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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414479
Report Date: 06/12/2024
Date Signed: 06/12/2024 03:27:10 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
03/29/2024 and conducted by Evaluator Jeanine Lipsey
COMPLAINT CONTROL NUMBER: 58-CC-20240329160518
FACILITY NAME:WESTSIDE WALDORF SCHOOL-SUNSET CAMPUSFACILITY NUMBER:
197414479
ADMINISTRATOR:JUDY PENROSEFACILITY TYPE:
850
ADDRESS:17310 SUNSET BOULEVARDTELEPHONE:
(310) 260-2708
CITY:PACIFIC PALISADESSTATE: CAZIP CODE:
90272
CAPACITY:60CENSUS: 0DATE:
06/12/2024
UNANNOUNCEDTIME BEGAN:
10:03 AM
MET WITH:Estee Auerbach, Head of SchoolTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Staff did not report incidents to appropriate parties
INVESTIGATION FINDINGS:
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On 6/12/2024, Licensing Program Analyst (LPA) Jeanine Lipsey made an unannounced visit for the purpose of delivering findings regarding the above allegation. LPA met with Estee Auerbach, Head of School. School closed for the summer, zero children present. Last day of school June 6,2024.

LPA interviewed 5 staff, 1 child and took photos of the monkey bars and sheds.

Pertaining to allegation “Staff did not report incidents to appropriate parties”:

Per the reporting party, staff did not report both incidents to the parent the day it occurred, 3/25/24. On 3/26/24 RP states C1 was crying and did not want to go to school. RP asked why they were crying and that’s when C1 told their parent that C1's pants were pulled down, exposing his private parts, by C2 while they were hanging on the monkey bars, and C2 locked C1 in a shed on the playground, by holding the door close.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
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-20240329160518
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: WESTSIDE WALDORF SCHOOL-SUNSET CAMPUS
FACILITY NUMBER: 197414479
VISIT DATE: 06/12/2024
NARRATIVE
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 Staff did not report the incident to the parent until 3/26/24 after they called the school to ask what happened to C1. Staff 1 stated the incident occurred on 3/25/24 and they told the parent the day it happened but the written report was made and given to the parent on 3/29/24.

Based upon interviews conducted and photos taken, the allegations have been determined to be Substantiated. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standards has been met.

A Type "B" is being issued. See LIC9099-D for deficiency cited.

An exit interview was conducted, a copy of this report and notice of site visit were provided to Estee Auerbach, Head of School was advised the notice of site visit must remain posted for 30 days.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Citations on this Visit Report are Under Appeal!

Control Number 58-CC-20240329160518
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: WESTSIDE WALDORF SCHOOL-SUNSET CAMPUS
FACILITY NUMBER: 197414479
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
06/12/2024
Section Cited
CCR
101212(f)
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Reporting Requirements
(f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.
This requirement is not met by evidence by:
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Incident report training with all staff. Incident must given to parents, the same day for signature and the awareness to head of school. This will start when school resumes 8/28/24. Signed training document will be sent
to LPA via email by 9/15/24.
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Based on observation and interviews, the licensee did not comply with the section sited above of C1's pants were pulled down, exposing his private parts, by C2 while they were hanging on the monkey bars, and C2 locked C1 in a shed on the playground by holding the door close until staff let C1 out. which posed a health, safety or personal 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: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3