198016445-6-18-2019-54-CC-KCHS-BFBUHE-20190823153549

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198016445
Report Date: 06/18/2019
Date Signed: 06/18/2019 10:29:19 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
05/20/2019 and conducted by Evaluator Raul Navarro

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190520095159

FACILITY NAME:	KID TOWN USA PRESCHOOL-MONTESSORI ACADEMY		FACILITY NUMBER:	198016445
ADMINISTRATOR:	HARSHI ANTONY		FACILITY TYPE:	850
ADDRESS:	13500 PARAMOUNT BLVD.		TELEPHONE:	(562) 630-0400
CITY:	SOUTH GATE	STATE: CA	ZIP CODE:	90280
CAPACITY:	144	CENSUS: 72	DATE:	06/18/2019
		UNANNOUNCED	TIME BEGAN:	08:28 AM
MET WITH:	Ernestina Coronel		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Facility staff handled day care child in an inappropriate manner.

Facility staff refused to allow child to use the restroom.

Facility staff yelled at day care child(ren).

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced complaint inspection on today's date. LPA met with Director Ernestina Coronel who guided LPA on a tour of the facility. There was a total of 72 children with nine staff present.

During the course of the investigation LPA Navarro conducted interviews with the Complainant, Director, Staff and children present. Complainant stated their child was not allowed to use the restroom during nap time causing child to have an accident various times. The Director and staff deny all allegations. There were no corroborating statements made during the staff interviews. Complainant also stated that facility staff yell at day care children. Director and staff deny the allegations. There were no corroborating statements made during the interviews conducted with the staff and children. Complainant stated that during pick up, a family member observe staff handling a child in a rough manner. Director and staff deny the allegation. No corroborating statements were made during interviews conducted with staff and children.
*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: 06/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2019

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-20190520095159

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: KID TOWN USA PRESCHOOL-MONTESSORI ACADEMY	FACILITY NUMBER: 198016445
	VISIT DATE: 06/18/2019

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 allegations actually occurred. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore, the allegations are unsubstantiated.

Exit interview was conducted with Director Ernestina Coronel . The Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 daysduring 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.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2019

LIC9099 (FAS) - (06/04)

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