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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198008037
Report Date: 09/02/2025
Date Signed: 09/02/2025 01:33:32 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
06/04/2025 and conducted by Evaluator Jonnisha Culbert
COMPLAINT CONTROL NUMBER: 54-CC-20250604085445
FACILITY NAME:LAKEWOOD CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198008037
ADMINISTRATOR:SILVIA GUZMANFACILITY TYPE:
850
ADDRESS:5225 HAYTER AVE.TELEPHONE:
(562) 531-9440
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY:48CENSUS: 12DATE:
09/02/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Licensee, Silvvia GuzmanTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Staff did not prevent inappropriate interactions between day care children in care.
INVESTIGATION FINDINGS:
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On 09/02/2025 Licensing Program Analyst (LPA) Jonnisha Culbert conducted an unannounced complaint inspection, and met with licensee, Silvia Guzman. It was alleged that, “staff did not prevent inappropriate interaction between day care children…”.

On 05/29/2025, licensee reported to The Department that child 1 was playing outside with other children and got into a fight with child 2. As a result, child 1 sustained multiple scratches on their face. On 06/04/2025, a complaint was filed regarding the incident alleging that staff did not prevent inappropriate interaction between the children.

LPA conducted interviews and collected pertinent documents. LPA interviewed three children, and two out of the three children showed the LPA how Child 2 scratched child 1’s face. LPA collected statements from staff. Staff statement expressed that they have observed child 2 engaging in more physical behavior with


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025
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 54-CC-20250604085445
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LAKEWOOD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198008037
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/03/2025
Section Cited
CCR
101229(a)(1)
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101229 (a)The licensee shall provide care and supervision as necessary to meet the children's needs(1)No child shall be left without the supervision of a teacher at any time...Supervision shall include visual observation. This requirement was no met as evidenced by
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Per licensee, on the day of the incident, 05/28/2025, they conducted a training for staff on active supervision. LPA collected a copy of training outline and attendees. Citation was cleared during the visit.
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Based on interviews, the licensee did not comply with the section cited above and no staff visually observed the incident and as a result, child 2 face sustained multiple scratches requiring medical treatment. This is an immediate safety 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: Warren Birks
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 54-CC-20250604085445
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LAKEWOOD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198008037
VISIT DATE: 09/02/2025
NARRATIVE
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other children. During staff interviews, two out of three staff indicated they were on the playground supervising the children at the time of the incident; while under their supervision child 1 sustained multiple scratches to the face which required medical treatment. According to interviews, no staff indicated that they visually observed child 2 scratch child 1’s face. This is an immediate health, safety, and personal rights risk to persons in care.

Based on the evidence obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, (Title22) (is being cited on the attached LIC 90999D. Appeal rights were provided and exit interview conducted and report was reviewed with licensee, Silvia Guzman. The Notice of Site Visit must be posted for 30 days.

LPA Jonnisha Culbert informed licensee, Silvia Guzman that this report dated 09/02/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Jonnisha Culbert informed the licensee, Silvia Guzman to provide a copy of this licensing report dated 09/02/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt Licensing Report (LIC 9224), or other written statement, must be placed in the child’s file for verification.
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:

DATE: 09/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2025
LIC9099 (FAS) - (06/04)
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