198017305-3-16-2023-54-CC-KCHS-CQ5VRM-20230321164009

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198017305
Report Date: 03/16/2023
Date Signed: 03/16/2023 03:28:50 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 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
02/21/2023 and conducted by Evaluator Katrina Chicote

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20230221090917

FACILITY NAME:	SAGA CHILD DEVELOPMENT LEARNING ACADEMY INC.		FACILITY NUMBER:	198017305
ADMINISTRATOR:	SANCHEZ, VICTOR		FACILITY TYPE:	850
ADDRESS:	3801 CORTLAND STREET		TELEPHONE:	(310) 632-4273
CITY:	LYNWOOD	STATE: CA	ZIP CODE:	90262
CAPACITY:	57	CENSUS: 23	DATE:	03/16/2023
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Victor Sanchez, Director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Admission Agreement - Staff do not comply with the terms and conditions of the admission agreement.

INVESTIGATION FINDINGS:

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On 03/16/2023 at 2:30 PM Licensing Program Analysts (LPAs) Katrina Chicote and Franchesca White conducted an Unannounced Complaint Inspection for the purpose of delivering findings to the above allegation. During this inspection, LPAs toured the facility both indoors and outdoors. Census was taken.

During the investigation LPA made observations, conducted interviews, and obtained pertinent documents. Information gathered from staff interviews confirm child attended facility only for two weeks and services were terminated. Director confirms that services were terminated and referenced two month probationary period on Admission Agreement. LPA record review confirms there is a two month probationary period but does not clearly indicate services can be terminated prior to two months. Two month probationary period also includes additional documents to be provided when services are terminated but were not provided at termination.

Report Continues - Page 1 of 2

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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 54-CC-20230221090917

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SAGA CHILD DEVELOPMENT LEARNING ACADEMY INC.	FACILITY NUMBER: 198017305
	VISIT DATE: 03/16/2023

NARRATIVE

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Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation are found to be SUBSTANTIATED. In this case there is concrete evidence to state that the above allegation occurred at the facility.

The following citations are being cited today on the attached LIC 9099D.

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 and report was reviewed with the Licensee (or facility representative), Victor Sanchez.

Report Ends - Page 2 of 2

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 54-CC-20230221090917

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SAGA CHILD DEVELOPMENT LEARNING ACADEMY INC.	FACILITY NUMBER: 198017305
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/16/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/18/2023 Section Cited CCR 101219(f)	1 2 3 4 5 6 7	101219 Admission Agreements (f) The licensee shall comply with all terms and conditions set forth in the admission agreement. This regulation was not met as evidenced by:	1 2 3 4 5 6 7	Facility Representative states they will provide adendum to to Admission Agreement to indicate when services can be terminated.
	8 9 10 11 12 13 14	Based on interviewsd and record review, Licensee did not comply with admission agreement by terminating services to child and not providing documents indicated and complying with two month timeline.	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: Karen Chambers	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC9099 (FAS) - (06/04)

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