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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191601484
Report Date: 10/22/2024
Date Signed: 11/20/2024 04:04:33 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/24/2024 and conducted by Evaluator Elicia Calvillo
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240624151940
FACILITY NAME:UCLA EARLY CARE AND EDUCATIONFACILITY NUMBER:
191601484
ADMINISTRATOR:MINOR, ALICIAFACILITY TYPE:
850
ADDRESS:101 S. BELLAGIO DR.TELEPHONE:
(310) 825-5086
CITY:LOS ANGELESSTATE: CAZIP CODE:
90095
CAPACITY:122CENSUS: 37DATE:
10/22/2024
UNANNOUNCEDTIME BEGAN:
08:28 AM
MET WITH:Allessandra Pinheiro, Lead DirectorTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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***THIS IS AN AMENDED REPORT WHICH SUPERSEDES THE PREVIOUS REPORT***
On 10/21/2024 at 08:28 AM, Licensing Program Analysts (LPAs) Elicia Calvillo and Lilia Hernandez conducted a complaint visit to deliver findings on the above allegation. LPAs identified self and met with Alessandra Pinheiro, Lead Director, who allowed entry into the facility and provided LPA a guided tour of the inside and outside of the facility. LPA later met by Toshon McKeithan, Executive Director and Rosaura (Rosie) Castillo, Center Director.

Upon arrival there were 63 children and 10 staff present. LPAs also observed 2 exempt adults present.

During the investigation conducted by the Department Investigation Branch (IB) interviews were conducted, obtained copy of Child Care Facility Rosters, and copies of other pertinent information and documents were also obtained.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
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 3
Control Number 58-CC-20240624151940
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: UCLA EARLY CARE AND EDUCATION
FACILITY NUMBER: 191601484
VISIT DATE: 10/22/2024
NARRATIVE
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Information provided by the Reporting Party (RP) indicates that Child #2 may have had their personal rights violated.

Based on information provided by the Investigator from the Department’s Investigations Branch (IB), observations and interviews which were conducted, and a record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, 101223 (a)(2) Personal Rights is being cited on the attached deficiency page.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Lead Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

The Notice of Site Visit (LIC 9213) 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.

Exit interview was conducted with Alessandra Pinheiro, Lead Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20240624151940
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: UCLA EARLY CARE AND EDUCATION
FACILITY NUMBER: 191601484
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/30/2024
Section Cited
CCR
101223(a)2
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:...(2) To be accorded safe, healthgul and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by:
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Per Lead Director, staff will be provided with a review of Personal Rights and proof of acknowledgement will be provided to LPA by the Plan of Correction due date 10/30/2024.
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Based on observations, interviews, and record reviews that the investigations revealed, Child #2’s had their personal rights violated which poses an immediate health, safety, and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024
LIC9099 (FAS) - (06/04)
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