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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197407119
Report Date: 07/06/2023
Date Signed: 07/06/2023 12:24:19 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/12/2023 and conducted by Evaluator Justin Dorsey
COMPLAINT CONTROL NUMBER: 12-CC-20230512083925
FACILITY NAME:POVERELLO OF ASSISI PRESCHOOLFACILITY NUMBER:
197407119
ADMINISTRATOR:SISTER VERONICA SANCHEZFACILITY TYPE:
850
ADDRESS:13367 BORDEN AVENUETELEPHONE:
(818) 364-7446
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:120CENSUS: 0DATE:
07/06/2023
UNANNOUNCEDTIME BEGAN:
12:09 PM
MET WITH:Sister Catalina AvilaTIME COMPLETED:
12:39 PM
ALLEGATION(S):
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9
Staff did not accord dignity to day care child in care.
Staff did not ensure that day care child's hygiene needs were met while in care.
Staff used an inappropriate form of punishment with day care child in care.
INVESTIGATION FINDINGS:
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On 07/06/23 Licensing Program Analysts (LPA) Justin Dorsey conducted an complaint investigation at the facility to deliver complaint investigation findings. Upon arrival LPA met with Sister Catalina Avila. LPA Dorsey observed 0 children in care.
During the course of the investigation LPA Dorsey interviewed thecomplainant, children, and staff. As part of the investigation LPA Dorsey obtained the facilities children roster and documents relevant to the investigation. After observations and interviews with parties related to the allegations it was found that the allegations could not be collaborated. Therefore, the allegations have been found unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the facility is not providing a safe and healthful environment, Therefore the above allegations are Unsubstantiated.
An exit interview was conducted, and a copy of this report was provided to Sister Catalina Avila along with Notice of Site Visit and Appeal Rights.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2023
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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