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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492957
Report Date: 07/09/2026
Date Signed: 07/09/2026 03:14:04 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
04/30/2026 and conducted by Evaluator Angela Luz
COMPLAINT CONTROL NUMBER: 30-CC-20260430151811
FACILITY NAME:WEST LA EXTENDED DAYFACILITY NUMBER:
197492957
ADMINISTRATOR:JOLENE DOUCETTEFACILITY TYPE:
840
ADDRESS:6550 W. 80TH STREETTELEPHONE:
(310) 642-8386
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY:180CENSUS: 25DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Kimberly RazaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff disclosed confidential information of a child in care.
Staff terminated child's specialized services.
INVESTIGATION FINDINGS:
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On 7/9/26, Licensing Program Analysts (LPAs) Angela Luz and Patsy Plancarte conducted subsequent complaint visit regarding above-mentioned allegations to deliver the findings. Upon arrival, LPAs met with Senior Director Kimberly Raza and explained the purpose of the visit. LPAs observed 25 school age children supervised by 5 fingerprint cleared and associated staff. The facility is in ratio compliance today.

On 5/4/26 El Segundo Regional office (ESRO) received a complaint with the above-mentioned allegations.

On 5/7/26, LPA Luz conducted initial visit to the facility. LPA conducted interviews with Licensee/Director and staff, and obtained copy of the facility roster.

Pertaining to the allegation - Staff disclosed confidential information of a child in care.
A letter was obtained from the facility that was sent to families that described an incident. However, no children’s names were identified.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Angela Luz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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 2
Control Number 30-CC-20260430151811
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: WEST LA EXTENDED DAY
FACILITY NUMBER: 197492957
VISIT DATE: 07/09/2026
NARRATIVE
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Based on the evidence obtained during the investigation, which included interviews with relevant parties, and information collected and reviewed from pertinent parties, there is insufficient evidence regarding the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above alleged violations did or did not occur, therefore the allegation is found to be unsubstantiated.

Pertaining to the allegation - Staff terminated child's specialized services.
Information from the facility licensee revealed specialized services ceased for a few days because of a miscommunication with a CCL staff. Once clarification was obtained specialized service staff were allowed to return. Additional pertinent interviews revealed that services were stopped but it was not communicated clearly if the services could resume.

A liability form was given to authorized representatives of children with specialized services at the facility. Once signed by the child's authorized representative, the liability form "shall remain in effect for the duration that [business] is permitted to operate within the [facility] on behalf of [their] child." It was not clear when the liability form was given for authorized representatives to sign.

Based on the evidence obtained during the investigation, which included interviews with relevant parties, and information collected and reviewed from pertinent parties, there is insufficient evidence regarding the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the above alleged violations did or did not occur, therefore the allegation is found to be unsubstantiated.

No deficiencies are issued today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Senior Director Kimberly Raza.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Angela Luz
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC9099 (FAS) - (06/04)
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