198015658-7-2-2019-54-CC-KCHS-BDZM9F-20190712092439

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198015658
Report Date: 07/02/2019
Date Signed: 07/02/2019 03:00:26 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
04/18/2019 and conducted by Evaluator Raul Navarro

COMPLAINT CONTROL NUMBER: 54-CC-20190418095832

FACILITY NAME:	UNION PACIFIC CDC/YWCA OF GREATER L.A.		FACILITY NUMBER:	198015658
ADMINISTRATOR:	NORMA GONZALEZ		FACILITY TYPE:	830
ADDRESS:	4315 UNION PACIFIC AVENUE		TELEPHONE:	(323) 415-6057
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90023
CAPACITY:	38	CENSUS: 23	DATE:	07/02/2019
		UNANNOUNCED	TIME BEGAN:	01:32 PM
MET WITH:	Yesica Ramirez		TIME COMPLETED:	03:19 PM

ALLEGATION(S):

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Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA's) Raul Navarro and Alicia Mooberry conducted an unannounced complaint inspection on this date for the purpose of delivering the findings of the above allegation. LPA met with Lead Teacher Yesica Ramirez who guided LPA's on a tour of the facility both indoor and outdoors. The infant/toddler program consist of two classrooms. There was a total of 9 infants with four staff members in the infant room and 14 toddlers with five staff members in the toddler room.

During the course of the investigation LPA's interviewed the Director, preschool staff, and parents. Complainant was anonymous.Complainant states that they observed the facility to be out of ratio. Complainant did not give a time or date when the facility was out of ratio. LPA's conducted interviews with the preschool staff. No corroborating information was obtained. LPA interviewed parents, no corroborating statements were made. LPA's also collected the children's roster and sign in and sign out sheets. Record review for staff qualifications was also conducted.
* Report continues on the next page*

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

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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Control Number 54-CC-20190418095832

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: UNION PACIFIC CDC/YWCA OF GREATER L.A.	FACILITY NUMBER: 198015658
	VISIT DATE: 07/02/2019

NARRATIVE

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Based on conflicting statements made by the complainant and the parties interviewed, the LPA is unable to determine whether the allegation actually occurred. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is Unsubstantiated.

Exit interview conducted with the Lead Teacher Yesica Ramirez during which appeal rights were given and explained. A copy of the Appeal Rights (LIC 9058 01/16) was provided.

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. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 07/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2019

LIC9099 (FAS) - (06/04)

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