198018749-3-9-2021-54-CC-KCHS-BZNMDF-20210401093100

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198018749
Report Date: 03/04/2021
Date Signed: 03/09/2021 11:17:57 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 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
07/14/2020 and conducted by Evaluator Warren Birks

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20200714085120

FACILITY NAME:	KIDAZZLES LEARNING CENTER		FACILITY NUMBER:	198018749
ADMINISTRATOR:	CARMEN VELAZQUEZ		FACILITY TYPE:	850
ADDRESS:	6424 LONG BEACH BLVD		TELEPHONE:	(562) 612-4868
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	30	CENSUS: 6	DATE:	03/04/2021
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Twaneisha Baker		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Uncleared adult in the facility

INVESTIGATION FINDINGS:

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AMENDED REPORT TO CLARIFY TYPO - ALL JULY 20, 2021 DATES SHOULD INDICATE YEAR 2020.
This complaint inspection was conducted by Licensing Program Analyst (LPA) Warren Birks. Due to COVID-19 and precautionary measures, this inspection was conducted via teleconference with Director Twaneisha Baker. LPA observed 6 preschool children during the visit.
During the July 20, 2021 tele-inspection, LPA observed Director Baker’s fingerprint clearance was not associated to the facility (in the Licensing Information System [LIS]). Director Baker informed LPA that she started approximately 1 week prior to July 20, 2021. She also indicated that she called weeks ago to get information to transfer her fingerprints and a Licensing Representative told her she did not have a clearance in the system (which slowed her whole transfer process).

LPA informed Director Baker that Title 22 regulations require all staff be fingerprint cleared and associated before working in a licensed facility. Based on interview and LIS data, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A $500 penalty is assessed.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

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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Control Number 54-CC-20200714085120

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: KIDAZZLES LEARNING CENTER	FACILITY NUMBER: 198018749
	VISIT DATE: 03/04/2021

NARRATIVE

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A copy of this report must be provided to the parent or guardian of every child and (including any newly enrolled children) for the next 12 months. The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent/guardian). Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) form.

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. Exit interview was conducted with Director Baker via teleconference.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 54-CC-20200714085120

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: KIDAZZLES LEARNING CENTER	FACILITY NUMBER: 198018749
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/04/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/04/2021 Section Cited CCR 101170(e)(2)	1 2 3 4 5 6 7	All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director submitted Clearance transfer paperwork and was associated. Director indicated that since then she has signed up with the Guardian system which will help prevent clearance issues.
	8 9 10 11 12 13 14	On July 21, 2020 LPA observed Director Baker's fingerprints were not associated to the facility. Director indicated she started approximately a week prior. This is an immediate risk to children in care. A $500 civil penalty was assessed.	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) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

LIC9099 (FAS) - (06/04)

Page: 3 of 4

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
07/14/2020 and conducted by Evaluator Warren Birks

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20200714085120

FACILITY NAME:	KIDAZZLES LEARNING CENTER		FACILITY NUMBER:	198018749
ADMINISTRATOR:	CARMEN VELAZQUEZ		FACILITY TYPE:	850
ADDRESS:	6424 LONG BEACH BLVD		TELEPHONE:	(562) 612-4868
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	30	CENSUS: 6	DATE:	03/04/2021
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Twaneisha Baker		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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9

Uncleared adult forging sign in and out forms

INVESTIGATION FINDINGS:

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This complaint inspection was conducted by Licensing Program Analyst (LPA) Warren Birks. Due to COVID-19 and precautionary measures, this inspection was conducted via teleconference with Director Twaneisha Baker. LPA observed 6 preschool children during the visit.

During the course of the investigation, LPA conducted staff interviews and reviewed the following: July 2020 Sign in/sign out sheets and Resource and Referral (R&R) sheets. Based on review, LPA was could not determine if unauthorized signatures were on the sign in and sign out forms. Note: LPA did observe various times did not match R&R paperwork. However, the allegation could not be substantiated that unauthorized individuals signed the sign in and sign out forms. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, at this time the above allegations is unsubstantiated. 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. Exit interview was conducted with Director Baker via teleconference.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 4