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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494348
Report Date: 08/04/2025
Date Signed: 08/05/2025 08:44:05 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
05/21/2025 and conducted by Evaluator Ranita Richmond
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20250521095209
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:
08/04/2025
UNANNOUNCEDTIME BEGAN:
05:35 PM
MET WITH:Amanda ReyesTIME COMPLETED:
06:45 PM
ALLEGATION(S):
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Reporting Requirements-Staff did not comply with reporting requirements.
INVESTIGATION FINDINGS:
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On 8/04/25, Licensing Program Analyst (LPA) Ranita Richmond and Brittany Lovest arrived at the above mentioned facility for the purpose of delivering findings for complaint investigation. Upon arrival LPA met with Assistant Director, Amanda Reyes and toured the facility. LPA observed 52 children in care with 9 staff. LPA advised Assistant Director, the purpose of the inspection was due to a complaint received by the El Segundo Child Care Regional Office (ESCCRO).

Based on observations, interviews, and records reviews which were conducted and recorded, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. There was no report made to the authorized representative or the Department by the facility regarding injury to child in March 2025. The injury later required medical attention. When asked by the parent, the Director admitted via ProCare app communication that an incident did occur at the facility that was not reported. The director advised the parent that although staff were unable to prevent the incident,
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2025
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-20250521095209
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: 08/04/2025
NARRATIVE
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that staff were within ratio and within arms distance of the children involved. Director advised parents that administration and faculty are committed to the safety of all children enrolled in the program.

On 5/22/2025 Licensing Program Analyst (LPA) Ranita Richmond and Chartice Johnson and Licensing Program Manager (LPM) Maureen Neal arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. Upon arrival, LPA met with Kimberly Kern, Facility Director and discussed the purpose of the visit. LPA toured the facility and observed 47 children in care with 7 staff providing care and supervision.

During inspection, LPA toured the facility, obtained pertinent documents and interviewed staff.

From 5/22/2025 through 7/21/25, LPA conducted parent interviews.

California Code of Regulations, Title 22 Division 12, Chapter 1, and Article 06, are being cited on the attached LIC. 9099D. Repeat violation, see LIC 421IM. An exit interview was conducted, a copy of this report and appeal rights were read and provided to Director, Amanda Reyes.


Notice of Site Visit was provided and required to be posted for 30 days.
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20250521095209
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: 08/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/04/2025
Section Cited
CCR
101212(d)(1)(B)
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101212 Reporting Requirements
(d) Upon the occurrence,..a report shall be made to the Department... within the Department's next working day(1) Events reported shall include the following:(B) Any injury... medical treatment. This requirement is not met as evidenced by:
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Director and administrative to report incidents to the Regional Office within 24 hours.
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Director did not report incident made by Child (C1) the authorized representative regarding injury to child in March 2025.
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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: Loyce Phillips
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2025
LIC9099 (FAS) - (06/04)
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