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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419356
Report Date: 02/07/2024
Date Signed: 02/07/2024 04:53:07 PM

Substantiated


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
02/01/2024 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240201144049
FACILITY NAME:LAVELLE FAMILY CHILD CAREFACILITY NUMBER:
197419356
ADMINISTRATOR:TRACI LAVELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 875-8282
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:14CENSUS: 0DATE:
02/07/2024
UNANNOUNCEDTIME BEGAN:
03:50 PM
MET WITH:Traci Lavelle, LicenseeTIME COMPLETED:
05:05 PM
ALLEGATION(S):
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Ratio:Licensee is operating over capacity
INVESTIGATION FINDINGS:
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On 02/07/2024, Licensing Program Analyst (LPA) Adrian Risher, conducted a complaint initial visit regarding the above-mentioned allegation. Upon arrival, LPA met with Traci Lavelle, Licensee. LPA explained the purpose of the inspection. LPA did not observe any children in care.

On 02/01/2024, ESRO received a complaint regarding provider operating over capacity. Information received that provider was operating over capacity in December 2023

Licensee stated that she does not have sign in and out sheets. Licensee does not maintain copies of timesheets from Resource and Referral agencies. Licensee provided a copy of the current roster. Licensee confirmed that there were 24 children enrolled in December 2023. Licensee stated these children were not all present at the same time. Licensee reported that the enrollment has decreased to 18.
Substantiated
Estimated Days of Completion: 30
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
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 30-CC-20240201144049
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LAVELLE FAMILY CHILD CARE
FACILITY NUMBER: 197419356
VISIT DATE: 02/07/2024
NARRATIVE
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Records received show that the Licensee was operating over capacity in December 2023. Based upon interviews, observations and record review, the allegation of staffing ratio and capacity is Substantiated. Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

Information revealed that provider was operating over capacity in December 2023. This is a type A violation of license staffing ratio & capacity regulations.



Upon receipt of this report, the Licensee shall post the Notice of Site Visit (LIC 9213) and any Licensing report documenting a type “A” deficiency. The report and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224) form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224).

Exit interview was conducted and a copy of the report was provided. Appeal rights were reviewed and provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20240201144049
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: LAVELLE FAMILY CHILD CARE
FACILITY NUMBER: 197419356
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/09/2024
Section Cited
CCR
102416.5(f)
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102416.5 Staffing Ratio and Capacity
(f) The total licensed capacity for a Large Family Child Care Home shall not exceed fourteen children. This requirement was not met as evidenced by: records show the provider was over capacity in December 2023
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Licensee will watch a video on Capacity & Notify LPA of her plan to disenroll children so she is in compliance based on Title 22. Licensee will sign up for Family Childcare Orientation on March 19, 2024 from 8:30am to 12:30pm in person at Monterey Park Child Care Regional Office or take
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This poses an immediate risk to the health and safety of the children in care.
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orientation online and explain what she learned. A Virtual Teams Meeting will be scheduled to further discuss the non-compliance issues with Community Care Licensing.
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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: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3