192001332-8-6-2025-33-CC-KCHE-DKJTHJ-20250814144447

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 192001332
Report Date: 08/06/2025
Date Signed: 08/06/2025 01:10:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/28/2025 and conducted by Evaluator Seung Lee

COMPLAINT CONTROL NUMBER: 33-CC-20250728113825

FACILITY NAME:	SAE SSAK PRESCHOOL		FACILITY NUMBER:	192001332
ADMINISTRATOR:	SU CHA LEE		FACILITY TYPE:	850
ADDRESS:	118 N. OXFORD AVENUE		TELEPHONE:	(323) 461-3589
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY:	32	CENSUS: 6	DATE:	08/06/2025
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Bobby Lee		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Child received unexplained injury while in care
Staff did not provide adequate supervision resulting in day care child sustaining a bruise

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Bobby Lee.

During the course of this investigation, LPA Lee conducted interviews, reviewed documents, and made observations in regards to the above allegations.

The complaint alleges that Child#1 sustained an unexplained injury due lack of adequate supervision from the facility staff. The facility denied this allegation and made no disclosure. The complaint goes on to state that Child#1's parent observed a bruise on Child#1 during bath time. The complaint stated parent of Child#1 asked the facility how Child#1 sustained the bruise that was observed. The facility did not know how Child#1 sustained this bruise and informed the parent of Child#1. During an interview, the Director and staff members stated they do know how Child#1 sustained that mark.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20250728113825

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SAE SSAK PRESCHOOL	FACILITY NUMBER: 192001332
	VISIT DATE: 08/06/2025

NARRATIVE

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The facility staff interviewed stated that Child#1 was very active and had a hard time staying still. The facility staff members interviewed also stated that Child#1 had a habit of biting or scratching themselves. When asked if these observations were brought up to the parent of Child#1, the facility staff member stated that the parent was aware of these type of habits for Child#1.

After interviews with several different sources, LPA Lee observed that Child#1 is not verbal. The mark that was observed on the Child#1 was bruise according to the parent of the child. When asked about the mark on Child#1, the facility informed the parent that it did not know how the injury was sustained. During interviews, the facility staff members and Director stated that they do not know what injury the child sustained at the facility to leave that kind of mark. While it is possible that a lack of supervision from the facility caused the child to sustain an injury at the facility, an injury sustained at a facility does not guarantee that it was caused by the facility staff's lack of supervision.

It is possible that the bruise observed on Child#1 did come from a injury at the facility. However, it is also possible that the events that led to the injury was not preventable despite staff members providing adequate supervision in the classroom. For example, a staff member could have seen a child in the classroom sustaining an injury, but was not able to physically prevent the injury due to being too far away. It is also possible that the child fell or bumped into something, but did not communicate this to the teacher in the classroom.

Based on the evidence collected during the investigation, the allegation that Staff did not provide adequate supervision resulting in day care child sustaining an unexplained injury while in care may be valid. However, there is not enough preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegations are found to be unsubstantiated.

The notice of site inspection must be posted for a period of 30 days during hours of operation. Failure to maintain this posting requirement may result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Bobby Lee. Appeal rights discussed and explained.

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025

LIC9099 (FAS) - (06/04)

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