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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198013102
Report Date: 06/09/2026
Date Signed: 06/09/2026 02:53:53 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
05/21/2026 and conducted by Evaluator Peter Bishop
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20260521153434
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: 38DATE:
06/09/2026
UNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Facility Representative (FR) Ivana HernandezTIME COMPLETED:
03:05 PM
ALLEGATION(S):
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Staff did not notify daycare child’s authorized representative of an injury
INVESTIGATION FINDINGS:
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On June 9, 2026 at 1:50 p.m., Licensing Program Analyst (LPA) Peter Bishop arrived at the above facility to conduct an unannounced complaint inspection to deliver findings. LPA announced purpose of inspection and was granted entry to facility by Facility Representative (FR) Ivana Hernandez. LPA met with Facility Representative (FR) Ivana Hernandez and there were 38 children present.

During the investigation LPA conducted interviews with relevant parties, reviewed facility written report and Unusual Incident/Injury Report (LIC 624). The information gathered from interviews disclosed corroborating information regarding the above allegation. During the Interview's with Site Supervisor-Jimena Cayetano and Staff Member confirmed that the parent was not notified of the head injury to her child when the child was picked up. Interviews further revealed that parent was not notified until after the child had been picked up from school.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
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 3
Control Number 54-CC-20260521153434
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: NEW LIBERTY CHILD DEVELOPMENT CENTER/DREW
FACILITY NUMBER: 198013102
VISIT DATE: 06/09/2026
NARRATIVE
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Based on the interview with Staff Member it was confirmed and she admitted that the report was written and the parent was not notified by phone or in person prior to leaving the Facility. This is a requirement of the Department and the same information can be found in the Parent Handbook.

The Department finds the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

California Title 22 Regulation states, 101226 Health-Related Services
(a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken.

The facility is being cited one Type B deficiency for not immediately reporting injury to authorized representatives in accordance with Title 22, California Code of Regulations 101226(a). (See LIC 9099D)

Exit interview conducted with Facility Representative (FR) Ivana Hernandez, during which appeal rights were explained. A copy of the appeal rights was provided.

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SUPERVISORS NAME: Warren Birks
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 54-CC-20260521153434
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: NEW LIBERTY CHILD DEVELOPMENT CENTER/DREW
FACILITY NUMBER: 198013102
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/18/2026
Section Cited
CCR
101226(a)
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101226 Health-Related Services
(a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. This requirement is not met as evidenced by:
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Per Site Supervisor, an informal meeting will held with staff to review reporting policies. Proof of a formal meeting will be required via email to include Agenda and Sign In Roster.
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 The Facility did not comply with the section cited above. The parent of Child 1 was not notified immediately when Child 1 sustained a head injury on 05/18/2026. This action poses a potential health, safety or personal rights risk to persons 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: Warren Birks
LICENSING EVALUATOR NAME: Peter Bishop
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
LIC9099 (FAS) - (06/04)
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