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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017200
Report Date: 05/03/2022
Date Signed: 09/14/2022 09:44:11 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 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
04/27/2022 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20220427084320
FACILITY NAME:VOLUNTEERS OF AMERICA, BRIGHT STARS HEAD STARTFACILITY NUMBER:
198017200
ADMINISTRATOR:BATTINA BRAYFACILITY TYPE:
850
ADDRESS:3340 SANBORN AVENUETELEPHONE:
(818) 980-2287
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:60CENSUS: 38DATE:
05/03/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Kayla De Leon TIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Physical Plants- Rodents on the premises
INVESTIGATION FINDINGS:
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Licensing Program Analyst, T. Tran made an unannounced visit at the above licensed facility to conduct an investigation regarding the above complaint allegation. LPA met with Kayla De Leon, Site Supervisor.
About 10:15AM, LPA and facility representative (FR) toured the facility and observed in the kitchen area under the cabinet sink, there was a rodent trapped in the trap. LPA and FR took photos for the record. About 10:55AM, maintenance staff arrival at the site to clean the kitchen area and removed the dead rodent. LPA interviewed staff and children and obtained some documents. Per FR, the facility had been taking action for rodents’ treatment. Record of Pest Control visited the site on 05/2/2022 and sealed 2 holds under the sink and set out traps for rodents. Therefore, based on the preponderance of evidence, the allegation of the facility had rodent is 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 B deficiency. Please see Complaint Investigation Report LIC 9099D for deficiency cited. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representatives, Michelle Harris and Kayla De Leon.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022
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
Citations on this Visit Report are Under Appeal!

Control Number 54-CC-20220427084320
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: VOLUNTEERS OF AMERICA, BRIGHT STARS HEAD START
FACILITY NUMBER: 198017200
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
09/14/2022
Section Cited
CCR
101238(a)(1)
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Buildings and Grounds-The licensee shall take measures to keep the center free of flies, other insects, and rodents.
This requirement is not met as evidenced by based on observation and interviews conducted, LPA and facility representative observed a rodent trapped in the trap under the cabinet sink. Based on the
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Manteniance staff immediate arrived at the site and removed the dead rodent and cleaned under the sink area. Faciity will ensure to keep all food iitems sealed. All utensils and serving plates are stored in the tight containers for sanitary purposes. Pest Control had visited the site on 05/02/22.
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document reviewed, facility had provided
reasonable information addressing the pest issue which poses an potential health and safety risk to children in care.
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Facility representative stated center staff will attend online training regarding health and safety of the facility and submit to LPA by 05/20/2022 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: Trevino Cochran
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2