197414572-10-27-2025-58-CC-RRAS-DMY3QZ-20251030182754

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197414572
Report Date: 10/27/2025
Date Signed: 10/27/2025 04:55:18 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
08/05/2025 and conducted by Evaluator Elicia Calvillo

COMPLAINT CONTROL NUMBER: 58-CC-20250805101959

FACILITY NAME:	KIDSVILLE U.S.A.		FACILITY NUMBER:	197414572
ADMINISTRATOR:	PERERA, MAUREEN		FACILITY TYPE:	850
ADDRESS:	8472 CORBIN AVENUE		TELEPHONE:	(818) 886-3508
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91324
CAPACITY:	72	CENSUS: 33	DATE:	10/27/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Brittany Wijesekera,Assistant Director		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Licensee did not ensure that the person who brings the child to, and
removes the child from, the center signs the child in and out.

INVESTIGATION FINDINGS:

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On 10/27/2025, Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced complaint investigation visit to deliver finding on the above-mentioned allegation. LPA identified self and met Brittiany Wijeserkera, Assistant Director who guided analyst on a tour of the inside and outside of the facility. LPA observed 33 Children and 5 additional staff at the facility upon arrival.

Maureen Perera, Director was present on the telephone and arrived at the facility at 11:15 AM.

Throughout the course of the investigation, LPA Calvillo conducted interviews with staff, obtained the roster of children, obtained the Personnel Roster, conducted a record review, and obtained other pertinent information.

During today’s visit, LPAs addressed the allegation that Licensee did not ensure that the person who brings the child to, and removes the child from, the center signs the child in and out.
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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025

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-20250805101959

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: KIDSVILLE U.S.A.	FACILITY NUMBER: 197414572
	VISIT DATE: 10/27/2025

NARRATIVE

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Per Reporting Party, the Kidsville USA Child Care Center (CCC) sign-in and sign out logs are often incomplete and Subsidy Program timesheets are completely filled out which do not correlate with Kidsville USA CCC sign-in and sign out logs.

Per Director, the facility uses an App called Bright Wheel where each parent has a unique identification code for parents to sign in and sign out their children daily, however, the Subsidy Program timesheets are separate, and not all parents sign them since those pertain to subsidy programs. The Director confirmed that the Bright Wheel App does not capture signatures only the sign in and sign out time.

When interviewing Staff #1, Staff #1, Staff #2, Staff #3 and Staff #4 disclosed that they have daily sign in and out logs, however, the Licensee/ Director and Assistant Director oversee the timesheets that are for children who receive subsidy payments.

Per Parent #3, Parent #4, and Parent #5 disclosed that they sign in and sign out their children via the Bright Wheel App daily but there is no legal or digital signature just a check mark.
Due to Director, staff, and parents disclosing that children are accounted for daily via the Bright Wheel App that does not capture a daily signature, the facility is not in compliance with 101229.1(a)(1) The person who signs the child in/out shall use their full legal signature and shall record the time of the day. However, when it comes to Subsidy Program timesheets that pertain to subsidy payments, those are documents that are separate from daily sign in and sign out written procedure that the Department requests.

Based on LPA observations and interviews which were conducted and record review, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 Chapter 3, Section number 101229.1(a) (1) Sign In and Sign Out and a plan of correction is due 11/10/2025, a Type B Citation is being cited on the attached deficiency page.

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 Maureen Perera, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. **Page 2 of 2

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025

LIC9099 (FAS) - (06/04)

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Control Number 58-CC-20250805101959

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: KIDSVILLE U.S.A.	FACILITY NUMBER: 197414572
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/27/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/10/2025 Section Cited CCR 101229.1(a)(1)	1 2 3 4 5 6 7	101229.1 Sign In and Sign Out, (a)... develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall...(1) The person who signs the child in/out sharll use...full legal signature and shall record the time of day.This requirement is not met as evidenced by	1 2 3 4 5 6 7	Director stated that they will review the Bright Wheel App to determine how to caputure the full legal signature of the parents on a daily basis. Director will email LPA the written procedure by the plan of correction due date 11/10/2025.
	8 9 10 11 12 13 14	Based on observations, interviews, and record reviews that parents sign in and sign out their children using the Bright Wheet App that does not capute a full lega signature daily which poses a potential health, safety, and personal rights risk to children in care.	8 9 10 11 12 13 14
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025

LIC9099 (FAS) - (06/04)

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