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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197407439
Report Date: 01/11/2023
Date Signed: 01/11/2023 11:20:34 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
10/24/2022 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20221024142007
FACILITY NAME:HALSEY SCHOOLS, INCORPORATEDFACILITY NUMBER:
197407439
ADMINISTRATOR:RICE, JENNIFERFACILITY TYPE:
850
ADDRESS:21321 COSTANSO STREETTELEPHONE:
(818) 992-1942
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY:93CENSUS: 51DATE:
01/11/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:JENNIFER RICETIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Allegation: Facility has pests.
INVESTIGATION FINDINGS:
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On 1/11/2023, Licensing Program Analyst (LPA), Loyce Phillips, conducted an unannounced site visit for the purpose of delivering the finding on the above allegation. LPA was granted entry by Director, Jennifer Rice, LPA toured the facility and observed 51 children in care with 7 staff.

During the investigation, LPA conducted interviews with staff, children, parents, and documented observations regarding allegation, that the facility has pests. Staff and children that were interview, reported no sightings of rodents in the facility. Parents disclosed they are satisfied with the physical plant of the facility.

Based on the information provided, LPA was unable to corroborate the allegation that the facility has pests. Therefore, the allegation is deemed Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur.
9099-C

Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
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 2
Control Number 58-CC-20221024142007
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: HALSEY SCHOOLS, INCORPORATED
FACILITY NUMBER: 197407439
VISIT DATE: 01/11/2023
NARRATIVE
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No deficiencies are being cited accordance to Title 22 of the California Code of Regulations and/or Health & Safety Codes.

An exit interview was conducted, a copy of this report, appeals rights and a notice of site visit were discussed and provided to Director, Jennifer Rice.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2