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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494264
Report Date: 08/26/2021
Date Signed: 08/26/2021 02:05:14 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
06/22/2021 and conducted by Evaluator Denise Miranda
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210622161216
FACILITY NAME:MAPLE TREE ACADEMY WLA PRESCHOOLFACILITY NUMBER:
197494264
ADMINISTRATOR:AMY SICILIANOFACILITY TYPE:
850
ADDRESS:2920 S SEPULVEDA BLVDTELEPHONE:
(310) 314-1111
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:80CENSUS: 56DATE:
08/26/2021
UNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Amy Siciliano, Director TIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not properly supervise children
Staff interact with children inappropriately
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 08/26/2021 at 1:31PM, Licensing Program Analyst (LPA) Denise Miranda conducted a visit at 2920 Sepulveda Blvd, Lo Angeles, CA 90064, or the purpose of investigating the above-mentioned allegation. Upon arrival, LPA Miranda were greeted by Ms. Amy Siciliano, Director, and discussed the purpose of the visit.
LPA observed 56 preschool children with 6 Teachers and Director. All adults present are associated to the facility.

Based on the information gathered throughout the course of the investigation which include LPA’s observation and interviews, the allegation above is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there are not a preponderance of the evidences to prove that the alleged violation occurred.

An exit interview was conducted, and a copy of this report was provided to Amy Sicliano, Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Peter Flores
LICENSING EVALUATOR NAME: Denise Miranda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
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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