197406974-6-29-2023-58-CC-BBEL-CTE32X-20230703175240

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197406974
Report Date: 06/29/2023
Date Signed: 06/29/2023 11:59:30 AM

Unsubstantiated

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
01/23/2023 and conducted by Evaluator Silva Garibyan

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20230123085555

FACILITY NAME:	GIVING TREE ACADEMY: SCHOOL-AGE PROGRAM		FACILITY NUMBER:	197406974
ADMINISTRATOR:	YUN JEONG YI		FACILITY TYPE:	840
ADDRESS:	1111 CRENSHAW BOULEVARD		TELEPHONE:	(323) 935-7971
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90019
CAPACITY:	59	CENSUS: 12	DATE:	06/29/2023
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Yunjeong Yi, Director		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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1) Staff did not report injuries to child's authorized representative
2) Staff do not properly supervise day care children at drop-off
3) Day care child wandered away from facility due to lack of supervision

INVESTIGATION FINDINGS:

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An unannounced follow-up Complaint inspection was conducted on 06/29/2023 by Licensing Program Analyst (LPA) Silva Garibyan. The purpose of the inspection is to deliver the findings of a complaint investigation which was conducted by LPA Miranda.
Upon arrival, LPA took/requested census; per Yunjeong Yi, Director, there were 3 staff with 12 children. Staff-child ratio was met. All staff have Criminal Background Clearance and are associated to the facility.
During the investigation LPA Miranda interviewed staff, parents, and children. On 02/02/2023 and 03/30/2023 LPA Miranda obtained a copy of the children's roster, sign in and out sheets, and obtained copies of supporting documentation.
The first allegation provided by the reporting party indicates that Staff did not report injuries to child's authorized representative.
Per Director, one unusual incident happened on 11/02/2021 while child#1 was in care. Per Director Child#1 bumped into one of the students and hit their head on the bookshelf. Child’s parents were contacted, and the child was picked up from the school. Per Director, child needed medical attention.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 58-CC-20230123085555

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: GIVING TREE ACADEMY: SCHOOL-AGE PROGRAM	FACILITY NUMBER: 197406974
	VISIT DATE: 06/29/2023

NARRATIVE

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Director confirmed that, they did not report the incident to the Department.
On 02/02/2023, Director provided LPA Miranda with a copy of the ouch report noting Child #1’s head injury, however, no doctor/physician note was on file.
Parent #1 disclosed that their child had one unusual incident that happened while Child #1 was in care at the facility. Per Parent # 1, their child bumped into another student and hit their head on the bookshelf. Parent #1 stated that the facility contacted them immediately and she took Child #1 to the doctor in which Child #1 received stitches for the injury. Per Parent #1 they did not provide a copy of the doctor’s notes to the school.

Child #2, #6, #8 and #9 disclosed that they did not observe the incident pertaining to Child #1 at the facility.

The second allegation provided by the reporting party indicates that staff do not properly supervise day care children at drop-off.

When interviewing Director for the second allegation of staff not properly supervising day care children at drop off, the Director stated that the staff park their car at the facility driveway or along Country Club Street. Country Club Street is located at the cross of Crenshaw Blvd. Due to the facility having a narrow driveway and limited timed parking, per Director, the staff supervise, and walk with the children until they are inside of the facility. None of the children walk by themselves from the drop off point to inside of the facility without adult supervision.

When interviewing staff, Staff # 2, #3 and #5 disclosed that the staff park their car on Country Club Street and walk with the children from Country Club Street to the inside of the facility. Staff#6 disclosed they park their car only in the facility’s driveway and walk with the children inside of the facility. Per Staff, no children disclosed or have been observed walking from the driveway or from Country Club Street without adult supervision.

Parent #1 and #7 disclosed that they drop their own children off at the facility. Parent#3 disclosed that the facility pick’s their child up from school and their child is driven to the facility, however, Parent #3 does not know the exact drop-off location of where their child is dropped-off upon arriving to the facility. Per Parent, no children have been observed or have disclosed that a child walked from the drop off areas to the facility without adult supervision.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023

LIC9099 (FAS) - (06/04)

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Control Number 58-CC-20230123085555

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: GIVING TREE ACADEMY: SCHOOL-AGE PROGRAM	FACILITY NUMBER: 197406974
	VISIT DATE: 06/29/2023

NARRATIVE

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Child# 2 and #6 disclosed that the staff park their car at Country Club Street and walk with the children from Country Club Street to inside of the facility. Child#8 and #9 disclosed that the staff park their cars on the facility’s driveway and walk with them into the facility. Children disclosed that they have not observed any child walk from the facility driveway or Country Club Street without adult supervision.

The third allegation provided by the reporting party indicates that Day care child wandered away from facility due to lack of supervision.

Per Director, no day care child has wandered away from the facility due to lack of supervision.

When interviewing Staff #2, #3, #5 and #6, statements were made that no day care child has wandered away from the facility under the facility staff’s supervision.

Parents#1, #3 and #7, did not observe any day care child wander away from the facility.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Yunjeong Yi, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:	DATE: 06/29/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2023

LIC9099 (FAS) - (06/04)

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