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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191222458
Report Date: 08/01/2024
Date Signed: 08/01/2024 12:28:50 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
06/14/2024 and conducted by Evaluator Shushanik Safaryan
COMPLAINT CONTROL NUMBER: 33-CC-20240614102351
FACILITY NAME:LA CRESCENTA PRESBYTERIAN CTR. FOR CHILDREN/INFANTFACILITY NUMBER:
191222458
ADMINISTRATOR:PATRICIA CHAMBERSFACILITY TYPE:
830
ADDRESS:2902 MONTROSE AVE.TELEPHONE:
(818) 249-8124
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY:20CENSUS: 12DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Patricia Chambers TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Unqualified staff are providing care to day care children without supervision.
INVESTIGATION FINDINGS:
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On 08/01/2024, at 09:30 am , Licensing Program Analysts (LPAs ) Shushanik Safaryan and Crystal Green,conducted an unannounced visit to deliver findings regarding complaint investigation received by the Department. During the visit , LPAs met with Facility Representative , Patricia Chambers , to whom the purpose of the visit was explained. Facility Representative guided LPAs on the tour of the facility. This is the infant program that consists of two classrooms .During the inspection LPAs observed 12 infants with 4 staff members.
Complaint alleged that : Unqualified staff are providing care to day care children without supervision.

During the investigation process , LPA visited the facility three times , toured the classrooms, interviewed 2 parents , 10 staff members and the Director . During the visits, LPA reviewed staff files , obtained children`s roster , parents handbook, teachers schedule .
During the investigation process , disclosures were made that Staff #8 took the children on the stroller ride upstairs on the balcony part . Per staff #8 it was only once . Per staff # 3 it was more than one time .
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
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 3
Control Number 33-CC-20240614102351
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: LA CRESCENTA PRESBYTERIAN CTR. FOR CHILDREN/INFANT
FACILITY NUMBER: 191222458
VISIT DATE: 08/01/2024
NARRATIVE
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 Per staff # 3 she was able to observe staff # 8 if she stands next to the door . Staff # 8 indicated ,when staff #3 took the children for the stroller ride, she used that time to make sure children have enough supplies , diapers in the diaper changing area . Another time she was observing sleeping infant through the window and staff #8 on the balcony area . During the visit LPA observed diaper changing area being far from the entrance and impossible to provide visual supervision to the staff on the balcony . Based on LPA observations , if you stand next to the door of room #207 from quadrant side you can only supervise napping area through the window if the child`s crib in the front area and it is impossible to see the whole balcony area.(Pictures taken ).
Based on LPAs 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 number), are being cited on the attached LIC 9099D.”

Exit interview conducted with Facility Representative , Patricia Chambers. The Notice of site visit , report and Appeal Rights and deficiency page were explained and provided to Facility Representative , Patricia Chambers on 08/01/2024.

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.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20240614102351
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: LA CRESCENTA PRESBYTERIAN CTR. FOR CHILDREN/INFANT
FACILITY NUMBER: 191222458
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/15/2024
Section Cited
CCR
101216.2(e)
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101216.2 Teacher Aide Qualifications and Duties (e)An aide shall work only under the direct supervision of a teacher. This requirement is not met as evidence by:
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Per Director she will conduct meeting with staff members regarding their duties and will send an agenda to teh LPA by POC date .
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Staff#8 Teacher aide took the children on the stroller ride without direct supervision of teacher .
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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: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
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