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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198016445
Report Date: 06/04/2021
Date Signed: 06/04/2021 11:30:07 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
04/20/2021 and conducted by Evaluator Jeanette Estrada
COMPLAINT CONTROL NUMBER: 54-CC-20210420111846
FACILITY NAME:KID TOWN USA PRESCHOOL-MONTESSORI ACADEMYFACILITY NUMBER:
198016445
ADMINISTRATOR:HARSHI ANTONYFACILITY TYPE:
850
ADDRESS:13500 PARAMOUNT BLVD.TELEPHONE:
(562) 630-0400
CITY:SOUTH GATESTATE: CAZIP CODE:
90280
CAPACITY:144CENSUS: 64DATE:
06/04/2021
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director, Tina CoronelTIME COMPLETED:
11:07 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are practicing religious beliefs without authorization
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/04/21 Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced complaint tele-inspection to the above facility via Facetime due to the COVID19 Pandemic. LPA met with Tina Coronel, Director and went over the findings.
During the course of the investigation, LPA obtained staff interviews and additional supporting documents which determined that the allegation above has been substantiated. Interviews with staff indicated that a prayer is repeated before mealtimes. LPA reviewed documents and did not find written notification to parents of this religious practice. Based on interviews and review of documents, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
The Type B deficiency listed on the attached LIC 809D is being cited in accordance with California Code of Regulations Title 22.
This report and appeal rights will be sent to the Director via email with a read receipt to confirm the report was received. Exit interview conducted with Director Tina Coronel via teleconference.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
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-20210420111846
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2021
Section Cited
CCR
101223(a)(5) (A)
1
2
3
4
5
6
7
101223(a)(5)(A)Licensee shall ensure that each child is accorded the following personal rights:To be free to attend religious services or activities of his/her choice.The child's authorized representative shall make decisions about the child's attendance at religious services.
1
2
3
4
5
6
7
Per Director, prayer before mealtimes will not be practiced any longer. Director will inform staff and a notification to cease the prayer practice will be signed by staff and submitted to CCL by COB 6/7/21.
8
9
10
11
12
13
14
This requirement was not met as evidenced by; based on interviews and record review, the Licensee did not have written notification of religious practices in the admission agreement which poses a potential personal rights risk to persons 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) 981-3365
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2