record reviews, on 4/28/23, Monterey Park S.W. Regional Office received a call from the above facility to self-report an incident occurred on 4/27/23 inlvoved two children bumped their forehead during story time. No injury observed. An interview with S1 indicates she observed the incident and mom was notiifed in a timely manner. Record indicates parent recieved an incident reported on 4/27/23. No other incidents occurred to C1 while in care. Therefore, the above allegations have 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.
No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the facility representative, Dany Gutierrez
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
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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