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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197402469
Report Date: 10/09/2024
Date Signed: 10/09/2024 12:46:11 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
10/03/2024 and conducted by Evaluator Joe Katrdzhyan
COMPLAINT CONTROL NUMBER: 58-CC-20241003082338
FACILITY NAME:BURBANK CHILD CARE CENTERFACILITY NUMBER:
197402469
ADMINISTRATOR:LINA ESOHFACILITY TYPE:
850
ADDRESS:900 N. GLENOAKS BLVD.TELEPHONE:
(818) 953-7186
CITY:BURBANKSTATE: CAZIP CODE:
91502
CAPACITY:40CENSUS: 20DATE:
10/09/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Director / Lina EsohTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff did not ensure day care children don't have access to hazardous item
INVESTIGATION FINDINGS:
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On 10/9/24, at 10:30AM, Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced 10 day complaint visit to this facility. Upon arrival, LPA met with Director / Lina Esoh who guided LPA on a tour of the facility. There were 20 children with 2 staff observed present in the preschool program. LPA explained the purpose of today’s visit is to discuss the above mentioned allegation of Staff did not ensure day care children don't have access to hazardous item.

During today's visit, LPA conducted an interview of the Director, obtained copies of the Children’s / Staff roster, toured the physical plant (inside/outside) and took pictures.

Per Reporting Party, Staff did not ensure day care children don't have access to hazardous item.

During a walk through of the kitchen, LPA observed sharp knives left unlocked and accessible to children in the kitchen cabinet drawer, next to the sink. The kitchen is on limits to children in care as the children
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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 3
Control Number 58-CC-20241003082338
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: BURBANK CHILD CARE CENTER
FACILITY NUMBER: 197402469
VISIT DATE: 10/09/2024
NARRATIVE
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pass through the kitchen area in order to get to the bathroom nearest to the kitchen. During a walk through of the bathroom (near the kitchen area), LPA observed a Lysol toilet bowl cleaner left unlocked accessible to children underneath the bathroom sink. The bathroom (near the kitchen area) is on limits to children in care.

Based on LPA’s observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, (Title 22), are being cited on the attached LIC 9099D.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit and any Licensing report
documenting a type “A” deficiency. The report and 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. 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 of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

A notice of site visit was given and must remain posted for 30 days.
Exit interview was conducted and report was reviewed with the Director and Appeals Rights provided.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20241003082338
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: BURBANK CHILD CARE CENTER
FACILITY NUMBER: 197402469
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/09/2024
Section Cited
CCR
101238(g)
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Buildings and Grounds. Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.
This requirement was not being met as evidenced by: During a walk through of the
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During today's visit, the Director confiscated the hazardous items and locked them making them inaccessible to children in care.

Deficiency was cleared at the time of visit and no further action is needed.
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kitchen, LPA observed sharp knives left unlocked and accessible to children in the kitchen cabinet drawer, next to the sink. The kitchen is on limits to children in care as the children pass through the kitchen area in order to get to the bathroom nearest to the kitchen. During a walk through of the bathroom (near the kitchen area), LPA observed a Lysol toilet bowl cleaner left unlocked accessible to children underneath the bathroom sink. The bathroom (near the kitchen area) is on limits to children in care. This 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: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
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