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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198021205
Report Date: 11/21/2024
Date Signed: 11/21/2024 03:03:05 PM

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
10/01/2024 and conducted by Evaluator Shushanik Safaryan
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20241001121219

FACILITY NAME:HART PRESCHOOLFACILITY NUMBER:
198021205
ADMINISTRATOR:MONIQUE ORNELASFACILITY TYPE:
850
ADDRESS:859 S. RAYMOND AVE.TELEPHONE:
(213) 422-2176
CITY:PASADENASTATE: CAZIP CODE:
91105
CAPACITY:42CENSUS: 22DATE:
11/21/2024
UNANNOUNCEDTIME BEGAN:
02:12 PM
MET WITH:Emily Laguna TIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not ensuring outdoor space is free of tripping hazards causing children to sustain injuries
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/21/24, at 2:15 pm , Licensing Program Analyst (LPA ) Shushanik Safaryan conducted an unannounced visit to deliver findings regarding complaint investigation received by the Department. During the visit , LPA met with Facility Representative , Emily Laguna , to whom the purpose of the visit was explained. Facility Representative guided LPA on the tour of the facility. This is the preschool program with toddler option that consists of 3 classrooms .During the inspection LPA observed 22 children with 4 staff members.
Complaint alleged : Staff are not ensuring outdoor space is free of tripping hazards causing children to sustain injuries.

During the investigation process , LPA toured the outdoor space and observed uneven pavement area next to the benches and sand pit .(Pictures were taken ). LPA interviewed 5 staff members and the Director . Staff members disclosed , tripping and falling incidents more often happening in the area where uneven pavement and sand pit. Per staff members , in the area where uneven pavement ,incidents can occur from one to three incidents per week .
Page 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
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 5
Control Number 33-CC-20241001121219
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: HART PRESCHOOL
FACILITY NUMBER: 198021205
VISIT DATE: 11/21/2024
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
 Based on the incident reports and staff members, extend of injuries scrapped knee and elbow. Per staff , incidents occurred when children run , drive bike or car and forget about lump in that area . During the children file review, LPA observed multiple incident (ouch) reports for different children . LPA verified with staff , who created the ouch report the area of the incidents . LPA contacted parent regarding incident reported by the complainant . Per parent , C3 and C4 had a recent incident outside in outdoor play area . Director stated ,ouch reports completed by the staff members who observed the incidents . Per Director , often incidents in outdoor are due to the sand on the pavement which causes children slip and fall .

Based on LPA`s observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division & Chapter one ), are being cited on the attached LIC 9099D.

Exit interview conducted with Facility Representative ,Emily Laguna . The Notice of site visit , report and Appeal Rights were explained and provided to Facility Representative on 11/21/24 date.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.
Page 2 of 2
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 33-CC-20241001121219
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: HART PRESCHOOL
FACILITY NUMBER: 198021205
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/26/2024
Section Cited
CCR
101238.2(d)(2)
1
2
3
4
5
6
7
 101238.2 (d)(2) Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained:
(2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement was not met evidenced by:
1
2
3
4
5
6
7
LIcensee stated she will block off the area , gardener will clean every week to put the sand back in the sand area .License stated teachers will clean sand pit area to make sure no sand on the pavement .Licensee will send the pictures of correction to the LPA by POC date .
8
9
10
11
12
13
14
 Multiple incdents were recorded in the area where uneven pavement and sand pit . LPA observed incident reports in the children`s files and verified with staff place of the incident. Per staff uneven pavement is the area where most of the incidents happened. Disclosures were made that it could be at least 1-3 incidents per week .
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: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5