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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197495256
Report Date: 10/28/2024
Date Signed: 10/29/2024 09:19:15 AM

Substantiated


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 Cristina Castellanos
COMPLAINT CONTROL NUMBER: 30-CC-20240807111728
FACILITY NAME:CHILDREN OF OUR SAVIORFACILITY NUMBER:
197495256
ADMINISTRATOR:OLUBUKOLA SALAKOFACILITY TYPE:
830
ADDRESS:6705 W 77TH STREETTELEPHONE:
(310) 215-3166
CITY:LOS ANGELESSTATE: CAZIP CODE:
90045
CAPACITY:38CENSUS: 4DATE:
10/28/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Candice Wong - DirectorTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Personal Rights: Staff yell at infants.
INVESTIGATION FINDINGS:
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On 10/28/2024 Licensing Program Analyst (LPA) Cristina Castellanos made an unannounced visit to the above-mentioned facility for the purpose of delivering complaint findings. Upon arrival, LPA met with Director Candice Wong and discussed the purpose of the visit. LPA toured the facility and observed 3 children in care with 1 staff member providing care and supervision.

During the investigation, LPA reviewed the following documents: children’s roster, staff roster, personnel records, feeding schedule, infant classroom schedule, Daily form, and the parent infant handbook. Additionally, LPA interviewed facility staff and parents.

On 09/09/2024 upon arrival to the facility at approximately 8:50am, LPA Castellanos heard yelling coming from the infant room. Upon inquiring about the yelling, Director Wong stated, “Only when I’m surprise, when I’m thrown a toy. I wasn’t expecting that. It was a hard square.”


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
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 3
Control Number 30-CC-20240807111728
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CHILDREN OF OUR SAVIOR
FACILITY NUMBER: 197495256
VISIT DATE: 10/28/2024
NARRATIVE
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Per LPA observation and interviews of all relevant parties it was found that the staff have yelled at infants while in care. Based on LPA observation and interviews conduct, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTATIATED.

There was one deficiency cited during today’s visit in accordance with the California Code of Regulations, Title 22, Division 12, and Chapter 1. See LIC 9099-D for additional information.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and Plan of Correction was reviewed and developed with the Director. A copy of this report and appeal rights were discussed and left with the Director, whose signature on this form confirm receipt of these documents.


Page 2
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20240807111728
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CHILDREN OF OUR SAVIOR
FACILITY NUMBER: 197495256
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
11/04/2024
Section Cited
CCR
101223(a)(1)
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Personal Rights 101223(a)(1)
(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. This requirement is not met as evidenced by
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Director agrees to review the following video with staff:
https://ccld.childcarevideos.org/child-care-center-operators/childrens-personal-rights-in-child-care/
Director will submit a confirmation sheet signed by all staff to LPA via email by POC due date.
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Based on LPA observation on 09/09/2024 and interviews conduct of all relevant parties it was found that staff have yelled at infants while in care, which poses/posed a potential health, safety or personal rights risk to persons in care.
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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: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3