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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191603677
Report Date: 01/11/2024
Date Signed: 01/11/2024 02:21:30 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/08/2024 and conducted by Evaluator Miriam Cohen
COMPLAINT CONTROL NUMBER: 30-CC-20240108084202
FACILITY NAME:HOLY TRINITY LUTHERAN CHILD CARE CENTERFACILITY NUMBER:
191603677
ADMINISTRATOR:KORY HIGGINSFACILITY TYPE:
850
ADDRESS:9300 CRENSHAW BLVDTELEPHONE:
(323) 757-4850
CITY:INGLEWOODSTATE: CAZIP CODE:
90305
CAPACITY:85CENSUS: 17DATE:
01/11/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:DORA SALAN, INTERIM DIRECTORTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff did not ensure adequate care and supervision was provided to child in care
INVESTIGATION FINDINGS:
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On 01/11/2024 @ 10:30 AM, Licensing Program Analyst (LPA) Miriam Cohen conducted an unannounced complaint visit for the purpose of notifying the preschool director concerning the above-mentioned allegation and to perform an investigation. Upon arrival, LPA Cohen observed four adults providing care for 17 children. LPA Cohen met with preschool director, Dora Salan. LPA interviewed the following: Preschool director, the board president, and other staff members.
During the interview, Ms. Salan stated the following:
1. On 01/04/2024, around 4:15 PM, Parent of Child #1 (C)1 found C1 standing outside alone, without adult supervision, in the play yard attempting to open the gate. C1 was left outside alone for approximately 45 minutes.
2. On 01/04/2024, the local police department was called by the parent of C1. One police officer came to investigate.
3. The board president of the facility reported the incident to the department and submitted a written LIC 624 on 01/04/2024.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
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 30-CC-20240108084202
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HOLY TRINITY LUTHERAN CHILD CARE CENTER
FACILITY NUMBER: 191603677
VISIT DATE: 01/11/2024
NARRATIVE
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LPA Cohen substantiated the allegation based on the interviews and declarative statements from the interim preschool director, board president, and other staff members. The facility was cited a Type A deficiency and a $500 Immediate Civil Penalty according to California Code of Regulations Title 22 (See LIC 9099D report for deficiency). Licensee is to post notice of Site Visit for 30 Days, failure to do so will result in $100 immediate civil penalty. This report must be copied and given to all parents and to the parents of any child enrolling within the next 12 months. An exit interview, a copy of the report, and Appeal Rights were provided to Dora Salan.

SUBSTANTIATED - A finding that a complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.
Written declarations from staff members regarding the above allegation were obtained.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20240108084202
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: HOLY TRINITY LUTHERAN CHILD CARE CENTER
FACILITY NUMBER: 191603677
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/11/2024
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time...
Supervision shall include visual observation.
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*Director agrees to provide a written statement (LIC 855/Declaration Form) on intention to keep children safe at all times. Declaration to be submitted to LPA by 01/26/2024, end of business day.
*Director agrees provide an in-service to all staff members to include watching the following CCL videos:

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This requirement was not met as evidenced by (C1) standing outside alone, without adult supervision, in the play yard attempting to open the gate. C1 was left outside alone for approximately 45 minutes.
This poses an immediate risk to the health, safety, or personal rights of children in care.
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https://ccld.childcarevideos.org/child-care-center-operators/supervising-children-in-child-care-centers/
https://ccld.childcarevideos.org/child-care-center-operators/childrens-personal-rights-in-child-care/
*Director agrees to provide a written s01/26/2024, end of business day.
tatement of completion, using LIC 855 (Declaration Form), from all staff members. Declaration from all staff members to be sent to LPA, via email, by
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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: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3