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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197416071
Report Date: 04/23/2024
Date Signed: 04/23/2024 09:45:10 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 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
02/27/2024 and conducted by Evaluator Lisa Clayton
COMPLAINT CONTROL NUMBER: 30-CC-20240227121803
FACILITY NAME:ANTOINE'S LITTLE ANGELSFACILITY NUMBER:
197416071
ADMINISTRATOR:ANTOINE, DOMINIQUEFACILITY TYPE:
850
ADDRESS:11111 S. WESTERN AVENUETELEPHONE:
(323) 757-3980
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:23CENSUS: DATE:
04/23/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:DOMINIQUE ANTOINE, ADMINTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
LICENSE: Infant care being provided
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 04/23/2024, LPA Clayton conducted an unannounced visit to deliver the findings on the above allegations. LPA Clayton was greeted by Licensee Janice Antoine and Director Dominique Antoine. LPA Clayton toured the CCC inside and outside for Health & Safety inspection. LPA Clayton observed children ages 2 ½ years – 5 years old being supervised and cared for by the Licensee and the Director.

Based on LPA Clayton observations, interviews and record review(s), the age limit as specified on the license is being mantained, therefore the above allegation(s) is found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.

Exit interview was conducted and report was reviewed with Director Dominique Antoine.
A notice of site visit was provided and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
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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