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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191601954
Report Date: 07/25/2024
Date Signed: 07/25/2024 05:47:54 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
07/16/2024 and conducted by Evaluator Elicia Calvillo
COMPLAINT CONTROL NUMBER: 58-CC-20240716085552
FACILITY NAME:UCLA EARLY CARE AND EDUCATION-INFANTSFACILITY NUMBER:
191601954
ADMINISTRATOR:MINOR, ALICIAFACILITY TYPE:
830
ADDRESS:101 S. BELLAGIO DR.TELEPHONE:
(310) 825-5086
CITY:LOS ANGELESSTATE: CAZIP CODE:
90095
CAPACITY:60CENSUS: 11DATE:
07/25/2024
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Alessandra Pinheiro, DirectorTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Staff did not ensure facility is free of rodents.
Staff did not dispose contaminated food containers.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced complaint investigation visit to investigate and deliver findings on the above-mentioned allegations. LPA arrived at the facility at 08:15 AM and met with Alessandra Pinheiro, Director, who guided LPA on a tour of the inside and outside the facility. There were 11 children and 6 staff present upon arrival.

Throughout the course of the investigation, LPA obtained photos of classroom kitchen, obtained photos of building repairs, copies of cleaning invoice (classroom), copy of tree trimming invoice, interviewed Director, interviewed Director of Operations, and interviewed staff.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
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 4
Control Number 58-CC-20240716085552
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-INFANTS
FACILITY NUMBER: 191601954
VISIT DATE: 07/25/2024
NARRATIVE
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During today’s visit, LPAs addressed the allegations per Reporting Party that staff did not ensure facility is free of rodents and did not dispose of contaminated food containers resulting in a child being fed contaminated food that contained rodent droppings.

The allegations that staff did not ensure facility is free of rodents and staff did not dispose of contaminated food containers, have both been found to be substantiated.



The Interim Director reported on two occasions to the Department that rodent droppings were found in the classroom, a cleaning was completed, food was disposed of, and staff and children returned to the classroom on 07/10/2024 and on 07/15/2024, the second occasion was reported to the Department by the Interim Director that a child had been fed food contaminated with rodent droppings and was not disposed of during the first incident. Per the Director and Director of Operations rodent droppings were found in the classroom and although the classrooms were cleaned, food disposed of, and sanitized, there was food contaminated with rodent droppings that was not disposed of properly resulting in a child being feed contaminated food found in the classroom. Staff statements obtained indicated that the rodent droppings were found in the classroom, a deep cleaning was completed by the facility maintenance department, and that after the cleaning, a food container was found that contained rodent droppings which had not been properly disposed of resulting in a child being fed contaminated food.

Based on LPA Calvillo’s investigation, documents obtained, and statements obtained, it has been determined that the complaint allegations that that staff did not ensure facility is free of rodents and staff did not dispose of contaminated food containers, has been found to be substantiated. A determination that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

The following deficiencies listed on the attached LIC 9099D are being cited in accordance with California Code of Regulations Title 22.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 58-CC-20240716085552
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-INFANTS
FACILITY NUMBER: 191601954
VISIT DATE: 07/25/2024
NARRATIVE
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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, 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: 07/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 58-CC-20240716085552
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-INFANTS
FACILITY NUMBER: 191601954
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/09/2024
Section Cited
CCR
101238(a)(1)
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101238 (a) (1)Buildings and Grounds, (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.(1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
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Director stated they will establish a plan to ensure building grounds walk throughs will take place on an ongoing basis. Director will email LPA a copy maintance schedule wheb completed by the plan of correction due date 08/09/2024.
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This requirement is not met as evidenced by: Rodent droppings were found in clasroom and staff and children were removed from the classroom.
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Type B
08/09/2024
Section Cited
ILS
101239(f)(1)
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101239 (f)(1) Fixtures, Furniture, Equipment and Supplies, Solid waste shall be stored...provide a breeding place or food source for insects or rodents.(1)All containers used for storage...and shall be leakproof and rodent-proof
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Director stated food that is open will be stored in airtight containers and a staff review of food storage procedure. Director will email the training agenda and sign in sheets by the the plan of correction due date 08/09/2024.
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This requirement is not met as evidenced by: child was fed
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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: 07/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024
LIC9099 (FAS) - (06/04)
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