198400484-9-27-2024-54-CC-DGIS-D9TPRV-20241007113323

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198400484
Report Date: 09/27/2024
Date Signed: 09/27/2024 01:02:20 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
04/15/2024 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20240415165220

FACILITY NAME:	CII/MAIN STREET EARLY HEAD START		FACILITY NUMBER:	198400484
ADMINISTRATOR:	J.LAWRENCE & L. WILLIAMS		FACILITY TYPE:	830
ADDRESS:	9527 SOUTH MAIN ST		TELEPHONE:	(323) 905-1042
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90003
CAPACITY:	22	CENSUS: 19	DATE:	09/27/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Charlene Robertson		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) T. Tran arrived at the above licensed facility to deliver final finding for the above complaint allegation. Upon arrival, LPA met with Site Supervisor, Charlene Robertson. LPA observed proper care and supervision and ratio for napping.
After reviewing the full investigation of the above personal rights allegation, the Licensing Department has evaluated the evidence and thereby confirmed the following: during the investigation conducted by IB Investigator J. Mendez, there were no observations or complaints that a staff inappropriately behave toward a child in care. The physician report indicated no external injuries observed.
Therefore, there was no credible evidence to support or disprove the above personal rights allegation occurred. The allegation has been determined unsubstantiated. Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the facility representative, Charlene Robertson.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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