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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494348
Report Date: 04/15/2025
Date Signed: 04/17/2025 09:19:53 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
04/10/2025 and conducted by Evaluator Ranita Richmond
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20250410092332
FACILITY NAME:BRELLA PLAYA VISTA PRESCHOOLFACILITY NUMBER:
197494348
ADMINISTRATOR:KIMBERLY KERNFACILITY TYPE:
850
ADDRESS:12746 W. JEFFERSON BL. #3-3100TELEPHONE:
(213) 300-5962
CITY:LOS ANGELESSTATE: CAZIP CODE:
90094
CAPACITY:56CENSUS: 52DATE:
04/15/2025
UNANNOUNCEDTIME BEGAN:
02:22 PM
MET WITH:Kimberly Kern TIME COMPLETED:
04:29 PM
ALLEGATION(S):
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Neglect/ Lack of Supervision- Staff did not prevent child(ren) from wandering away from facility

INVESTIGATION FINDINGS:
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On 4/15/2025 Licensing Program Analysts (LPA) Ranita Richmond and Chartice Johnson arrived at above mentioned facility for the purpose of investigating the above-mentioned allegation. Upon arrival, LPA met with Kimberly Kern, Facility Director and discussed the purpose of the visit. LPA toured the facility and observed 52 children in care with 7 staff providing care and supervision.

Based on LPA record reviews and interviews which were conducted and recorded, the preponderance of evidence standard has been met for lack of supervision. Therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 Division 12, Chapter 1, and Article 06, are being cited on the attached LIC. 9099D. See LIC 421IM.

LPA Richmond informed director Kimberly Kern that this report dated 4/15/25 documents 1(one) Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety,
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
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 30-CC-20250410092332
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BRELLA PLAYA VISTA PRESCHOOL
FACILITY NUMBER: 197494348
VISIT DATE: 04/15/2025
NARRATIVE
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 or personal rights of children in care.

Also, LPA Richmond informed the director Kimberly Kern to provide a copy of this licensing report dated 4/15/25 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted, and report was reviewed with Director Kimberly Kern.
Appeal rights printed and reviewed with Director Kimberly Kern.
A Notice of Site Visit was provided and must remain posted for 30 days.


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SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 30-CC-20250410092332
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: BRELLA PLAYA VISTA PRESCHOOL
FACILITY NUMBER: 197494348
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/16/2025
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision(a) The licensee shall provide care and supervision...(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.This requirement is not met as evidenced by:
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Director and staff will complete:
• The CCL on-line videos for all staff/director: Care & Supervision
• All STAFF meeting regarding Care and Supervision/personal rights and agenda of discussion & staff sign their names as attending.

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Based on LPA record reviews and interviews which were conducted and recorded, the preponderance of evidence standard has been met for lack of supervision. CCC self reported the incident to ESCCRO as an UIR on 4/10/25.
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Director will submit a written action plan regarding playground safety & supervision, i.e. head count, check off sheet of children on the yard when the kids go to the yard and when they are returning to the classroom.
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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: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
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