198400839-10-25-2024-54-CC-DGIS-DBF28B-20241127161004

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198400839
Report Date: 10/25/2024
Date Signed: 10/25/2024 01:41:23 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
09/04/2024 and conducted by Evaluator Tiffanie Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20240904144046

FACILITY NAME:	NLMUSD-COLUMBIA EARLY LEARNING		FACILITY NUMBER:	198400839
ADMINISTRATOR:	PARKER, LAUREL		FACILITY TYPE:	850
ADDRESS:	12830 COLUMBIA WAY		TELEPHONE:	(562) 803-6229
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90242
CAPACITY:	132	CENSUS: 85	DATE:	10/25/2024
		UNANNOUNCED	TIME BEGAN:	12:20 PM
MET WITH:	Maribel Alba, Site Supervisor		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Neglect/Lack of Supervision-Daycare child sustained fracture while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), T. Tran arrived at the above licensed facility to conduct a subsequent complaint visit for the purpose of concluding the complaint allegation. LPA met with Cathleen Couchois, licensee.
Based on the records reviewed, interviews, and observation that was gathered during the course of the investigation. It revealed the incident did occur on 08/28/24 and the facility self-reported the incident to the Licensing Department 08/29/24. Record indicated on the day of the incident there were two teachers supervised seven children. No issue with staff/child ratio and supervision. Staff observed the incident and child did not have any visible marks when child fall. LPA inspected the outdoor and no unsafe manner observed. Staff indicated they had no idea the injury was severe. In fact, the child was able to have lunch with the class without showing any signs of discomfort. Therefore, neglect/lack of supervision 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 Maribel Alba.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2024

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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