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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191890457
Report Date: 05/26/2026
Date Signed: 06/01/2026 10:54:39 AM

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
03/03/2026 and conducted by Evaluator Melissa Zaragoza
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20260303104859
FACILITY NAME:TOLUCA LAKE EARLY EDUCATION CENTERFACILITY NUMBER:
191890457
ADMINISTRATOR:ERIKA MANCIAFACILITY TYPE:
850
ADDRESS:4915 STROHM AVETELEPHONE:
(818) 980-0925
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91601
CAPACITY:119CENSUS: 97DATE:
05/26/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Principal, Lilia HernandezTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff did not ensure adequate supervision was provided resulting in child sustaining an injury while in care
INVESTIGATION FINDINGS:
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THIS IS AN AMENDED REPORT THAT SUPERSEDES THE PREVIOUS REPORT.
Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced complaint inspection to the above facility on 05/26/2026. LPA arrived at the facility at 9:30AM and met with the Principal, Lilia Hernandez. The Principal guided the analyst on a tour of the facility. There were 97 children and 20 staff present at the facility.

During the investigation LPA interviewed staff, interviewed children, interviewed parents, obtained a copy of the children's roster, and obtained copies of supporting documents.

Information provided by the Reporting Party (RP) indicated that staff did not ensure adequate supervision was provided resulting in a child sustaining an injury while in care.

Page 1 of 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
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-20260303104859
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: TOLUCA LAKE EARLY EDUCATION CENTER
FACILITY NUMBER: 191890457
VISIT DATE: 05/26/2026
NARRATIVE
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THIS IS AN AMENDED REPORT THAT SUPERSEDED THE PREVIOUS

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Per Principal, C1 was playing outside stepping on tree stumps, when they heard music begin to play. Per Principal, C1 got excited, tried to go to the area where the music was playing, and missed a step. C1 slipped from the tree stump and sustained an injury that required medical attention.

Per Staff 2 (S2), S2 was outside when the incident occurred. S2 did not observe what happened, but they saw C1 running towards them after the incident. S2 and Principal stated that C1s parents were immediately notified and first-aid was administered.

Children interviewed made no disclosures regarding the allegation.

Due to Principal and S2 disclosing that the incident occurred and no staff present observed the incident the above allegation is substantiated.

Based on LPAs observations and interviews which were conducted and record review, 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 101229(a)(1), is being cited on the attached deficiencies page.

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 the principle, Lilia Hernandez, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20260303104859
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: TOLUCA LAKE EARLY EDUCATION CENTER
FACILITY NUMBER: 191890457
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/27/2026
Section Cited
CCR
101229(a)(1)
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(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.
This requirement was not met as evidenced by:
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As a plan of correction, principal provided LPA today with a resource handout to reinforce requirements for care and supervision, for all staff. Per principal, all staff will be required to read and sign hand out and watch the, "Supervision children in childcare center" video on the CDSS online resource webpage. Principal will provide LPA with a copy of staff acknowledgement signature forms. Per principal, staff have also been designated to take their breaks when the class is inside. Staff no longer take breaks when the class is outside, all staff are required to be present outside during outdoor playtime. LPA received a copy of the staff outdoor designated area for supervision.
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During the investigation and based of staff interviews C1 sustained an injury and no adult staff observed what occurred, which poses an immediate health, safety, and personal rights risk to children 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: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
LIC9099 (FAS) - (06/04)
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