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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494827
Report Date: 02/15/2023
Date Signed: 02/15/2023 12:13:56 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
12/28/2022 and conducted by Evaluator Lisa Clayton
COMPLAINT CONTROL NUMBER: 58-CC-20221228155802
FACILITY NAME:ACHIEVERS ACADEMY PRESCHOOLFACILITY NUMBER:
197494827
ADMINISTRATOR:MARIA GOLDMANFACILITY TYPE:
850
ADDRESS:9025 LANGDON AVENUETELEPHONE:
(818) 830-8123
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:132CENSUS: 45DATE:
02/15/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:PRISCILLA RIVERA, DIRECTORTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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PERSONAL RIGHTS - Staff handled day care child in a rough manner
INVESTIGATION FINDINGS:
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On 02/15/2023, LPA Clayton conducted an un-announced visit to deliver the findings on the above allegations. LPA was greeted by Director Priscilla Rivera. LPA Clayton observed 45 children in care, being supervised and cared for appropriately by 6 teachers and a floater.

LPA Clayton conducted the initial inspection on 01/04/2023 during which time, LPA Clayton interviewed the staff and student mentioned in the complaint, the Director, and met with the Owner Mitul Sharma. LPA Clayton obtained the children's facility roster and staff personnel contact information.

During both visits, LPA Clayton conducted Health and Safety inspections of the 6 classrooms, and bathrooms and observed the facility to be clean, safe, sanitary and in good repair, ensuring the safety and well-being of the children in care. In all classes, LPA Clayton observed the student: teacher ratio to be in compliance with Title 22 Regulations.



Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
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 58-CC-20221228155802
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: ACHIEVERS ACADEMY PRESCHOOL
FACILITY NUMBER: 197494827
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/15/2023
Section Cited
CCR
101223(a)(1)(3)
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101223(a)(3)(a) The licensee shall ensure that each child is accorded the following personal rights: (1)To be accorded dignity in his/her personal relationships with staff and other persons. (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

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Director instructed to conduct training with all staff regarding personal rights of children in care

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This requirement is not met as evidenced by: Based on LPA interview with the child mentioned in the complaint the teacher in fact handled her inappropriately. Interviews with other children in care revealed that when they don’t listen, the teacher in question gets upset, rude and yells at them, which poses an immediate Health, Safety, or Personal Rights risk to the children in care.

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Director will provide a copy of the training agenda along with the Staff attendee signature via email no later than 02/21/2023.

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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: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20221228155802
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: ACHIEVERS ACADEMY PRESCHOOL
FACILITY NUMBER: 197494827
VISIT DATE: 02/15/2023
NARRATIVE
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On 02/15/2023 LPA Clayton conducted investigative interviews with C2, C3, C4 and C5. Based on LPA observation and interviews, 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 Personal Rights 101223(a)(1)(3) is being cited on the Facility Evaluation Report LIC 9099D.

An exit interview was conducted with Director Priscilla Rivera, and a copy of this report and Appeal rights were provided.

The Notice of Site Visit (LIC 9213) – 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.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3