197419435-3-21-2024-58-CC-RRAS-D3T2D5-20240328171740

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419435
Report Date: 02/22/2024
Date Signed: 03/21/2024 09:39:58 AM

Unsubstantiated

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
12/06/2023 and conducted by Evaluator Joe Katrdzhyan

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20231206133218

FACILITY NAME:	LITTLE TREEHOUSE ACADEMY		FACILITY NUMBER:	197419435
ADMINISTRATOR:	ANNA SHIROKOVA		FACILITY TYPE:	850
ADDRESS:	18510 PLUMMER STREET		TELEPHONE:	(818) 772-9320
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91324
CAPACITY:	85	CENSUS: 28	DATE:	02/22/2024
		UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Director / Anna Shirokova		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff hit daycare child.

Staff caused injury to daycare children.

Staff forced daycare child to nap.

INVESTIGATION FINDINGS:

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***This is an amended report which supersedes the previous report***

On 2/22/24, at 8AM, Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced visit to this facility to deliver findings on the above-mentioned allegations. Upon arrival, LPA met with Director / Anna Shirokova, who guided LPA on a tour of the facility. There were 28 children with 5 staff observed present. LPA explained the purpose of today’s visit.

During the course of the investigation, interviews were conducted, surveillance video and copies of Children's / Staff Rosters were obtained/reviewed.

Per Reporting Party, Staff hit daycare child, Staff caused injury to daycare children and Staff forced daycare child to nap.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe Katrdzhyan	TELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

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 4

Control Number 58-CC-20231206133218

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: LITTLE TREEHOUSE ACADEMY	FACILITY NUMBER: 197419435
	VISIT DATE: 02/22/2024

NARRATIVE

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During the interview with the Director, the Director denied having knowledge about staff hitting a daycare child, staff causing injury to daycare children or staff forcing daycare child to nap. During the interview with the Assistant Director, The Assistant Director denied having knowledge of the above allegations as well.

While interviewing staff, staff made no disclosures regarding the allegations.

Parents interviewed did not present concerns related to the above-mentioned allegations and were pleased with the services and care being provided to their children.

LPA made attempts to interview children but was unsuccessful.

Based on the investigation conducted, there is insufficient evidence to support the above-mentioned allegations to be true. Therefore, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

The Notice of Site Visit was provided and 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 Director / Anna Shirokova and Appeals Rights provided.

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe Katrdzhyan	TELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 58-CC-20231206133218

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: LITTLE TREEHOUSE ACADEMY	FACILITY NUMBER: 197419435
	VISIT DATE: 02/22/2024

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	Page left blank on purpose.

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe Katrdzhyan	TELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 58-CC-20231206133218

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: LITTLE TREEHOUSE ACADEMY	FACILITY NUMBER: 197419435
	VISIT DATE: 02/22/2024

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	Page left blank on purpose.

SUPERVISOR'S NAME: Rita Ramos	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe Katrdzhyan	TELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 4