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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192006393
Report Date: 06/07/2022
Date Signed: 06/07/2022 09:49:18 AM

Unsubstantiated


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 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
03/03/2022 and conducted by Evaluator Dayna Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20220303101219
FACILITY NAME:CHILD LANEFACILITY NUMBER:
192006393
ADMINISTRATOR:DIANE PAYTONFACILITY TYPE:
850
ADDRESS:622 HILL STREETTELEPHONE:
(562) 599-0633
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:57CENSUS: 21DATE:
06/07/2022
UNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Marta Bizarron, Site SupervisorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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9
Staff hit child
INVESTIGATION FINDINGS:
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On June 7, 2022, Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced complaint inspection to the above facility to deliver findings for the above allegation. LPA met with Site Supervisor, Marta Bizarron, who guided analyst on a tour of the facility at 9:30AM. There were 21 children with five staff upon arrival.

LPA obtained copies of supporting documentation such as Current Children's Roster LIC 9040 to contact parents and written statements regarding the incident from staff, daily activity notes documenting child#1 daily behavior, eating, activities, and Child Lane Family Handbook.

The Director, Site Supervisor, Staff, and parents were interviewed. The complaint alleges staff #1 hit child in care. The Director and Site Supervisor spoke to the parent and during the discussion, the parent understood the explanation provided. During staff interviews, LPA did not obtain any corroborating evidence and staff denied the allegation and made no disclosures. All Staff interviewed denied observing or having knowledge of Staff #1 hitting Child #1 at any time while in care.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2022
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 2
Control Number 54-CC-20220303101219
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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILD LANE
FACILITY NUMBER: 192006393
VISIT DATE: 06/07/2022
NARRATIVE
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Interviews conducted with staff and parents did not corroborate the allegation that staff #1 hit the child in care.
Child #1 had been enrolled at the center for almost four years and there had been no prior incidents alleged. Child #1 was not afraid of Staff #1 after the alleged incident at any time while in care. The Director and Site Supervisor indicated the complaint may have been due to a misinterpretation by Child #1 and Staff#1. Child #1 is still enrolled at the center.

Based on the interviews conducted and documentation obtained it has been determined this allegation is Unsubstantiated. There is no other information that would substantiate the allegations or make the allegations unfounded.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation. Exit interview was conducted with Site Supervisor, Marta Bizarron. Appeal Rights were given and explained.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2