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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197402054
Report Date: 11/07/2024
Date Signed: 11/07/2024 04:28:14 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
08/27/2024 and conducted by Evaluator Lilia Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240827150345
FACILITY NAME:LASSEN ELEMENTARY SCHOOL PRESCHOOLFACILITY NUMBER:
197402054
ADMINISTRATOR:MOORE, LANCEFACILITY TYPE:
850
ADDRESS:15017 SUPERIOR STREET K-3,K-4TELEPHONE:
(818) 892-8618
CITY:SUPELVEDASTATE: CAZIP CODE:
91343
CAPACITY:46CENSUS: 27DATE:
11/07/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Uchenna Okereke, PrincipalTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility staff did not intervene during an altercation between children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced complaint inspection to the above facility on 11/07/2024. LPAs arrived at the facility at 8:45AM. LPA singularly conducted a tour of the facility. Principal was not available at the time LPA arrived. There were 27 children, and 5 staff upon arrival. LPA later met with Uchenna Okereke, Principal.

The purpose of the visit is to deliver findings for the above allegation.

During the investigation conducted by the LPA, interviews were conducted, written statements were collected, records were reviewed, and observations of care and supervision were made. LPA also obtained copies of the facility rosters and other pertinent information.

Details provided by the reporting party indicates that facility staff did not intervene during an altercation between children. ---Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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 4
Control Number 58-CC-20240827150345
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: LASSEN ELEMENTARY SCHOOL PRESCHOOL
FACILITY NUMBER: 197402054
VISIT DATE: 11/07/2024
NARRATIVE
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Per Principal, care and supervision has been addressed with staff and continues to ensure care and supervision regulations and district guidelines are being followed.

During LPA’s observation of care and supervision, Staff #1 and Staff #2 were observed interacting with children during indoor activities. On 09/05/2024, LPA observed a child pulling another child's hair. One child screamed and Staff #1 did not observe the children's interactions. LPA brought the interaction to Staff #1's attention. LPA also observed 2 children hitting each other while Staff #1 watched a video about the rules of the classroom. Staff #1 was watching the video and did not see children hitting one another. LPA brought the interaction to Staff #1's attention. On 09/20/2024, LPA conducted a subsequent visit and observed care of supervision of the classroom while children played outdoors. While Staff #1 was standing on the slide talking to Child #1 about the rules of how to use the slide, LPA observed 5 children playing with cars on a cushioned mat and observed children throwing cars at one another. Child #2 threw a toy at Child#3 and Child #3 began to cry. Staff #1 did not observe Child #2 throw a toy at Child #3. Staff #3 heard Child #3 crying and walked over to Child #3 and asked if they were OK. LPA observed Staff #1 not providing care and supervision as necessary to meet the children's needs. Staff #1 was also observed by LPA not providing visual supervision of children in care.

During interviews with staff, LPA obtained written statements that disclosed information that confirmed that Staff #1 does not providing care and supervision as necessary to meet the children's needs.

Based on the investigation conducted by the Department which includes interviews, record reviews, and other pertinent information, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. The following deficiency listed on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided during this visit.

---Page 2 of 3
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 58-CC-20240827150345
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: LASSEN ELEMENTARY SCHOOL PRESCHOOL
FACILITY NUMBER: 197402054
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/07/2024
Section Cited
CCR
101229(a)(1)
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(a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
This requirement was not met as evidenced by:
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Per Principal, care and supervision for children will be reviewed with staff and a signed staff acknowledgment will be submitted via email to LPA by 11/05/2024.
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Observations conducted by LPA and written statements obtained indicating that Staff #1 did not provide care and supervision necessary to meet the children's needs which poses an immediate health, safety, and personal rights risk to 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: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 58-CC-20240827150345
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: LASSEN ELEMENTARY SCHOOL PRESCHOOL
FACILITY NUMBER: 197402054
VISIT DATE: 11/07/2024
NARRATIVE
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The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview conducted and report was reviewed with Uchenna Okereke, Principal.

---Page 3 of 3
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4