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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198012158
Report Date: 07/17/2024
Date Signed: 07/17/2024 03:58:01 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
07/10/2024 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240710131957
FACILITY NAME:CHILDREN'S ACADEMY OF SUCCESSFACILITY NUMBER:
198012158
ADMINISTRATOR:KELLY ECHEVERRIAFACILITY TYPE:
850
ADDRESS:10839 LA REINA AVENUETELEPHONE:
(562) 231-4373
CITY:DOWNEYSTATE: CAZIP CODE:
90241
CAPACITY:48CENSUS: 20DATE:
07/17/2024
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Bianca SigalaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Qualifications-Unqualified staff providing care and supervision to daycare children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), T. Tran made an unannounced visit at the above licensed facility for the purpose of investigate the above complaint allegation. Upon arrival, LPA met with Center Director, Bianca Sigala and toured the facility.
LPA completed staff files review and obtained staff records, personnel report, and children's roster. LPA conducted interview with staffs. During today's inspection, per record reviewed, observation, and interview conducted, S1 and S5 did not have the qualifications units for their role while working at the facility. According to title 22 regulations, all center staff shall meet the qualifications for their role prior to be at the center providing care for children. Therefore, based on the preponderance of evidence, the allegation of facility does not have a fully qualified staff providing care for children was substantiated. A finding means that the complaint is substantiated, and the allegation is valid because the preponderance of the evidence standard has been met.
Facility was cited type A deficiency. Please see Complaint Investigation Report LIC 9099D for deficiency cited. An exit interview was conducted with the licensee, and a notice of site visit was provided along with the appeal rights. Exit interview conducted and report was reviewed with the facility representative, Bianca Sigala.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
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-20240710131957
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: CHILDREN'S ACADEMY OF SUCCESS
FACILITY NUMBER: 198012158
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/05/2024
Section Cited
CCR
101216.1
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Staff qualifications and duties
This requirement is not met as evidenced by based on record review, observation, and interview conducted S1 and S5 were not fully qualified staff while caring for children which poses an immediate health and safety risk to children in care.
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Center director states she will comply with regulations by having S1 and S5 complete the required units for their role then submit it to the department by or before 8/5/2024 in order to clear this citation.


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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: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3