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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494892
Report Date: 09/13/2023
Date Signed: 09/13/2023 02:14:02 PM

Unsubstantiated


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
09/11/2023 and conducted by Evaluator Miriam Cohen
COMPLAINT CONTROL NUMBER: 58-CC-20230911151457
FACILITY NAME:OAK TREE VIEW PARK WINDSOR HILLSFACILITY NUMBER:
197494892
ADMINISTRATOR:BUKKY SOLANKOFACILITY TYPE:
830
ADDRESS:4416 W SLAUSON AVENUETELEPHONE:
(323) 815-1093
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:17CENSUS: DATE:
09/13/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Shantil Alexander,Infant Center DirectorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
1
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5
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7
8
9
Staff did not ensure that day care child's drinking cups were free of mold while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
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7
8
9
10
11
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13
On 09/13/2023 @ 9:45 AM, Licensing Program Analyst (LPA) Miriam Cohen conducted an unannounced complaint visit for the purpose of notifying the Infant Center Director, Shantil Alexander, concerning the above-mentioned allegation and to perform an investigation. Upon arrival, LPA Cohen observed two adults providing care for five infants. LPA Cohen met with Infant Center Director. LPA acquired the following documentation: *Children Roster *Emergency ID for with parent contact information *Written declaration from staff members. LPA interviewed and obtained written declaratives from staff members. During the investigation, conflicting information were provided, and no sufficient evidence was presented. After conducting verbal interviews with staff members (written declarations obtained), record reviews, and consultation with management, the following conclusion has been reached: Unsubstantiated - A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The investigation regarding the above allegations has been completed. No deficiencies will be issued. An exit interview was conducted, and the above items discussed with preschool director. A copy of this report was provided.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023
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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