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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019864
Report Date: 07/28/2022
Date Signed: 07/28/2022 09:35:22 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
04/15/2022 and conducted by Evaluator Susann Sanchez
COMPLAINT CONTROL NUMBER: 54-CC-20220415131537
FACILITY NAME:WILLIAMS-GREER & NORMAN FAMLIY CHILD CAREFACILITY NUMBER:
198019864
ADMINISTRATOR:KOLISHA WILLIAMSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 978-5176
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:14CENSUS: 6DATE:
07/28/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Kolisha Williams- Greer, LicenseeTIME COMPLETED:
09:15 AM
ALLEGATION(S):
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Facility is in disrepair
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced complaint inspection on 07/28/22. LPA arrived at the facility at 08:45am. LPA met with Licensee, Kolisha Williams-Greer and Aaron Ephrian, assistant for the purpose of delivering the findings for the above allegations. Licensee gave LPA a tour of the facility including off- limit areas. LPA observed, 2 children, 2 infants, 2 school age and staff members present during the inspection.

During the investigation, interviews were conducted with Licensee, staff, children, and parents. LPA observed the following on 04/21/2022 during the 10 day inspection; loose wiring, cords, pipes and outlets where exposed in the family room, living room and in the backyard where primary care in taken place. LPA observed a hole on the wall located in the living room.

The preponderance of evidence standard has been met, therefore, the above allegation is found to be substantiated. California Code of Regulations, (Title 22, Division 12, Chapter 1) are being cited on the attached 9099D.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
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 4
Control Number 54-CC-20220415131537
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: WILLIAMS-GREER & NORMAN FAMLIY CHILD CARE
FACILITY NUMBER: 198019864
VISIT DATE: 07/28/2022
NARRATIVE
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The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Appeal Rights were given and explained. Exit interview was conducted with Kolisha Williams-Greer, Licensee.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
04/15/2022 and conducted by Evaluator Susann Sanchez
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20220415131537

FACILITY NAME:WILLIAMS-GREER & NORMAN FAMLIY CHILD CAREFACILITY NUMBER:
198019864
ADMINISTRATOR:KOLISHA WILLIAMSFACILITY TYPE:
810
ADDRESS:906 E SAGEBANK STTELEPHONE:
(310) 978-5176
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY:14CENSUS: 6DATE:
07/28/2022
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Kolisha Williams- Greer, LicenseeTIME COMPLETED:
09:15 AM
ALLEGATION(S):
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Licensee allows daycare children to play in unsanitary conditions
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced complaint inspection on 07/28/22. LPA arrived at the facility at 8:45 am. LPA met with Licensee, Kolisha Williams-Greer for the purpose of delivering the findings for the above allegations. Licensee gave LPA a tour of the facility including off- limit areas. LPA observed, 2 children, 2 infants, 2 school age and staff members present during the inspection.

Although cleaning and sanitizing is done every morning, LPA observed the facility to be unkept in some areas as evidenced by photos taken.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Appeal Rights were given and explained. Exit interview was conducted with Kolisha Williams-Greer.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 54-CC-20220415131537
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: WILLIAMS-GREER & NORMAN FAMLIY CHILD CARE
FACILITY NUMBER: 198019864
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2022
Section Cited
CCR
102417(g)
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The home shall be free from defects or conditions which might endanger a child.
The requirement is not met as evidenced by: LPA on 04/21/22 the home and back yard had loose wires and extention cords in the living room, den, and backyard. LPA observe a hole in the wall in the living room.
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Fixed during inspection.
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This is a potential hazard to children 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: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4