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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198013102
Report Date: 12/07/2023
Date Signed: 12/07/2023 01:44:11 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
10/31/2023 and conducted by Evaluator Angelica Wallin
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20231031131909
FACILITY NAME:NEW LIBERTY CHILD DEVELOPMENT CENTER/DREWFACILITY NUMBER:
198013102
ADMINISTRATOR:MATTHEW KENNEDYFACILITY TYPE:
850
ADDRESS:5328 CENTRAL AVENUETELEPHONE:
(323) 234-3167
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:82CENSUS: 31DATE:
12/07/2023
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Latisha EdwardsTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Food service-Facility experiencing refridgerator malfunction causing food to spoil.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) A. Wallin and T. Tran arrived at the above licensed facility for the purpose of delivering final findings for the aforementioned complaint allegation. Upon arrival LPAs met with, Site Supervisor, Latisha Edwards, and toured the facility. LPA observed proper care, supervision and ratio.
During today's visit, LPAs observed meal time, obtained facility documents and conducted interviews with staff and children. Based on interviews and record review, staff observed the malfunction of refrigerator on April 6, 2023 and immediately took action. Therefore, the allegation of refrigerator malfunction causing food to spoil, is unsubstantiated based upon the evidence obtained during the course of the investigation. Unsubstantiated - A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
No deficiencies issued. The copy of this report was explained and issued to the noted person.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Angelica Wallin
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
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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