197494213-10-19-2023-58-CC-KSTS-CWYV2A-20231026160245

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197494213
Report Date: 10/19/2023
Date Signed: 10/19/2023 01:55:10 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 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
07/28/2023 and conducted by Evaluator Doris Whitmore

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20230728083158

FACILITY NAME:	MAGICAL YEARS CHILDREN'S ACADEMY		FACILITY NUMBER:	197494213
ADMINISTRATOR:	FORD, KHARIAH		FACILITY TYPE:	850
ADDRESS:	7023 HASKELL AVE		TELEPHONE:	(818) 909-9489
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91406
CAPACITY:	50	CENSUS: 14	DATE:	10/19/2023
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Maria Agustin		TIME COMPLETED:	01:54 PM

ALLEGATION(S):

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Personal Rights- Staff are not allowing daycare child’s therapist into the facility.
Food Services- Staff are not providing nutritious food.
Reporting Requirements- Staff did not report unusual incident to daycare child’s parent.

INVESTIGATION FINDINGS:

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On 08/01/2023 at 9:11 a.m. Licensing Program Analyst (LPA) Doris Whitmore conducted an unannounced complaint investigation and met with the Administrator Imesha Siriwardana. LPA explained the purpose of the visit and to conduct interviews with staff and children. LPA obtained a copy of student incident report, ouch report, myca food menu, roster, daily roster, personnel report, unusual incident/injury report. LPA also was able to review five files. LPA toured the facility indoors and outdoors and observed twenty-one children and four teachers.

On 10/19/2023 at 1:30 p.m. LPA Whitmore conducted a visit to complete the investigation and deliver findings. LPA Whitmore met with the Director Maria Agustin. LPA toured the facility indoors and outdoors, observing proper teacher/child ratios with 14 total children in care and 3Teachers.
The Department conducted a full investigation, which included staff interviews, interviews with relevant parties, as well as a record review which included documentation related to the allegations. LPA did not observe, nor was information provided via interviews that provided sufficient evidence to substantiate the allegations of Personal Rights- Staff are not allowing daycare child’s therapist into the facility, Food Services- Staff are not providing nutritious foods, and for Reporting Requirements- Staff did not report unusual incident to daycare child’s parent. Although the allegations may have happened or are valid there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are deemed unsubstantiated. An exit interview was conducted, a copy of this report, appeal rights along with Notice of Site Visit were provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:	DATE: 10/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/19/2023

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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