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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198011349
Report Date: 07/16/2021
Date Signed: 07/16/2021 02:25:42 PM

Substantiated


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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/13/2021 and conducted by Evaluator Judy Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210713083858
FACILITY NAME:CDCLA - TINY DOTS EARLY EDUCATION CENTERFACILITY NUMBER:
198011349
ADMINISTRATOR:SUE ELLEN B. CHANGCUENCAFACILITY TYPE:
850
ADDRESS:100 S. MAIN STREETTELEPHONE:
(213) 897-0049
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY:60CENSUS: 26DATE:
07/16/2021
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Michelle Johnson TIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Unsafe items are accessible to daycare children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced initial 10 day inspection to investigate the above complaint allegation. LPA toured facility with Director, Michelle Johnson at approximately 11:35 AM. LPA observed 20 children with 02 staff on the playground.

During the course of this inspection LPA visually observed the children and staff on the playground to determine if needs of children and ratios are being met. LPA inspected the facililty both indoors and outdoors. LPA also obtained a copy of the facility roster. Based on the available information, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 1), are being cited on the attached LIC. 9099D. LPA observed several items including equpment and materials stacked in the hallway outside of the classroom. LPA also observed stacked items such as trash cans and crates next to the sink in the toddler room. This poses a potential Health & Safety risk to clients in care. Photos were taken.

*REPORT CONTINUES ON NEXT PAGE
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
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 7
Control Number 33-CC-20210713083858
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CDCLA - TINY DOTS EARLY EDUCATION CENTER
FACILITY NUMBER: 198011349
VISIT DATE: 07/16/2021
NARRATIVE
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Upon receipt of this report, the licensee shall post ANY licensing report documenting a type “A” citation or substantiated complaint. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

Exit interview was conducted with Director, Appeal rights and procedures were explained.


*END OF REPORT
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 33-CC-20210713083858
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CDCLA - TINY DOTS EARLY EDUCATION CENTER
FACILITY NUMBER: 198011349
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/30/2021
Section Cited
CCR
101238(b)
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Buildings and Grounds
All children shall be protected against hazards within the center through provision of the following:
This requirement was not met as evidenced by LPA observing several items including equpment and materials stacked in the hallway outside of the classroom. LPA also observed stacked items such as trash cans and crates next to the sink in the toddler room. This s poses a potential Health & Safety risk to clients in care.
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Director states she will clean up all the areas that need to be cleaned up. Director states she will organize and placed some procedures in place to maintain the areas. Follow up inspection will be conducted. LPA will be sent photos by 07/30/21.
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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 Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 7