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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192006337
Report Date: 06/12/2023
Date Signed: 06/12/2023 11:04:55 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/22/2023 and conducted by Evaluator Judy Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230522125328
FACILITY NAME:CENTRO DE ALEGRIAFACILITY NUMBER:
192006337
ADMINISTRATOR:VERONICA HERRERAFACILITY TYPE:
850
ADDRESS:420 N. SOTO STREETTELEPHONE:
(323) 685-8501
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY:62CENSUS: 24DATE:
06/12/2023
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Veronica Herrera TIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Personal Rights: Staff taped child's hands.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced site inspection on this date to conclude the investigation for the above complaint allegation. LPA met with Director, Veronica Herrera and Program Manager, Maricela Guzman, who guided analyst on a tour of the facility.

During the course of this investigation, LPA observed the classroom where the incident occurred. LPA took a photograph of the tape used in the incident. Interviews were conducted with facility staff, children and an additional witness. LPA also reviewed and obtained copies of Children's Identification and Emergency forms.

During the course of the interviews conducted, a disclosure was made that corroborates with the above complaint allegation. On May 18, 2023, a child's and/or children's hands were taped with painters tape in the classroom in an inappropriate manner.

*REPORT CONTINUES ON NEXT PAGE
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/22/2023 and conducted by Evaluator Judy Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230522125328

FACILITY NAME:CENTRO DE ALEGRIAFACILITY NUMBER:
192006337
ADMINISTRATOR:VERONICA HERRERAFACILITY TYPE:
850
ADDRESS:420 N. SOTO STREETTELEPHONE:
(323) 685-8501
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY:42CENSUS: 24DATE:
06/12/2023
ANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Veronica Herrera TIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Child sustained an unexplained injury while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced site inspection on this date to conclude the investigation for the above complaint allegation. LPA met with Director, Veronica Herrera and Program Manager, Maricela Guzman, who guided analyst on a tour of the facility.

During the course of this investigation, LPA observed the child's classroom where the incident could have potentially occurred. Interviews were conducted with facility staff, children and an additional witness. LPA also reviewed and obtained copies of Children's Identification and Emergency forms.

Although the allegation may have happened or is valid there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

*REPORT CONTINUES ON NEXT PAGE
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20230522125328
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CENTRO DE ALEGRIA
FACILITY NUMBER: 192006337
VISIT DATE: 06/12/2023
NARRATIVE
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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 conducted with Veronica Herrera and Maricela Guzman. Appeal Rights explained and provided during this visit.


*END OF REPORT
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20230522125328
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CENTRO DE ALEGRIA
FACILITY NUMBER: 192006337
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/14/2023
Section Cited
CCR
101223(a)(3)
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Personal Rights
To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living
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Director states she needs to speak to the Executive Director. Director states she needs to do training with all staff. She is going to ask if staff can stay additional time for the training. Director will send LPA written plan by POC due date 06/14/23.
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including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
This requirement was not met as evidenced by a disclosure made during interviews conducted. On May 18, 2023, a child's and/or children's hands were taped with painters tape in the classroom in an inappropriate manner. This was an immediate risk to the health and safety of 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: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 33-CC-20230522125328
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CENTRO DE ALEGRIA
FACILITY NUMBER: 192006337
VISIT DATE: 06/12/2023
NARRATIVE
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Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be Substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 1), are being cited on the attached LIC. 9099D.

This incident posed an immediate Health and Safety risk to clients in care.

Upon receipt of this report, the licensee shall post any licensing report documenting a type A citation or substantiated complaint. This must remain posted for 30 days during the hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

Exit interview was conducted with Veronica Herrera and Maricela Guzman. Appeal rights and procedures were provided during this visit.

*END OF REPORT
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5