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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195700161
Report Date: 12/28/2023
Date Signed: 12/28/2023 07:11:29 PM

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
12/19/2023 and conducted by Evaluator Ellorine Jankans
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20231219143535
FACILITY NAME:LEVI FAMILY CHILDCAREFACILITY NUMBER:
195700161
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 4DATE:
12/28/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sigalit LeviTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Unlicensed care being provided.
INVESTIGATION FINDINGS:
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On 12/28/2023, Licensing Program Analyst (LPA) Ellorine Jankans and Licensing Program Manager Emiko Bell (LPM) conducted an unannounced complaint visit for the purpose of investigating an allegation of unlicensed care at the address mentioned above. LPA and LPM met with Sigalit Levi. LPA and LPM observed 2 adults and 4 children.

Ms. Levi admitted to caring for up to four children from several different families from 08:30-12:00 Monday through Thursday. When asked why she was providing care without a license, Ms. Levi stated that it was her understanding that she could care for up to four children without a license. Ms. Levi stated that the four children for whom she is providing care and supervision for today are from two different families.

There is currently a pending application for this facility. Ms. Levi was advised to communicate with the assigned LPA regarding any outstanding items which may be needed to expedite the processing of the application.




Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Ellorine Jankans
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023
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 3
Control Number 58-CC-20231219143535
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: LEVI FAMILY CHILDCARE
FACILITY NUMBER: 195700161
VISIT DATE: 12/28/2023
NARRATIVE
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Based upon Ms. Levi's own admission that she is providing care for children from more than one family, for which a license is required, the above allegation has been determined to be Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standards has been met.

Notice of Operation in Violation of Law (NOV) LIC 195 was issued to Ms. Levi.

A Type B citation is being issued. See LIC9099-D for deficiency cited.

Exit interview conducted and report was reviewed with Ms. Levi.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Ellorine Jankans
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20231219143535
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: LEVI FAMILY CHILDCARE
FACILITY NUMBER: 195700161
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/12/2024
Section Cited
HSC
1596.80
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Child day care facilities, licenses
No person, firm partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license therefore as provided in this act
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Ms. Levi shall cease caring for children for more than one family. Ms. Levi will email the Department with the name of the one family for whom she will be providing care by Friday, January 5.
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This requirement is not met as evidenced by: Unlicensed care is being provided for more than one family at a time.
*This does not pose an immediate health, safety or personal rights risk to the 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: Betty Bell
LICENSING EVALUATOR NAME: Ellorine Jankans
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3