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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015658
Report Date: 12/13/2019
Date Signed: 12/13/2019 03:43:42 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
11/14/2019 and conducted by Evaluator Reiko Jones
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20191114095127
FACILITY NAME:UNION PACIFIC CDC/YWCA OF GREATER L.A.FACILITY NUMBER:
198015658
ADMINISTRATOR:NORMA GONZALEZFACILITY TYPE:
830
ADDRESS:4315 UNION PACIFIC AVENUETELEPHONE:
(323) 415-6057
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY:38CENSUS: 52DATE:
12/13/2019
UNANNOUNCEDTIME BEGAN:
03:07 PM
MET WITH:Adriana Lopez_Site DirectorTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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Personal Rights_Facility staff yelled at infant.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced complaint investigation visit for the allegation above.

During the course of this investigation on November 19, 2016 at 2:30pm LPA observed infant teachers at play with children in the Little Angels classroom. On November 26, 2019 LPA observed infants during discovery play and language activities. LPA observed infant teachers comfort crying infants in an appropriate manner. LPA did not observe staff violating the personal rights of children in care. Facility staff nor parents corroborated the allegation during confidential interviews.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
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 2
Control Number 54-CC-20191114095127
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: 12/13/2019
NARRATIVE
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The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Licensee. The Licensee was provided a copy of their appeal rights as well as a Notice of Site Visit.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2