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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198011349
Report Date: 10/25/2021
Date Signed: 10/25/2021 11:08:03 AM

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
09/22/2021 and conducted by Evaluator Judy Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210922111227
FACILITY NAME:CDCLA - TINY DOTS EARLY EDUCATION CENTERFACILITY NUMBER:
198011349
ADMINISTRATOR:MICHELLE JOHNSONFACILITY TYPE:
850
ADDRESS:100 S. MAIN STREETTELEPHONE:
(213) 897-0049
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY:60CENSUS: 26DATE:
10/25/2021
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Michelle Johnson TIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility equipment is not maintained in good condition.
Staff does not provide adequate supervision to children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced site inspection on this date to conclude the investigation for the above complaint allegations. LPA met with Director Michelle Johnson, who guided LPA on a tour the facility at approximately 09:00 AM.

During the course of this inspection and the initial 10 day inspection LPA visually observed the toddler & preschool classrooms both indoors and outdoors. LPA observed staff to children ratios and supervision of children. Staff names were obtained. LPA also physically inspected the indoor classrooms. Interviews were conducted with staff and other witnesses. During the course of the investigation LPA also obtained a copy of the facility roster.



*REPORT CONTINUES ON NEXT PAGE
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021
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 5
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
09/22/2021 and conducted by Evaluator Judy Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210922111227

FACILITY NAME:CDCLA - TINY DOTS EARLY EDUCATION CENTERFACILITY NUMBER:
198011349
ADMINISTRATOR:MICHELLE JOHNSONFACILITY TYPE:
850
ADDRESS:100 S. MAIN STREETTELEPHONE:
(213) 897-0049
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY:60CENSUS: 26DATE:
10/25/2021
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Michelle Johnson TIME COMPLETED:
11:30 AM
ALLEGATION(S):
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2
3
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7
8
9
Staff did not inform parent of child's injury.
INVESTIGATION FINDINGS:
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5
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Licensing Program Analyst (LPA) Judy Mora conducted an unannounced site inspection on this date to conclude the investigation for the above complaint allegations. LPA met with Director Michelle Johnson, who guided LPA on a tour the facility at approximately 09:00 AM.

During the course of this inspection and the initial 10 day inspection LPA visually observed the toddler & preschool classrooms both indoors and outdoors. LPA observed staff to children ratios and supervision of children. Staff names were obtained. LPA also physically inspected the indoor classrooms. Interviews were conducted with staff and other witnesses. LPA previously obtained a copy of the facility roster.

There were no disclosures made during any staff or other witness interviews. Although the allegation may have happened or is valid there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. The Notice of Site Visit (LIC 9213) – was given and must remain posted for 30 days. Exit interview conducted with Michelle Johnson, Director. Appeal Rights explained and provided.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20210922111227
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: 10/25/2021
NARRATIVE
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During the course of staff and other witness interviews, information was obtained disclosing that children were left unsupervised in the restroom area and staff was not aware. A parent found children in that area. Title 22 Regulation Section 101229 (a)(1) states that "No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation". This was an immediate risk to the health and safety of children in care.

LPA also found that the kiddie gate which blocks access to the restroom area was broken which gave children access to this area. Children were also hurt by the gate as a result of it being broken. Title 22 Regulation Section 101239 (n) states that "Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts". This was a potential risk to the health and safety of children in care.

Based on the available information, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 1), are being cited on the attached LIC. 9099D'S.

Upon receipt of this report, the licensee shall post any licensing report documenting a type “A” citation and/or a 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.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with Michelle Johnson, Director. Appeal Rights explained and provided.


*END OF REPORT, SEE 9099-D
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20210922111227
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: 10/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/03/2021
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision
No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation.
This requirement was not met as evidenced by staff and other witness
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Director states she will have an individual staff meeting with each staff in regards to active supervision. Director needs a week to complete the meetings. POC due date 11/03/21. Director plans to spend more time in the toddler classroom.
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disclosures which indicated that children were left in the restroom area unsupervised by a staff person. Children were found by a parent. This was an immediate risk to the health and safety of children 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 Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20210922111227
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: 10/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/25/2021
Section Cited
CCR
101239(n)
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Fixtures, Furniture, Equipment and Supplies
Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.
This requirement was not met as evidenced by staff and other witnesses disclosing that the kiddie gate in the toddler restroom area was broken. This gave children access to this area
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Director replaced broken gate. LPA observed broken gate in the trash during the inspection on 10/01/21. Deficiency corrected during this inspection.
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and some children were hurt by it. This was a potential risk to the health and safety of children 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 Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5