198009710-11-5-2024-54-CC-DGIS-DBMRAC-20241204115054

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198009710
Report Date: 11/05/2024
Date Signed: 11/05/2024 11:57:46 AM

Unsubstantiated

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
09/09/2024 and conducted by Evaluator Claudia Kam

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20240909114819

FACILITY NAME:	UNIVERSITY GARDENS CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	198009710
ADMINISTRATOR:	JOANNA WILLIAMS		FACILITY TYPE:	850
ADDRESS:	1250 W. JEFFERSON BLVD.		TELEPHONE:	(323) 733-1650
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90007
CAPACITY:	20	CENSUS: 14	DATE:	11/05/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Yasmirth Chavez		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in children sustaining multiple injuries

INVESTIGATION FINDINGS:

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On 11/05/2024 at 9:30 AM Licensing Program Analyst (LPA) Claudia Kam conducted an Unannounced Complaint Inspection for the purpose of delivering findings for the above allegation. LPA announced purpose of inspection and was allowed entry to facility by Yasmirth Chavez. LPA met with site supervisor, who guided analyst on a tour of the facility. There were 13 children present with 5 staff upon arrival with a child arriving later during the visit for a total of 14 children present.

During the investigation LPA obtained a copy of the incident report log, facility roster, personnel roster, supervision maps, opening and closing checklist, daily report to parents, reviewed children's files and teacher files, toured and observed the facility, and conducted interviews with staff, children and parents.

Information provided by the reporting party alleges that staff did not provide adequate supervision resulting in children sustaining multiple injuries.

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Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Claudia Kam	TELEPHONE: (626) 602-6842
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

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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Control Number 54-CC-20240909114819

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: UNIVERSITY GARDENS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198009710
	VISIT DATE: 11/05/2024

NARRATIVE

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Based on the LPA's observations and interviews which were conducted and record review it was found that there is no video evidence to confirm that the allegation is unfounded. LPA observed that there is a supervision plan for indoors and outdoors posted and utilized. Ratio is 1 teacher to 4 children plus a floater teacher for additional assistance in each classroom. Director is also available as needed for further support. Protocol per standard operating procedure for minor incident reporting is that the incident is to be recorded on the incident report for all injuries. Incident reports were given to parents for all injuries and signed and dated by the site supervisor and teacher and parent on the day of the incidents. All injuries did not require medical. In addition staff document how the parent/guardian is contacted for notification which is documented on the incident report prior to parent given a physical copy. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies will be cited today 11/5/24.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted with Yasmirth Chavez, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Claudia Kam	TELEPHONE: (626) 602-6842
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC9099 (FAS) - (06/04)

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