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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198016996
Report Date: 05/09/2019
Date Signed: 05/09/2019 01:18:09 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/22/2019 and conducted by Evaluator Jacqueline Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190422114118
FACILITY NAME:UNION STATION GATEWAY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198016996
ADMINISTRATOR:CYNTHIA RIDINGFACILITY TYPE:
830
ADDRESS:1 GATEWAY PLAZA 99-PL-7TELEPHONE:
(213) 922-4453
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY:24CENSUS: 17DATE:
05/09/2019
UNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Maria Tellez, Assistant AdministratorTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Hazards are accessible to infants in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jacqueline Martinez conducted an unannounced complaint inspection to the above facility to follow up on a complaint investigation that was initially conducted on 4/24/19.

Upon arrival LPA met with Shaquiesha Hampton, Site Director and discussed the reason for today’s inspection. A complaint was received on 4/22/19 which alleges that hazards are accessible to infants in care. Assistant Administrator, Maria Tellez completed today's inspection.

During the course of this investigation, interviews were conducted with 3 Staff members and a throrough inspection of the classrooms and the play area used by the Infant program was done. LPA observed that the facility has placed clear contact paper on the bulletin boards in the Huggables and Rainbow rooms, however not in the Lullaby room where the younger infants are located. The facility uses staples to attach children's art work on the bulletin board. The bulletin boards are located at a low level, reacheable by the children.
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Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019
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 3
Control Number 33-CC-20190422114118
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: UNION STATION GATEWAY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198016996
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/23/2019
Section Cited
CCR
101238.3(b)
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Indoor Activity Space:(b) The floors of all rooms shall have a surface that is safe and clean.
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Assistant Administrator states that all staples on the lower boards in the infant rooms will be removed. Pictures of the boards in each of the 3 Infant Rooms will be provided by due date as proof of correction.
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The regulation was not met as evidence of the following: The boards in the Lullaby room did not have contact paper. LPA observed that the boards are at a low level for children to reach and the use of staples that fall to the floor, poses a potential health & safety risk to the children in care. .
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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: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20190422114118
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: UNION STATION GATEWAY CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198016996
VISIT DATE: 05/09/2019
NARRATIVE
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Staff #2 stated that children sometimes hand her the staples when they find them on the floor. Staff #3 stated that children reach for the boards and sometimes find staples and hand them to her. LPA also observed 2 staples on the floor during the 4/24/19 inspection. The boards are at a low level for children to reach and the use of staples that fall to the floor poses a potential health & safety risk to the children in care. A Type B deficiency is being cited under 101238.3 (b) Indoor Activity Space which states that, "The floors of all rooms shall have a surface that is safe and clean".

LPA observed that the emergency evacuation supplies that are located in the hallway which is the walkway the Infant Program uses to exit the play area has been re-organized as to prevent children from grabbing the items. The wooden portable gate that was leaning against the items as observed on 4/24/19 has been removed, preventing children from pulling on the wooden gate.

An exit interview was conducted with Maria Tellez, Assistant Administrator. Appeal Rights were explained and provided as well as the Notice of Site Visit. .

The Notice of Site Visit should be posted where the parent/guardian of children enter and exit the facility. This notice shall remain posted for 30 consecutive days.

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SUPERVISOR'S NAME: Katherine HarewoodTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline MartinezTELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:

DATE: 05/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3