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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018035
Report Date: 06/04/2019
Date Signed: 06/07/2019 08:52:40 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 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
04/29/2019 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190429143350
FACILITY NAME:CDCLA-CHINATOWN SERVICE CENTER CHILDREN'S CENTERFACILITY NUMBER:
198018035
ADMINISTRATOR:WILKIN, LISAFACILITY TYPE:
850
ADDRESS:521 W. CESAR E. CHAVEZ AVENUETELEPHONE:
(213) 617-0705
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY:48CENSUS: 32DATE:
06/04/2019
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Center DirectorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Staff handled child in a rough manner by holding child's wrist too tight
Personal Rights- Staff yelled and intimated a child in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tiffanie Tran arrived at the above facility for the purpose of deliver the final findings for the aforementioned complaint allegations. LPA met with Center Director. LPA observed proper care and supervision.
Based on the evidence obtained during the course of the investigation through interviews, observation, and record reviews the evidence does not support, nor disprove the above allegations of staff holds child's wrist too tight or yelled and intimated a child in care occurred at this facility. There were no witnesses observed such incidents 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 provided to the noted person.
Due tot consistency check, 9099 hand writing report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
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 2