<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020745
Report Date: 05/06/2025
Date Signed: 05/06/2025 10:47:27 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/30/2025 and conducted by Evaluator Kruz Long
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250130174638
FACILITY NAME:LITTLE SEED CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198020745
ADMINISTRATOR:MA, BOFACILITY TYPE:
850
ADDRESS:630 N. RODEO WAYTELEPHONE:
(626) 551-8228
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY:119CENSUS: 95DATE:
05/06/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Anqi Zhang, Assistant DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff dislocated day care child's arm.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 05/06/2025, Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint visit to the facility for the purpose of delivering complaint findings for the above allegation. A COVID-19 risk assessment was conducted upon entering the facility. LPA met with Anqi Zhang, Assistant Director and explained the purpose of the visit. There are currently 106 children enrolled. 95 Children and 16 Staff were present in 6 different classrooms during today's visit.

Regarding the allegation: Staff dislocated day care child’s arm. The investigation was conducted by the Department’s Investigation Bureau by Investigator Olivia Spindola. During the investigation, the department conducted interviews with Reporting Party (RP), Staff #1 (S1) to Staff #6 (S6), reviewed video footage of the incident and reviewed medical records. Medical records indicate that Child #1 (C1) received medical care at Kaiser Permanente Urgent Care (KPUC).

page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
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 33-CC-20250130174638
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LITTLE SEED CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198020745
VISIT DATE: 05/06/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
The investigation revealed that on 01/24/2025, C1 sustained a left elbow dislocation. The incident occurred when Staff #3 (S3) who was walking C1 by holding the left wrist of C1. C1 fell to their knees but S3 did not release their grip. KPUC diagnosed C1 with a dislocated left elbow. Video footage of the incident and statements provided by S3 and facility staff supports how C1 sustained the left elbow injury. Additionally, a similar incident involving S3 occurred on 08/19/2024 when C1 sustained a right elbow injury after S3 held onto C1’s right wrist when C1 lost footing.

Based on the department’s interviews, medical records review, video footage observations and the previous incident, the preponderance of the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

The facility is being cited a Type A deficiency in accordance with California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Section 101223(a)(2). Definitions are being cited on the attached LIC 9099D page. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). Acknowledgement of Receipt (LIC 9224 form) must be maintained in each child’s file immediately upon receipt from parents.

An exit interview was conducted and a copy of this report and appeal rights was provided to the Assistant Director. A Notice of Site Visit was also provided, Notice of Site Visit must be posted for 30 days.

LPA informed the Assistant Director that enhanced civil penalties may apply.

page 2 of 2
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20250130174638
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LITTLE SEED CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198020745
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/06/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/27/2025
Section Cited
CCR
101223(a)(2)
1
2
3
4
5
6
7
101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Per Assistant Director, C3 received training Course in Preventative Health and Safety. Licensee will provide a plan to prevent similar incidents from occurring in the future.
8
9
10
11
12
13
14
C1 sustained a left elbow dislocation. when Staff #3 (S3) who was walking C1 by holding the left wrist of C1. C1 fell to their knees but S3 did not release their grip. Similar incident involving S3. C1 sustained a right elbow injury after S3 held onto C1’s right wrist when C1 lost footing.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3