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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494727
Report Date: 04/05/2024
Date Signed: 04/05/2024 01:38:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
01/11/2024 and conducted by Evaluator Joe Katrdzhyan
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240111092925
FACILITY NAME:BUMO - CENTURY CITYFACILITY NUMBER:
197494727
ADMINISTRATOR:DARLENE DAVIS-AYALAFACILITY TYPE:
850
ADDRESS:10250 SANTA MONICA BLVD. #2860TELEPHONE:
(909) 648-6954
CITY:LOS ANGELESSTATE: CAZIP CODE:
90067
CAPACITY:14CENSUS: 0DATE:
04/05/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Center Manager / Justin Pelen
Head of School/Licensee Representative: Joan Nguyen		TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Licensee not ensuring staff have required paperwork on file.

Licensee not ensuring staff meet personnel requirements.

Staff are utilizing off limits area of facility for child care.
INVESTIGATION FINDINGS:
1
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3
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5
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7
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9
10
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12
13
On 4/5/24, at 8AM, Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced cite visit to this facility to deliver findings on the above-mentioned allegations. Upon arrival, LPA met with Center Manager / Justin Pelen, who guided LPA on a tour of the facility. There were 0 children with 1 staff observed present in the preschool program. Per Justin Pelen, children arrive at the program at 9AM. LPA explained the purpose of today’s visit.

During the course of the investigation, interviews were conducted, staff and children's records were reviewed and copies of Children's / Staff Rosters and facility sketch were obtained.

Per Reporting Party, Licensee not ensuring staff have required paperwork on file, Licensee not ensuring staff meet personnel requirements and Staff are utilizing off limits area of facility for child care.

(Please see LIC 9099C for additional information)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe KatrdzhyanTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024
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 6
Control Number 58-CC-20240111092925
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BUMO - CENTURY CITY
FACILITY NUMBER: 197494727
VISIT DATE: 04/05/2024
NARRATIVE
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During the interview with the Head of School / Licensee Representative: Joan Nguyen, LPA was informed that within a three week period, between December of 2023 and January of 2024, six out of eight staff members resigned and the Licensee Representative hired new staff on short notice. After reviewing the files of Staff members 1 - 4, it was discovered that Staff members 1 - 4 were hired in the beginning of January of 2024 and had been working at the facility prior to obtaining a criminal record clearance. Staff members 2 - 4 had incomplete personnel records and were missing health screenings and immunization records.
In reference to the allegation of Staff are utilizing off limits area of facility for child care, the Licensee Representative stated that the off limits space was rented to a vendor (Bakers Academy) during the holiday season / winter break. The Infant and Pre-school programs were both on site at the time. The Bakers Academy was for school age kids, only 5 and up. Both licenses (Infant & Pre-school) were operating while the space was being rented out. The parents for the Bakers Academy children used the main entrance to drop off / pick up their children.

Based on LPA’s observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form during this visit.

The Notice of Site Visit was provided and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Justin Pelen and Appeals Rights provided.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe KatrdzhyanTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 58-CC-20240111092925
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: BUMO - CENTURY CITY
FACILITY NUMBER: 197494727
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/05/2024
Section Cited
CCR
101170(e)(1)
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2
3
4
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6
7
Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department.
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Staff members 1 – 4 obtained a criminal record clearance and have been associated to the facility. Deficiency was cleared at the time of visit and no further action is needed.
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14
After reviewing the files of Staff members 1 - 4, it was discovered that Staff members 1 - 4 were hired in the beginning of January of 2024 and had been working at the facility prior to obtaining a criminal record clearance. This poses an immediate health, safety, and personal rights risk to children in care.
8
9
10
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14
Type B
04/05/2024
Section Cited
CCR
101217(a)
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2
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6
7
Personnel Records. Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information.

This requirement was not met as evidenced by:
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2
3
4
5
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7
The Licensee Representative submitted health screenings and immunizations records for staff members 2 - 4. Deficiency was cleared at the time of visit and no further action is needed.
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14
After reviewing the files of Staff members 1 - 4, it was discovered that Staff members 2 -4 had incomplete personnel records and were missing health screenings and immunization records. This poses a potential health, safety or personal rights risk to persons in care.
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9
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14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe KatrdzhyanTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 58-CC-20240111092925
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: BUMO - CENTURY CITY
FACILITY NUMBER: 197494727
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/26/2024
Section Cited
CCR
101237(a)
1
2
3
4
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6
7
Alterations to Existing Buildings or New Facilities. Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).

This requirement was not met as evidenced by:
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Licensee will review Title 22 Regulations Section 101237 on Alterations to Existing Buildings or New Facilities and develop a written Plan of Correction (POC) to ensure compliance within this section. POC will be submitted to CCL by the POC due date.
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Per the Licensee Representative, the off limits space was rented to a vendor (Bakers Academy) during the holiday season / winter break. The Infant and Pre-school programs were both on site at the time. The Bakers Academy was for school age kids, only 5 and up. Both licenses (Infant & Pre-school) were operating while the space was being rented out. The parents for the Bakers Academy children used the main entrance to drop off / pick up their children. This poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe KatrdzhyanTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
01/11/2024 and conducted by Evaluator Joe Katrdzhyan
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240111092925

FACILITY NAME:BUMO - CENTURY CITYFACILITY NUMBER:
197494727
ADMINISTRATOR:DARLENE DAVIS-AYALAFACILITY TYPE:
850
ADDRESS:10250 SANTA MONICA BLVD. #2860TELEPHONE:
(909) 648-6954
CITY:LOS ANGELESSTATE: CAZIP CODE:
90067
CAPACITY:14CENSUS: 0DATE:
04/05/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Center Manager / Justin Pelen
Head of School/Licensee Representative: Joan Nguyen		TIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee not ensuring children's immunizations are up to date.

Facility does not have a director.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/5/24, at 8AM, Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced cite visit to this facility to deliver findings on the above-mentioned allegations. Upon arrival, LPA met with Center Manager / Justin Pelen, who guided LPA on a tour of the facility. There were 0 children with 1 staff observed present in the preschool program. Per Justin Pelen, children arrive at the program at 9AM. LPA explained the purpose of today’s visit.

During the course of the investigation, interviews were conducted, staff and children's records were reviewed and copies of Children's / Staff Rosters and facility sketch were obtained.

Per Reporting Party, Licensee not ensuring children's immunizations are up to date and Facility does not have a director.

(Please see LIC 9099C for additional information)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe KatrdzhyanTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 58-CC-20240111092925
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: BUMO - CENTURY CITY
FACILITY NUMBER: 197494727
VISIT DATE: 04/05/2024
NARRATIVE
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2
3
4
5
6
7
8
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32
During the cite visit conducted on 1/18/24, LPA Katrdzhyan reviewed children's records (Children 1 - 4) with the assistance of the Head of School / Licensee Representative: Joan Nguyen and found the records to be complete. The immunization records were also up to date.

In reference to the allegation of Facility does not have a director, In January of 2024, the Licensee Representative informed the Department / CCL that within a three week period, six out of eight staff members resigned (including the Director). The Licensee Representative stated that they are fully qualified to be a Director and was present at the facility while searching to find a new Director for the facility.

Based on the investigation conducted, there is insufficient evidence to support the above-mentioned allegations to be true. Therefore, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

The Notice of Site Visit was provided and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Joan Nguyen and Appeals Rights provided
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Joe KatrdzhyanTELEPHONE: (424) 301-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 04/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/05/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6