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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191870897
Report Date: 11/14/2024
Date Signed: 11/14/2024 11:45:41 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/12/2024 and conducted by Evaluator Randy Derraco
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240912145756
FACILITY NAME:USC HEAD STARTFACILITY NUMBER:
191870897
ADMINISTRATOR:JOANNA WILLIAMSFACILITY TYPE:
850
ADDRESS:741 WEST 27TH STREETTELEPHONE:
(213) 743-2466
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY:119CENSUS: 69DATE:
11/14/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Site Supervisor - Kenicia MotaTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Staff handled daycare child in a rough manner - Personal Rights
Staff using inappropriate forms of punishment - Personal Rights
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) R. Derraco conducted an unannounced complaint inspection to the above mentioned facility on 11/14/24. LPA arrived at the facility at 9:30 AM and was met by site supervisor Kenicia Mota, who guided analyst on a tour of the facility. LPA observed 69 children in care and 12 teachers caring for the children. The physcial plant of the above mentioned facility was observed to be in compliance with California Code of Regulation Title 22.

The purpose of this visit is to deliver complaint findings to the above mentioned allegations. During the course of the investigation, LPA conducted interviews, made observations and reviewed facility records. Individuals interviewed corrobarate the allegation that staff A1 handled daycare child in a rough manner by holding A2 by the wrists and physically moving them from one area of the classroom to another. Individuals interviewed also state that A1 would leave A2 in that area of the classroom (Cozy Corner) by themself as a form of punishment. During interviews, individuals indicated that the facility does not implement a "time out" system as a form of discpline. Individuals state that children exhibiting challenging behavior are redirected
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
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 54-CC-20240912145756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: USC HEAD START
FACILITY NUMBER: 191870897
VISIT DATE: 11/14/2024
NARRATIVE
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to other parts of the classroom, where they can express their feelings one on one with a staff members. Other services such as mental health referrals with a specialist are also provided for families with children exhibiting challenging behaviors. LPA observed that the parent handbook indicates that at no time will a teacher isolate a child or use physical punishment during a disciplinary situation. Signed statements from individuals were provided by the center also corroborates the allegations that staff handled day care child in a rough manner and used inappropriate forms of punishment. Based on the LPA's interviews conducted, and record review, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations Title 22, Division 12, Chapter 1, Article 06, section 101223(a)(3) are being cited on the attached LIC 9099D.

LPA R. Derraco informed Site Supervisor, Kenicia Mota, that this report dated 11/14/24 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA R. Derraco informed the Site Supervisor to provide a copy of this licensing report dated 11/14/24 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report reviewed with Site Supervisor, Kenicia Mota.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20240912145756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: USC HEAD START
FACILITY NUMBER: 191870897
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/15/2024
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain... This requirement is not met as evidenced by:
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Site supervisor states that a training meeting wtih staff members was held on 09/20/24 to discuss children's personal rights.
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Based on interviews conducted, and records review, the licensee did not ensure that each child to be free from unusual punishment which poses an immediate health/safety, and/or 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: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3