198016139-10-14-2021-54-CC-TCON-C93NJ8-20211124092952

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198016139
Report Date: 10/14/2021
Date Signed: 10/14/2021 10:52:46 AM

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
08/26/2021 and conducted by Evaluator Katrina Chicote

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20210826105029

FACILITY NAME:	MISSION KIDZ CHILD CARE CENTER		FACILITY NUMBER:	198016139
ADMINISTRATOR:	ANDREA CANALES		FACILITY TYPE:	850
ADDRESS:	415 W. TORRANCE BLVD.		TELEPHONE:	(310) 386-0690
CITY:	CARSON	STATE: CA	ZIP CODE:	90745
CAPACITY:	50	CENSUS: 17	DATE:	10/14/2021
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Naomi Iosia, Director		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff uses inappropriate discipline towards children in care.
Unqualified staff being left with children.

INVESTIGATION FINDINGS:

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This was a complaint inspection conducted by Katrina Chicote, Licensing Program Analyst (LPA) on 10/14/2021 at 9:45 AM for the purpose of delivering findings to the above allegations.

During this inspection, Director took LPA on a tour of the facility. There were seventeen children and three adults present during the visit.

During the investigation LPA made observations, conducted interviews, and obtained records. Information gathered from multiple interviews disclosed that there was an incident where a Staff 4 (S4) used inappropriate discipline towards a child and record review confirms that there is a written statement in S4’s file corroborating this incident. During initial 10-day inspection, LPA observed S4 providing care for children and S4 was not associated to facility at time of inspection which resulted in a Type A violation and a civil penalty. S4 interview also stated that she was left alone with children when she did not have necessary qualifications at that time to be left alone with children.
Report Continues - Page 1 of 2

Substantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021

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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Control Number 54-CC-20210826105029

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: MISSION KIDZ CHILD CARE CENTER	FACILITY NUMBER: 198016139
	VISIT DATE: 10/14/2021

NARRATIVE

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Based on the available information, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated.

The following citation is being cited today on the attached LIC 9099D.

Exit interview was conducted with Director, on 10/14/2021 at 10:45 AM, during which appeal rights were explained. Hard copy of this report along with a copy of the appeal rights was provided to Director at time of inspection.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 54-CC-20210826105029

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: MISSION KIDZ CHILD CARE CENTER	FACILITY NUMBER: 198016139
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/14/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/18/2021 Section Cited CCR 101223.2	1 2 3 4 5 6 7	101223.2 Discipline Any form of discipline or punishment that violates a child's personal rights as specified in Section 101223 shall not be permitted regardless of authorized representative consent or authorization. This regulation was not met as evidenced by:	1 2 3 4 5 6 7	Director states that she conducts one-on-one sessions with S4 to help train her on proper discipline strategies. Director states she will provide eample one-on-one sessions and a contract signed by S4 by POC date via email.
	8 9 10 11 12 13 14	Based on interviews and record review, S4 stated that there was an incident where she was let go due to an incident, and LPA record review confirms there was a statement written in S4's file about the incident.This poses an immediate health, safety, or personal rights risk to children in care	8 9 10 11 12 13 14
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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: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021

LIC9099 (FAS) - (06/04)

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