197414787-7-7-2022-30-CC-MNEL-CG576D-20220707212256

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197414787
Report Date: 07/06/2022
Date Signed: 07/07/2022 09:51:23 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/11/2022 and conducted by Evaluator Veronica Wheatley

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20220411110318

FACILITY NAME:	SHIRAYURI YOUCHIEN		FACILITY NUMBER:	197414787
ADMINISTRATOR:	YOSHIMI, MORI		FACILITY TYPE:	850
ADDRESS:	23325 SO. VERMONT AVENUE		TELEPHONE:	(310) 530-5830
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90502
CAPACITY:	79	CENSUS: 66	DATE:	07/06/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Hiroko Kozuchi		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Lack of supervision resulting in day-care child causing injury to another child in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), V. Wheatley conducted an unannounced inspection regarding the allegation listed above at 1PM. LPA met with director Hiroko Kozuchi. The licensee Yoshio Aoyama was also on the premises however the LPA's communication was with Ms.Kozuchi. LPA observed 66 children napping in 6 rooms (three rooms on the south side of the building and three rooms on the north side of the facility). LPA observed the children supervised properly and within ratios.

LPA Wheatley and LPA Casillas conducted an inspection on 4/18/22 and interviewed staff based on a child's ear injury that was reported to the Department. The staff submitted declarations and denied the allegation and stated they did not observe the child's injury. LPA Wheatley and LPA Lillian Casillas interviewed other witnesses and was unable to obtain information to validate the allegation. LPA Casillas tried to obtain information from a viable witness however to no availability.

Based on the LPA's observations, information obtained and interviews which were conducted, there is not a preponderance of evidence to substantiate the allegation, therefore the allegation is Unsubstantiated. The unsubstantiated finding means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview. A copy of this report was provided to the director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022

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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