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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494017
Report Date: 10/14/2022
Date Signed: 10/14/2022 03:35:59 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/24/2022 and conducted by Evaluator Alicia Mooberry
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20220824093158
FACILITY NAME:MARTIN LUTHER KING JR LEARNING CENTER - INFANTFACILITY NUMBER:
197494017
ADMINISTRATOR:CAMARENA,E & LUNA,RFACILITY TYPE:
830
ADDRESS:12029 S WILMINGTON AVETELEPHONE:
(424) 338-1980
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:39CENSUS: 28DATE:
10/14/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Ana Martinez, Assistant DirectorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff mishandled child in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing program analyst (LPA) Alicia Mooberry conducted an unannounced complaint visit for the purpose of delivering findings for the above allegation. LPA met with Assistant Director, Ana Martinez and toured the facility. The following census was taken: Infant room, 3 staff with 11 children. Toddler 1/Room 114, 1 staff with 8 napping children. Toddler 2/Room 116, 1 staff with 9 napping children.
During the course of this investigation LPA interviewed Staff, witnesses and obtained records from the facility. LPA attempted to contact complainant and did not receive a response, staff and witnesses interviewed provided no information that supported the allegation. The above allegation is found to be unsubstantiated, although the allegation may have happened or is valid there is not a preponderance of evidence to prove alleged violation did or did not occur.

The notice of site visit was posted where the parent/guardian of children enter and exit the facility.
Exit interview conducted with Assistant Director, Ana Martinez, during which appeal rights were explained. A copy of the appeal rights were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
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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