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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197495043
Report Date: 10/24/2024
Date Signed: 10/25/2024 09:11:37 AM

Unsubstantiated


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
08/07/2024 and conducted by Evaluator Ranita Richmond
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240807101711
FACILITY NAME:DEVINE FAMILY CHILD CAREFACILITY NUMBER:
197495043
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 5DATE:
10/24/2024
UNANNOUNCEDTIME BEGAN:
09:02 AM
MET WITH:Keisha DevineTIME COMPLETED:
11:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights-Licensee did not prevent children from harming other children in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 10/24/2024, LPA Ranita Richmond and Brittany Lovest conducted an unannounced visit to deliver the findings on the above allegation. LPA Richmond was greeted by Licensee Lakeisha Devine. LPA Richmond toured the home inside and outside for Health & Safety inspection. LPA Richmond observed 5 children being supervised and cared for by licensee and one fingerprint cleared staff.

Based on observation, record review, and interviews, there is no evidence to show that personal rights was violated. Therefore, the above allegation is found to be UNSUBSTANTIATED, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.
Per Title 22 Regulations and Health and Safety Codes, no citations were issued.
An exit interview was conducted, a copy of this report was read and provided to Licensee Lakeisha Devine.
Notice of Site Visit was provided and required to be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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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