198017663-9-12-2019-54-CC-TCON-BGD26W-20190925170746

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198017663
Report Date: 09/12/2019
Date Signed: 09/12/2019 01:25:19 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 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
07/02/2019 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190702080346

FACILITY NAME:	CRYSTAL STAIRS INC. HEAD START-MAIN STREET		FACILITY NUMBER:	198017663
ADMINISTRATOR:	HARGRAVE, KIMBERLY		FACILITY TYPE:	850
ADDRESS:	11819 MAIN STREET		TELEPHONE:	(323) 421-2662
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90061
CAPACITY:	20	CENSUS: 12	DATE:	09/12/2019
		UNANNOUNCED	TIME BEGAN:	10:35 AM
MET WITH:	Site Supervisor		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

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Personal Rights- Staff yelled in the presence of children resulted a child in care felt intimidated.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffanie Tran arrived at the above facility to conduct an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the above allegations. LPA met with Site Supervisor.
Based upon the evidence obtained during the course of the investigation through interviews and observation, the evidence does not support, nor disprove the above allegation a child in care felt intimidated by a staff due to witnessing that staff yelled at a parent occurred at the facility. Intervviewed parties did not observe or witness the above allegation happened at the facility therefore, the allegations have been determined unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The copy of this report was explained and issued to noted person.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie Tran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

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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