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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198017722
Report Date: 03/06/2024
Date Signed: 03/06/2024 11:32:24 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
03/01/2024 and conducted by Evaluator Dayna Chambers
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240301142556
FACILITY NAME:PARK PLACE EARLY EDUCATION CAMPUS/CA CHILDRENS AC.FACILITY NUMBER:
198017722
ADMINISTRATOR:BROWN, KATHLEENFACILITY TYPE:
850
ADDRESS:12227 ATLANTIC AVETELEPHONE:
(323) 223-3313
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:31CENSUS: 11DATE:
03/06/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Angeles Orozco, Site SupervisorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff Hit Child In Care
INVESTIGATION FINDINGS:
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On March 6, 2024, at 10:00AM, Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced complaint inspection to investigate the above allegation. LPA met with Site Supervisor, Angeles Orozco. At 10:30AM, LPA toured the facility with Site Supervisor, Angeles Orozco. Upon Arrival, LPA observed in RM#1 – Preschool: 8 children with 2 staff, and RM#2: Toddler Component: 3 children, and 1 staff. There was a total of 11 children and 4 staff. During today’s investigation, LPA obtained the LIC9040 children's roster and conducted interviews. The center has surveillance video which was observed by the Site Supervisor and Director on 02/22/24. The allegation was substantiated by the Director and Site Supervisor. The video showed Staff #1 violating Child #1’s personal rights. The Director and Site Supervisor self-reported to childcare licensing department. Conducted appropriate internal investigation. Staff#1 was immediately removed from the childcare center and blocked from ever obtaining employmet at the center. Through interviews and evidence collected, The “preponderance of the evidence”
standard has been met. the above allegation is substantiated. Exit interview was conducted with Angeles Orozco, Site Supervisor. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
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-20240301142556
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: PARK PLACE EARLY EDUCATION CAMPUS/CA CHILDRENS AC.
FACILITY NUMBER: 198017722
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2024
Section Cited
CCR
101223(a)(3)
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Personal Rights 101223(a)(3)
. (a) The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by:




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The Director and Site Supervisor took immediate action and removed Staff #1 who is permanently blocked from employment at the center. Director took appropriate action and reported to CCLD licensing, and conducted their internal investigation and completed the required reports. Talked to parent about the incident.
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Based on interview and evidence collected, the licensee did not comply with the section cited above on 02/23/24 the center observed surveillance video which substantiating the incident Staff #1 to Child #1 which poses/posed 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: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
LIC9099 (FAS) - (06/04)
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