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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494715
Report Date: 08/19/2021
Date Signed: 08/19/2021 10:42:24 AM

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
06/04/2021 and conducted by Evaluator Angelica Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210604110700
FACILITY NAME:ABC SCHOOL HOUSEFACILITY NUMBER:
197494715
ADMINISTRATOR:BERNET-LEGUM, SUZANNEFACILITY TYPE:
850
ADDRESS:4102 W. VICTORY BLVDTELEPHONE:
(818) 842-8466
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY:58CENSUS: 21DATE:
08/19/2021
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Mercedes DiazTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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9
Facility is operating out of ratio
Staff failed to meet the daycare child's needs
INVESTIGATION FINDINGS:
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On 8/19/2021 at 9:20 AM Licensing Program Analyst (LPA) Angelica Ramirez arrived at ABC School House for the purpose of delivering the findings of the complaint received by the El Segundo Child Care Regional Office on 6/4/2021. LPA wore a face mask and a health screening was conducted prior to LPA's entry into the facility. Upon entry, LPA sanitized hands. LPA met with Mercedes Diaz, Director, who guided the LPA on a tour of the facility. LPA observed nine children with three staff members in the two and three year old classroom, 10 children with two staff members in the preschool and TK classroom, and two children with one staff member in the school-age classroom.

Based on interviews conducted with the Reporting Party and the licensee, and evidence obtained (receipts from Teachers on Reserve, substitutes for May and June of 2021), the allegations listed above are Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Angelica Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
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 2
Control Number 30-CC-20210604110700
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: ABC SCHOOL HOUSE
FACILITY NUMBER: 197494715
VISIT DATE: 08/19/2021
NARRATIVE
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An exit interview was conducted with Ms. Diaz. A copy of this report and a Notice of Site Visit were issued and will be provided to Ms. Diaz. The Notice of Site Visit is to be posted in a prominent area for 30 days.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Angelica Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2