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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018059
Report Date: 02/27/2025
Date Signed: 02/27/2025 02:20:29 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
01/03/2025 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20250103162028
FACILITY NAME:C11/NICKERSON GARDENS HEAD STARTFACILITY NUMBER:
198018059
ADMINISTRATOR:VANESSA DEVAUGHNFACILITY TYPE:
850
ADDRESS:11253 S. COMPTON AVE.TELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:32CENSUS: 23DATE:
02/27/2025
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Janice WhiteTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Licensee is not ensuring that facility is maintained in good repair.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), T Tran arrived at the above licensed facility to conduct an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the above allegation. Upon arrival, LPA met with Site Supervisor, Janice White and toured the facility. LPA observed proper care and supervision.
Based upon the evidence obtained through interviews, record reviews, and observation, on 1/3/25 preschool/toddler had 10 children with 9 staff present. Around 9:40AM facility water source was turned off for about 3 hours because Housing Authority CIty of LA though the facility was on winter break. Site supervisor immediately contacted the city and handled this situation. In the meantime, the facility had enough emergency water sources to remain opened to ensure the health and safety of children and staff. Children and staff drinking water available by filtered water dispenser, food preparation with Brita water filter, and 5 gallons water available if needed for children's bathroom and hand washing. Next door gym's bathroom available for staff. Therefore, the allegation of licensee is not ensuring that the facility is maintained is good repair due to water source was temporary shut off 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 site supervisor.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
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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