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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419985
Report Date: 05/25/2023
Date Signed: 05/25/2023 12:40:39 PM

Substantiated


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
05/08/2023 and conducted by Evaluator Suzette Ornelas
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20230508160820
FACILITY NAME:VILLAGRANA FAMILY CHILD CAREFACILITY NUMBER:
197419985
ADMINISTRATOR:VILLAGRANA, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 800-2610
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:14CENSUS: 2DATE:
05/25/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:VILLAGRANA, LAURA- LicenseeTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Licensee did not prevent day care child from wandering from the facility
INVESTIGATION FINDINGS:
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On 5/23/2023, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced follow up complaint inspection for the purpose of delivering the findings for the above-mentioned allegation. Upon arrival, LPA was greeted and let into the residence by Licensee, VILLAGRANA, LAURA, to whom the reason for the inspection was announced. LPA toured the facility and observed 2 daycare children and 1 adult in care.

Throughout the course of the investigation, 9 interviews were conducted; and documentation was obtained in the form of 13 photos, measurements of the distance the child traveled (158.8ft), the Child Care Facility Roster, 1 Declaration, the Police Report and the number of vehicles (15) that drove past Forbes and Sherman Way.

On Tuesday, February 14, 2023 sometime after approximately 09:50 A.M., Licensee, VILLAGRANA, LAURA took 3 daycare children present outside to the front yard for outdoor play time.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
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 5
Control Number 58-CC-20230508160820
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: VILLAGRANA FAMILY CHILD CARE
FACILITY NUMBER: 197419985
VISIT DATE: 05/25/2023
NARRATIVE
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 Licensee stated that while being outside with the children, she took a seat on the driveway. At an unknown time, licensee began looking for Child #1 (C1) in the yard and was unable to locate her. Licensee then noticed the chain-link gate which leads from the front yard to the front entrance was unlatched. Per licensee, the tie holding the gate together needed to be replaced. Licensee left the other 2 day care children unattended in the front yard of the home and walked out towards the sidewalk, that is when she saw C1 with Woman 2 (W2) at the corner of Forbes and Sherman Way.

According to Woman 1 (W1), she was making a right onto Sherman Way from Forbes when she saw C1 standing at the corner of Forbes and Sherman Way to her right. Forbes and Sherman Way was measured to be (158.8ft) from licensees house. W1 saw C1 run across the street right in front of her car. W1 stopped her car, got out and was able to bring the child to safety. Within a matter of minutes, W2 arrived to the scene. W1 states that W2 contacted the police and licensee arrived attempting to take C1 back with her; however, W1 states she left the scene.

According to W2, she observed the incident, grabbed her phone and walked towards W1 and C1. W2 stated that she grabbed the child and called 911. W1 was still present but left shortly after Licensee arrived and attempted to take the child back; however, the 911 operator instructed W2 to wait with C1 until the police arrived. Operator further informed W2 that the police would not arrive to the scene for another 40 minutes so W2 gave C1 to licensee.

Licensee stated that, the police arrived at the facility around 12pm and obtained a statement from her along with C1 contact information. Licensee then left to pick up a child, police returned for a second time before 2pm. Police Officers 1 and 2 (PO1 and PO2) did a walkthrough and ensured that the child was safe at the facility. It was determined that the child was gone from the facility for approximately 20 minutes.

During the investigation, it has been determined that the child wandered away from the facility by crossing Forbes along Sherman Way. Based upon the evidence as presented above, the preponderance of evidence standard has been met. Therefore, the allegation that “Licensee did not prevent day care child from wandering from the facility” has been found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06. Continuing Requirements, Section 1012417 “Operation of a Family Child Care Home," is being cited on the attached LIC 9099D.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 58-CC-20230508160820
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: VILLAGRANA FAMILY CHILD CARE
FACILITY NUMBER: 197419985
VISIT DATE: 05/25/2023
NARRATIVE
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Upon receipt, the Licensee shall post the Notice of Site Visit and the Licensing report. This report and the Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100 civil penalty. A copy of this report shall be provided to the parents/guardians of the children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parents/guardians of any children newly enrolled at the facility for the next twelve (12) months. The LIC 9224 Acknowledgement of Receipt of Licensing Reports must be maintained in each child's file immediately upon receipt from the parent.

LPA provided Licensee with a blank copy of the LIC 9224 Acknowledgement of Receipt of Licensing Report.

An exit interview has been conducted with, and a copy of this report has been signed by and provided to Licensee. Appeal Rights provided and explained to Licensee.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 58-CC-20230508160820
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: VILLAGRANA FAMILY CHILD CARE
FACILITY NUMBER: 197419985
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2023
Section Cited
CCR
102417(a)
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OPERATION OF A FAMILY CHILD CARE HOME
The licensee shall be present in the home and shall ensure that children in care are
supervised at all times...

-On 02/14/2023, one child, aged 2, was out of the sight of Licensee for approx. 25 minutes
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Licensee has secured the gate by adding a new velcro strap to prevent the children from easily opening the gate. Licensee stated she will sit near the gate moving forward when sitting permits.

Licensee will be required to attend an office meeting
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without supervision when the child got out of the gate and was spotted by a witness on the corner of Forbes and Sherman Way and crossed the street on their own. An immediate civil penalty of $500 has been assessed for Absence of Supervision. An immediate risk to the health and safety of the children involved.
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A Type A citation has been cited.
Type A
05/25/2023
Section Cited
CCR
102432(a)(2)
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PERSONAL RIGHTS
Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: To
receive safe, healthful, and comfortable
accommodations, furnishings, and equipment.
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Licensee stated that she
will review the Personal Rights of children. LPA provided licensee with a copy of the Personal Rights Regulation 102423.

Licensee will be required to attend an in office meeting.
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-On 02/14/2023, it was witnessed that Child #1 crossed the street (Forbes and Sherman Way) without supervision.
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A Type A citation has been cited.
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: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 58-CC-20230508160820
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: VILLAGRANA FAMILY CHILD CARE
FACILITY NUMBER: 197419985
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/25/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/25/2023
Section Cited
CCR
102417(g)
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OPERATION OF A FAMILY CHILD CARE
HOME
The home shall be free from defects or
conditions which might endanger a child.

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Licensee has secured the gate by adding a new velcro strap to prevent the children from easily opening the gate. Licensee stated she will sit near the gate moving forward when sitting permits.
Licensee will be required to attend an in office meeting.
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-Licensee admitted that the front gate tie was in disrepair.

A Type A citation has been cited. A Type A
citation means that the deficiency poses an
immediate risk to the health and safety of the
children involved.
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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: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5