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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198018304
Report Date: 04/16/2021
Date Signed: 04/16/2021 03:32:12 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
02/10/2021 and conducted by Evaluator Raul Navarro
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20210210111815
FACILITY NAME:UN MUNDO DE AMIGOS PRESCHOOLFACILITY NUMBER:
198018304
ADMINISTRATOR:LAURIE PETERSONFACILITY TYPE:
850
ADDRESS:1480 LONG BEACH BLVDTELEPHONE:
(562) 591-3666
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:72CENSUS: 51DATE:
04/16/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Elisa Coburn-DirectorTIME COMPLETED:
12:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This complaint inspection was conducted by Licensing Program Analyst (LPA) Raul Navarro. Due to COVID-19 and precautionary measures, this inspection was conducted via teleconference to deliver the findings to the complaint investigation. The teleconference was conducted with Elisa Coburn. There were 51 children present with 10 staff during the inspection.

During the course of the investigation LPA Navarro conducted interviews with the reporting party, staff, parents, and children. Per reporting party, staff restrained child in care. Staff interviewed denied the allegation. There were no corroborating statements made in interviews with parents and children. Based on the interviews conducted and documentation obtained it has been determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove if the alleged violation did or did not occur, therefore at this time the above allegation is unsubstantiated.

*Report continues on the next page*
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
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
Control Number 54-CC-20210210111815
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: UN MUNDO DE AMIGOS PRESCHOOL
FACILITY NUMBER: 198018304
VISIT DATE: 04/16/2021
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Exit interview was conducted via teleconference with Director Elisa Coburn, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the Licensee via email with a read receipt to confirm receipt of the report and appeal rights.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2