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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400693
Report Date: 01/14/2025
Date Signed: 01/14/2025 12:08:55 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
09/09/2024 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240909193704
FACILITY NAME:GROWTH LAB, THEFACILITY NUMBER:
198400693
ADMINISTRATOR:SWAIN, SHARONIECEFACILITY TYPE:
830
ADDRESS:522 W VERNONTELEPHONE:
(323) 385-6482
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:11CENSUS: 4DATE:
01/14/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Sheroniece SwainTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 1/14/25 at 11:30AM Licensing Program Analyst (LPA) T. Tran conducted an Unannounced Complaint Inspection for the purpose of delivering finding for the above allegation. LPA announced purpose of inspection and was allowed entry to facility by Sheroniece Swain. We toured of the facility and observed 4 children present with 3 staff upon arrival.
This complaint investigation was investigated by Community Care Licensing Investigation Branch (IB) investigator, Johnny Canto. IB investigation consisted of interviews conducted with licensee, daycare staff, and daycare parents, and review of medical records from Presbyterian Intercommunity Hospital.
Based on information obtained during the IB investigation it was found that C1 sustained initial injury to face at the facility after running, losing balance. The incident was observed, documented, and discussed with C1’s parent the same day as the injury.
Parent sought medical care for an additional injury to back of the head observed on C1 after leaving the daycare. Per IB, there were several hours between the time C1 left the facility with an additional injury to the back of the head. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.
No deficiencies will be cited today 1/14/25. C1 is identified on Confidential Names Form (LIC811).
A notice of site visit was given and must remain posted for 30 days.Exit interview was conducted with Sheroniece Swain. Appeal Rights were provided.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 01/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025
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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