197419522-12-15-2021-30-CC-KSTS-CBS4GE-20220218180524

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197419522
Report Date: 12/15/2021
Date Signed: 12/15/2021 12:33:01 PM

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
11/23/2021 and conducted by Evaluator Stella Gutierrez

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20211123091836

FACILITY NAME:	CREATIVE HANDS LEARNING ACADEMY		FACILITY NUMBER:	197419522
ADMINISTRATOR:	MADISON, NATASHA LORENE		FACILITY TYPE:	850
ADDRESS:	2320 W. MARTIN LUTHER KING		TELEPHONE:	(310) 462-6097
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90008
CAPACITY:	63	CENSUS: 36	DATE:	12/15/2021
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Natasha Madison		TIME COMPLETED:	11:59 AM

ALLEGATION(S):

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Personal Rights - Staff spoke inappropriate in the presense of children.
Personal Rights- Staff did not provide medical attention to child in a timely manner

INVESTIGATION FINDINGS:

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On 12/14/2021 Licensing Program Analyst, Stella Gutierrez made an unannounced visit to Creative Hands Learning Academy for the purpose of to delivery finding of an complaint received at the El Segundo Regional office on 11/23/2021. LPA, Gutierrez was met by Natasha Madison, Administrator and was explained the purpose of today's visit.

The above two allegations were investigated of Personal Rights. Based on the interviews conducted and information received the allegations are deemed unsubstantiated. Meaning that although the allegations may have occurred the preponderance of evidence has not been met.

Exit interview conducted. A copy of this report and Notice of Site visit was provided and discussed with XXXX

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Stella Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021

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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