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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198012843
Report Date: 04/19/2023
Date Signed: 04/19/2023 03:20:55 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 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
02/13/2023 and conducted by Evaluator Katrina Chicote
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20230213111917
FACILITY NAME:WILL ROGERS PRESCHOOLFACILITY NUMBER:
198012843
ADMINISTRATOR:NATTALY ZAVALAFACILITY TYPE:
850
ADDRESS:11220 DUNCAN AVENUETELEPHONE:
(310) 603-2087
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:24CENSUS: 21DATE:
04/19/2023
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Gisele Ochoa, Education SpecialistTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Personal Rights - Staff hit day care child
INVESTIGATION FINDINGS:
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On 04/19/2023 at 1:30 PM, LPA initially met with Jessica Smith, Facility Representative, for the purpose of an Unannounced Complaint Investigation to delivering findings for the above allegation. LPA announced purpose of visit and was granted entry to facility. Education Specialist, Gisele Ochoa, arrived at a later time and LPA continued to review report with Education Specailist.Census was taken.

During the course of the investigation, LPA interviewed multiple parents and children enrolled in both the AM and PM Program, Staff, and obtained pertinent documents. No additional disclosures were made in regards to the above allegation. LPA observed staff interactions with children on multiple visits to facility and did not make any observations in regards to allegation during those visits

This Agency has investigated the above complaint and found that although the allegation may have happened or is valid; based on observations and interviews there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegation is deemed UNSUBSTANTIATED. Report Continues - Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
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 2
Control Number 54-CC-20230213111917
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WILL ROGERS PRESCHOOL
FACILITY NUMBER: 198012843
VISIT DATE: 04/19/2023
NARRATIVE
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No deficiencies cited on this visit but advisories were provided.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with the Facility Representative, Gisele Ochoa.


Report Ends - Page 2 of 2
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 04/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2