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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015390
Report Date: 10/21/2019
Date Signed: 10/21/2019 01:13:25 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
10/14/2019 and conducted by Evaluator Rita Ramos
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20191014132557
FACILITY NAME:SMITH HEAD STARTFACILITY NUMBER:
198015390
ADMINISTRATOR:ANGELA HULLETT & PETRINA DFACILITY TYPE:
850
ADDRESS:565 E. HILL STREETTELEPHONE:
(562) 595-9465
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:80CENSUS: 29DATE:
10/21/2019
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Angela Hullett, Head TeacherTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility bathroom is not kept clean and sanitary.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced complaint inspection to the above facility. LPA met with Angela Hullett, Head Teacher, who guided analyst on a tour of the facility. There were 29 children with 9 staff upon arrival.

During the investigation LPA obtained a copy of the facility roster, took pictures of the restrooms, obtained a copy of supporting documentation and interviewed staff.

Information provided by the reporting party indicates that the restrooms are not clean, not sanitary, and the restroom has ants. The reporting party indicated that the trash cans are completely full by the time the children in the PM session enter.

Per Early Learning Manager, the facility has a custodian that comes daily to empty out trash cans
--------Continues on Page 2 (Page 1 of 2)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2019
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-20191014132557
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: SMITH HEAD START
FACILITY NUMBER: 198015390
VISIT DATE: 10/21/2019
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
and staff can also empty the trash cans and clean and clear as necessary because it is part of their responsibilities and work duties, however, when it comes to the ants, the district has received service requests to get rid of the ants. Per Early Learning Manager, currently there is no log or rotation for restroom maintenance at the facility.

When interviewing staff, Staff #1 stated that the custodian comes to clean once a day in the evening and the trash cans can be emptied out by staff but, that only occurs if staff has time to do so. Per Staff #2, there is a district custodian that comes daily but, trash cans are not always emptied out during the day.

Based on LPAs observations, pictures taken, documentation obtained, and interviews which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 Chapter 1 101238(a), is being cited on the attached deficiencies page.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted with Natasha Jackson, Early Learning Center Manager, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

----------Page 2 of 2


SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20191014132557
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: SMITH HEAD START
FACILITY NUMBER: 198015390
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/21/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/04/2019
Section Cited
CCR
101238(a)
1
2
3
4
5
6
7
Buildings and Grounds

The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by
1
2
3
4
5
6
7
Per Early Learning Center Manager, a schedule for checking the restroom and staff logs for inspecting and cleaning the restrooms will be created. A copy of the logs will be submitted by POC due date of 11/04/19.
8
9
10
11
12
13
14
LPA observing that the restrooms at the facility have full trash cans at the time of arrival, the restroom in Room 18 that s used by children enrolled in Rooms 17 and 18 has ants, and the trash can in the restroom was full when children from the PM session entered. This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3