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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494348
Report Date: 07/07/2025
Date Signed: 07/08/2025 08:14:18 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: 42DATE:
07/07/2025
UNANNOUNCEDTIME BEGAN:
08:49 AM
MET WITH:Amanda Reyes Interim DirectorTIME COMPLETED:
11:44 AM
ALLEGATION(S):
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Reporting Requirements- Staff did not properly report unusual incident(s)
INVESTIGATION FINDINGS:
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On 7/07/2025 Licensing Program Analyst (LPA) Ranita Richmond arrived at above mentioned facility for the purpose of delivering findings for the above-mentioned allegation. Upon arrival, LPA met with Amanda Reyes, Interim Facility Director and discussed the purpose of the visit. LPA toured the facility and observed 44 children in care with 6 staff providing care and supervision.
During today’s inspection, LPA toured the facility, reviewed Pro Care app incident reports for December 2024, and January through March 2025, and interviewed teachers.
Based on record reviews and interviews, which were conducted and recorded, the preponderance of evidence standard has been met, 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. Exit interview was conducted, a copy of this report and appeal rights was read and provided to Interim Director Amanda Reyes. A notice of site visit was provided and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025
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-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: 07/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/21/2025
Section Cited
CCR
10212(d)(1)(B)
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101212 Reporting Requirements(d) Upon the occurrence,..,a report shall be made to the Department (1)Events reported...(B)Any injury to any child that requires medical treatment. This requirement is not met as evidenced by:
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Director will make reports to the Department within 24 hours of occurence. Director will immediately update LIC 308 to indicate personnel that will be assigned as acting designee in the event that current Director is away from the faciltiy.
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Based on interviews and records reviews there was no report made to the Department by the facility regarding injury to child that required medical attention in February 2025. The fire department was called out to the faciltiy and a child was transported to the emergency room from the childcare facility.
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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: Maureen Neal
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2025
LIC9099 (FAS) - (06/04)
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