197494263-10-2-2024-30-CC-CESO-D9VLQV-20241009085808

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197494263
Report Date: 10/02/2024
Date Signed: 10/02/2024 12:03:34 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, 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
07/10/2024 and conducted by Evaluator Judy Laureano

COMPLAINT CONTROL NUMBER: 30-CC-20240710095346

FACILITY NAME:	MAPLE TREE ACADEMY WLA-INFANT		FACILITY NUMBER:	197494263
ADMINISTRATOR:	BLANCA SANCHEZ		FACILITY TYPE:	830
ADDRESS:	2920 S SEPULVEDA BL		TELEPHONE:	(323) 999-6930
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90064
CAPACITY:	70	CENSUS: 18	DATE:	10/02/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Amy Mach, Facility Director		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Ratio: Facility is operating out of ratio.
Personal Right: staff did not ensure child was kept in dry clothing while in care

INVESTIGATION FINDINGS:

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On 10/2/2024 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of delivering findings . LPA was greeted by facility Director Amy Mach and discussed the purpose of the visit.
LPA toured the facility both indoors and outdoors. During the start of the inspection the following was observed:

2 children and 1 staff member in the nap room
3 children and 1 staff member in the classroom SM1 (on floor)
1 child and 1 staff member in the changing table area
4 children and 1 staff member eating in the kitchen area
4 children and 1 staff member in the SM2/3
4 children and 1 staff member outside

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024

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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Control Number 30-CC-20240710095346

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MAPLE TREE ACADEMY WLA-INFANT	FACILITY NUMBER: 197494263
	VISIT DATE: 10/02/2024

NARRATIVE

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On 7/16/2024 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. LPA was greeted by Amy Mach, facility director and discussed the purpose of the visit. LPA toured the facility and observed 23 children in care with 8 staff members providing care and supervision. LPA initiated interviews.

LPA requested and reviewed children's roster, staff roster, staff time sheets for June 2024. Any documents not available during today’s inspection, director agrees to email LPA.

On 10/2/2024 LPA Laureano concluded all investigative interviews with all relevant parties. Based on LPAs observation, investigative interviews with all relevant parties, no information was disclosed that facility was violating children's personal rights by not ensuring children are kept in dry clothing. No information was disclosed that facility is operating out of ratio. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disapprove the allegations, therefore the allegations are found to be UNSUBSTANTIATED.

Upon on receipt of this report, the Director shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

Exit interview was conducted and a copy of the report was provided to facility director, Amy Mach.

SUPERVISOR'S NAME: Claudia Escobedo	TELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Judy Laureano	TELEPHONE: (424) 301-3060
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2024

LIC9099 (FAS) - (06/04)

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