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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192006499
Report Date: 07/30/2024
Date Signed: 07/30/2024 03:42:16 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/13/2024 and conducted by Evaluator Judy Laureano
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240513151757
FACILITY NAME:MOFFETT STATE PRESCHOOLFACILITY NUMBER:
192006499
ADMINISTRATOR:ULLOA, ANAFACILITY TYPE:
850
ADDRESS:11050 LARCH AVETELEPHONE:
(310) 680-3500
CITY:LENNOXSTATE: CAZIP CODE:
90304
CAPACITY:105CENSUS: 0DATE:
07/30/2024
UNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Nellie Rios ParrasTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff did not provide daycare children with adequate supervision
Staff had inappropriate interaction with day care child
Staff handled daycare child in a rough manner

INVESTIGATION FINDINGS:
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On 7/30/2024 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of delivering findings of above-mentioned allegations. LPA was met with Nellie Rios-Parra, Program Director.

On 5/15/2024 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. Upon arrival, LPA met with Faviola Salcedo, Site Supervisor and toured the facility and observed classroom 51A with 16 children and 3 staff members and classroom 53A with 17 children and 3 staff members.

On 5/29/2024 LPA Judy Laureano arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. LPA toured the facility and observed classroom 51A with 19 children and 3 staff members and classroom 53A with 19 children and 3 staff members.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
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 2
Control Number 30-CC-20240513151757
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MOFFETT STATE PRESCHOOL
FACILITY NUMBER: 192006499
VISIT DATE: 07/30/2024
NARRATIVE
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LPA requested and reviewed the following documents: children's roster, sign in sheet, copy of menu and Lennox School District Website. LPA interviewed staff members, school cafeteria staff, children and parents.

Based on the information received and interviews of staff, parent and children, NO INFORMATION was disclosed that facility did not provide adequate supervision and that children’s personal rights were violated, therefore, the allegation is UNSUBSTANTIATED, meaning although the allegations may have happened or are valid, the preponderance of the evidence standard has not been met.

Upon receipt of this report, the Director/Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Program Director – Nellie Rios Parra.

A copy of this report and appeal rights were discussed and left with the Director, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2