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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198001351
Report Date: 08/04/2022
Date Signed: 08/04/2022 11:45:40 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/24/2022 and conducted by Evaluator Katrina Chicote
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20220624142343
FACILITY NAME:92ND & MAIE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198001351
ADMINISTRATOR:ALICIA GARCIAFACILITY TYPE:
850
ADDRESS:9200 MAIE AVE.TELEPHONE:
(323) 249-0621
CITY:LOS ANGELESSTATE: CAZIP CODE:
90002
CAPACITY:54CENSUS: 25DATE:
08/04/2022
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Personal Rights - Staff hit child in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Katrina Chicote conducted an unannounced complaint inspection on 08/04/2022 at 11:10am to deliver findings and conclude the investigation of the above allegation. LPA singularly toured facility. LPA arrived during lunch service and Facility Representative, Anadia Leal, was observed serving lunch. There were 25 children with nine staff present during this visit.

During the course of this investigation, LPA interviewed staff, children, and parents. All pertinent documentation was collected. No disclosures were made regarding the above allegation from interviews conducted. Staff who were present during alleged incident both stated that they did have to physically intervene to separate child from being physical with other children but did so in a developmentally appropriate way. Staff member stated using sign language for stop, which is a karate chop motion to a flat hand, to communicate to alleged victim who has limited verbal skills. LPA observed Staff show example of sign language and how child was separated.
Report Continues - Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
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 2
Control Number 54-CC-20220624142343
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: 92ND & MAIE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198001351
VISIT DATE: 08/04/2022
NARRATIVE
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During observation on different occasions, personal rights of children were observed. Parent interviews consistently stated being satisfied with level of care at facility and did not express any concerns in similar to allegation. Children interviews did not make any disclosures in regards to allegation.

LPA spoke to Program Director, who provided documents on Agency's investigation of incident. LPA reviewed documents which corroborates information provided by staff. Program Director provided proof of completion of certificates of staff for managing challenging behaviors and personal rights.

Although the allegations may have happened or are valid there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies will be cited today.

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.

Exit interview was conducted with Anadia Leal, Facility Representative, including, but not limited to Appeal Procedures and Agencies Consultative Role.
Report Ends - Page 2 of 2
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2