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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191670971
Report Date: 08/20/2024
Date Signed: 08/20/2024 02:32:01 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
08/13/2024 and conducted by Evaluator Judy Laureano
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240813113817
FACILITY NAME:ST JOHNS CHILD STUDY CENTERFACILITY NUMBER:
191670971
ADMINISTRATOR:LAURA OSORIOFACILITY TYPE:
850
ADDRESS:1339 20TH STREETTELEPHONE:
(310) 829-8921
CITY:SANTA MONICASTATE: CAZIP CODE:
90404
CAPACITY:60CENSUS: 16DATE:
08/20/2024
UNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Laura Benavente,Site DirectorTIME COMPLETED:
02:31 PM
ALLEGATION(S):
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Lack of Supervision: Facility staff left day care child unattended
INVESTIGATION FINDINGS:
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On 8/20/2024 Licensing Program Analyst (LPA) Judy Laureano conducted an unannounced complaint investigation regarding the above allegation. LPA arrived at facility and was greeted by director Laura Benavente, facility director.

Program operates an infant program on same location and LPA toured both programs.
LPA toured the facility indoor and outdoors and observed the following:
Classroom B- 3 children and 1 staff member
Classroom C- 8 children and 3 staff members
Therapeutic Classroom E and F- 5 children and 4 staff members

LPA requested children’s roster, staff roster, parent handbook, children’s file and staff files. Director agreed to email any document not provided at the time of the visit. LPA initiated staff interviews.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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-20240813113817
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: ST JOHNS CHILD STUDY CENTER
FACILITY NUMBER: 191670971
VISIT DATE: 08/20/2024
NARRATIVE
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LPA Laureano confirmed that a child was left without visual supervision on 6/12/2024 for approximately 13 minutes. Based on record reviews and interviews, there is a preponderance of evidence to prove the above allegation did occur. Therefore, the allegation of staff left day care child unattended is to be SUBSTANTIAED.

LPA cited 1 Type A deficiency during today’s visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1. Please see LIC 809D.

Effective January 1, 2009, all licensees must comply with Assembly Bill (AB) 978. Assembly Bill 978 requires the assessment of an immediate civil penalty for designated serious violations at community care facilities.

Effective January 1, 2007, the licensee must comply with Assembly Bill 633 as follows: Copies of any licensing report that documents a Type A citation - this includes facility visits and substantiated complaint investigations. Copies of any licensing documents pertaining to a noncompliance conference between licensing management and licensees. Copies of a summary of an accusation indicating the Department’s intent to revoke the facility’s licenses. Copies of any of the above licensing documents the licensee has
received in the prior 12 months shall be provided to parents/guardians of newly enrolling children. The licensee shall keep verification of receipt in each child’s file at the facility as proof of compliance (LIC 9224).

Upon on receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Director Laura Benavente. Copy of this report and appeal rights were discussed and left with director whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20240813113817
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: ST JOHNS CHILD STUDY CENTER
FACILITY NUMBER: 191670971
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/20/2024
Section Cited
CCR
101229(a)(1)
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101229 (a)(1)
(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...Supervision shall include visual observation.
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Director met with staff to discuss incident and retrained staff on utilizing the Teacher Child Ratio Log that all teachers utilize. Facility has also implemented different check point where staff confirms children in attendance.
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This requirement is not met as evidence by, per LPA Laureano's document review and interviews, facility left a child unattended for approximately 13 minutes on 6/12/24, which poses an immediate health and safety risks to persons in care.
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Director agrees to train staff on visional and auditory supervision during the use of the preschool yard going over potential scenarios and will submit meeting points to LPA via email.
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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: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC9099 (FAS) - (06/04)
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