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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197492996
Report Date: 08/30/2023
Date Signed: 08/30/2023 07:10:52 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
06/06/2023 and conducted by Evaluator Veronica Wheatley
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20230606094303
FACILITY NAME:VOROBYEVA FAMILY CHILD CAREFACILITY NUMBER:
197492996
ADMINISTRATOR:VOROBYEVA, GAYANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 400-9777
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:14CENSUS: 11DATE:
08/30/2023
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:G. VorobyevaTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Assistant dropped child off at wrong school resulting in child being unsupervised for an extended period of time
INVESTIGATION FINDINGS:
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On 8/30/23 at 2PM, Licensing Program Analyst (LPA) V. Wheatley conducted an inspection regarding the above allegation. LPA met with Licensee Gayane Vorobyeva today and observed 11 children and one assistant Staff #1. The children were playing and observed eating snack.

On 6/15/23, LPA conducted an investigation and met wit the licensee who stated that she was unavailable she asked her assistant, Staff #1 to take the child to the elementary school on Plummer. Licensee states that adult stated she dropped the child off at the office and asked if the child was at the right schoo when she dropped the child off.

LPA Wheatley contacted the Carlos Santana School and spoke to Adult #1 who states that the child was dropped off at the wrong school. Adult #1 also stated that the camera shows the child wandered unto the yard and was unsupervised. The office staff searched to find the child's correct school which is Plummer. The staff also searched and contacted the child's mother. The mother came to pick up the child. See Page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
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 3
Control Number 58-CC-20230606094303
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: VOROBYEVA FAMILY CHILD CARE
FACILITY NUMBER: 197492996
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/31/2023
Section Cited
CCR
102417(a)
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102417(a) -Operation of Family Child Care Home.The licensee shall be present in the home and shall ensure that children in care are supervised at all times. When circumstances require the licensee to be temporarily absent from the home, the licensee shall arrange for a substitute adult to care for and supervise the children during his/her absence. Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
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Licensee will ensure that children are supervised at all times regardless to if they are on the premises or during transportation. The licensee will ensure staff / assistants are properly trained on supervision. If children are transported a permission slip will be completed by the parents.
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This is evidenced by: The licensee's assistant took Child #1 to the wrong elementary school. The child ended up on the playground and unsupervised. This is a Type A violation which is an immediate health and safety risk to children in care.
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Type A
08/31/2023
Section Cited
CCR
102423(a)(2)
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102423(a)(2)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: 2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
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Licensee will ensure that children are supervised at all times regardless to if they are on the premises or during transportation. The licensee will ensure staff / assistants are properly trained on supervision. If children are transported a permission slip will be completed by the parents.
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This is evidenced by: The licensee's assistant took Child #1 to the wrong elementary school. The child ended up on the playground and unsupervised. This is a Type A violation which is an immediate health and safety risk to children in care.
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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: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20230606094303
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: VOROBYEVA FAMILY CHILD CARE
FACILITY NUMBER: 197492996
VISIT DATE: 08/30/2023
NARRATIVE
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Today, LPA interviewed Staff #1 who states she did drop the child off inside of the office and that she thought the child was dropped off at the right school.

Based on the LPA’s observations and interviews which were conducted the allegation is Substantiated. A substantiated finding means the allegation is valid because the preponderance of the evidence standard has been met.

While the licensee arranged for a substitute adult to transport an enrolled day care child (Child #1) to a local school, the assistant did not ensure that the child was assigned to the correct school. After drop off the child wandered to the play ground and was left unsupervised. This is a Type A violation of Care & Supervision.
See LIC 9099D report.

Exit interview. Report provided to the licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3