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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020954
Report Date: 03/07/2023
Date Signed: 03/07/2023 04:04:12 PM

Unsubstantiated


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 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
03/02/2023 and conducted by Evaluator Mireya Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230302140007
FACILITY NAME:BRELLA HOLLYWOODFACILITY NUMBER:
198020954
ADMINISTRATOR:WILLIAMS, DARIENFACILITY TYPE:
830
ADDRESS:909 N. ORANGE DR.TELEPHONE:
(213) 300-5962
CITY:LOS ANGELESSTATE: CAZIP CODE:
90038
CAPACITY:36CENSUS: 29DATE:
03/07/2023
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Director, Alessandra PinheroTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Staff not treating children with respect.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mireya García arrived unannounced at the facility for the purpose of conducting a complaint investigation regarding the allegation listed above. LPA met with Director, Alessandra Pinhero who guided LPA on a tour of the facility. There were (29) infant children observed to be present at the facility during this inspection.

Information provided by the complainant alleges that staff not treating children with respect.

During this investigation, LPA Garcia obtained a copy of Children’s roster dated 3/07/23, and conducted interviews with Director, two (2) day care staff and three (3) day care parents.

REPORT CONTINUES ON NEXT PAGE 1 OF 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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 6
Control Number 33-CC-20230302140007
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRELLA HOLLYWOOD
FACILITY NUMBER: 198020954
VISIT DATE: 03/07/2023
NARRATIVE
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Interviews were conducted regarding allegation. Staff deny observing or having knowledge of any staff not treating children with respect. No disclosures were made by day care parents interviewed. Based on the interviews conducted, at this time there is not enough evidence to support the above allegation.

This agency has investigated the complaint alleging staff not treating children with respect. Although the allegation may have happened or is valid; Based on interviews conducted; there were no witness to the allegation, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the allegation is deemed Unsubstantiated. Should additional information become available in the future, this investigation may be reopened.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Alessandra Pinhero.


END OF REPORT: PAGE 2 OF 2.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 6
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 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
03/02/2023 and conducted by Evaluator Mireya Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230302140007

FACILITY NAME:BRELLA HOLLYWOODFACILITY NUMBER:
198020954
ADMINISTRATOR:WILLIAMS, DARIENFACILITY TYPE:
830
ADDRESS:909 N. ORANGE DR.TELEPHONE:
(213) 300-5962
CITY:LOS ANGELESSTATE: CAZIP CODE:
90038
CAPACITY:111CENSUS: 29DATE:
03/07/2023
UNANNOUNCEDTIME BEGAN:
09:03 AM
MET WITH:Director, Alessandra PinheroTIME COMPLETED:
04:15 PM
ALLEGATION(S):
1
2
3
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5
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8
9
Staff not properly supervising children in care.
Facility is not properly sanitizing diaper changing table.
Facility sinks are in dispair.
INVESTIGATION FINDINGS:
1
2
3
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5
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7
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10
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13
Licensing Program Analyst (LPA) Mireya García arrived unannounced at the facility for the purpose of conducting a complaint investigation regarding the allegations listed above. LPA met with Director, Alessandra Pinhero who guided LPA on a tour of the facility. There were (29) infant children observed to be present at the facility during this inspection.

Information provided by the complainant alleges that staff not properly supervising children in care, Facility is not porperly sanitizing diaper changing table and Facility sinks are in disrepair.

During this investigation, LPA Garcia obtained a copy of Children’s roster dated 3/07/23, staff newsletter email dated 2/24/23, EcoOne user Manual handout, diapering procedures, invoice dated 1/29/23 with a service date of 3/3/23 for the replacement of 3 faucets and conducted interviews with Director, two (2) day care staff and three (3) day care parents. REPORT CONTINUES ON NEXT PAGE 1 OF 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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 6
Control Number 33-CC-20230302140007
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BRELLA HOLLYWOOD
FACILITY NUMBER: 198020954
VISIT DATE: 03/07/2023
NARRATIVE
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Pertaining to the allegation of staff not properly supervising children in care. Interviews conducted with Director and staff disclosed witnessing staff using cell phones/apple watches while staff is providing care and supervision indoors and outdoors, this poses a potential health and safety risk to children in care.

In records review, of staff newsletter that was sent out on 2/24/23 via email to all staff a note regarding cell phones notes, “we have noticed an increase in cell phone devices in classrooms.”

Regarding to the allegation of Facility is not properly sanitizing diaper changing table Staff statements concur a disinfecting solution is made using a generating electrolyzed system to make hypochlorous Acid solutions. Statements from all staff concur solution is used and staff have manual on how to prepare solution however, label directions of the lifespan solution were unknown by all staff.

In records review of Eco One user manual indicates how to make the Hypochlorous acid solution however, no information is noted regarding the lifespan of solution made or how often solution needs to be replaced for effectiveness.

LPA observed labeled Hypochlorous acid spray bottles stored by the diapering changing table (Pictures were taken).

Referring to the allegation that facility sinks are in despair. Interviews conducted with Director and staff disclosed the sink in the Peach classroom was not in service for a few weeks.

In records review of the invoice #2192 with an invoice date of 1/29/23 for a service date of 3/3/23 for the replacement of 3 faucets.

Based on LPAs interviews which were conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiencies are being cited (see attached 9099D).

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with facility representative, Alessandra Pinhero.

REPORT ENDS HERE PAGE 2 OF 2.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 33-CC-20230302140007
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRELLA HOLLYWOOD
FACILITY NUMBER: 198020954
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2023
Section Cited
CCR
101429(1)
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101429- Responsibility for Providing Care and Supervision for Infants : (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement is not met as evidence by:
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Per Director, staff meeting will be held to discuss supervision and cell phone/apple watch usage. Director will email LPA Garcia, staff agenda and sign in sheet by POC due date 3/21/23
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Based on interviews conducted with Director and staff disclosed witnessing staff using cell phones/apple watches while staff is providing care and supervision indoors and outdoors, this poses a potential health and safety risk to children in care.
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Type B
03/21/2023
Section Cited
CCR
101438.1(f)
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101438.1 Infant Care General Sanitation-
(f) A disinfecting solution, which shall be used after surfaces and objects have been cleaned with a detergent or other cleaner, shall be freshly prepared each day using 1/4 cup of bleach per gallon of water. Commercial disinfecting solutions, including one-step cleaning/disinfecting solutions, may be permitted and shall be used in accordance with label directions. This requirement is not met as evidenced by:
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Per Director, she will obtain information about the solution's lifespan and product directions and will provide a staff training to discuss the preperation of solution and when and where is the solution needs to be used. Director will email LPA Garcia, staff agenda and sign in sheet by POC due date 3/21/23
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Based on staff interview disclosures a disinfecting solution is made to make hypochlorous Acid solutions. Statements from all staff concur solution is used and staff have manual on how to prepare solution however, label directions of the lifespan solution were unknown by all staff, this poses a potential health and safety risk 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: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 33-CC-20230302140007
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRELLA HOLLYWOOD
FACILITY NUMBER: 198020954
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2023
Section Cited
CCR
101439(g)
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101439 Infant Care Center Fixtures, Furniture, Equipment and Supplies- (g) Furniture shall be maintained in good repair and safe condition. This requirement is not met as evidenced by:
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During LPAs inspection of all sinks in the 3 infant rooms observed all faucets to be in good repair. Per Director, moving forward the plan for any physical plant issues will be reporting timely to the Department and will follow up timely with Adminstration in order to ensure problem is resolved immediately.
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Based on interviews conducted with Director and staff disclosed the sink in the Peach classroom was not in service for a few weeks.
In records review of the invoice #2192 with an invoice date of 1/29/23 for a service date of 3/3/23 for the replacement of 3 faucets, this poses a potential risk to children in care.
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Per Director, the written action plan will be provided to clear this deficiency via email by POC due date 3/21/23.
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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: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 6