198019026-10-8-2019-33-CC-SLEE-BGRTZD-20191008151011

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019026
Report Date: 10/08/2019
Date Signed: 10/08/2019 03:10:18 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	PINOCCHIO CHILD CARE CENTER		FACILITY NUMBER:	198019026
ADMINISTRATOR:	ERICA CHA		FACILITY TYPE:	850
ADDRESS:	401 1/2 S. BERENDO ST.		TELEPHONE:	(213) 381-6080
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90020
CAPACITY:	48	CENSUS: 35	DATE:	10/08/2019
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Erica Cha		TIME COMPLETED:	03:25 PM

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	Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Director Erica Cha. The purpose of the inspection was to obtain information in regards to an incident that occurred at the facility on 07/29/2019. During the inspection LPA Lee conducted interviews and reviewed documents to obtain additional information. According the incident report and the Director, on 07/29/2019 Two staff members (Staff#1 and Staff#2) placed a diaper on Child#1 (age 5) during nap time. The staff members claimed that this action was taken to prevent Child#1 from behaving in a manner that was deemed inappropriate by the staff. The facility stated that the diaper was placed over the child's clothes and this was done outside the classroom in the common area where no children and other staff were present. Even if a diaper was placed in private setting and over the clothes of Child#1, this method of discipline used by Staff#1 and Staff#2 is a violation of Child#1's personal rights and an immediate risk to children in care. Since the incident occurred the Director had a meeting with all staff members present on 07/31/2019 that went over proper conduct in regards to personal rights and appropriate discipline procedures. Staff#1 and Staff#2 are no longer employed at this facility as of 08/31/2019 and were placed on leave on 07/31/2019 according to the Director. Report Continues.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

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

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PINOCCHIO CHILD CARE CENTER	FACILITY NUMBER: 198019026
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/08/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/09/2019 Section Cited	1 2 3 4 5 6 7	Personal Rights The licensee shall ensure that each child is accorded the following personal rights.To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but
	8 9 10 11 12 13 14	limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. Two staff members violated the personal rights of a child in care by placing a diaper on a child as a form of dicipline. This is an immediate risk to children in care	8 9 10 11 12 13 14
	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: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PINOCCHIO CHILD CARE CENTER	FACILITY NUMBER: 198019026
	VISIT DATE: 10/08/2019

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Therefore, based on the information collected during this inspection, it was determined that the incident that occurred on 07/29/2019 was a violation of child care regulations in regards to personal rights.

The following deficiencies listed on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22.

The Notice of Site Visit (LIC 9213) and all pages of this report– must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Facility was provided with a copy of the LIC 9224 form by LPA Lee. The Director understands that all parents currently enrolled will sign this form and all parents of children enrolled for the next year from this date will have to sign this form as well.

Exit interview was conducted with Director Erica Cha, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

End of Report.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

LIC809 (FAS) - (06/04)

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