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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191602063
Report Date: 01/24/2024
Date Signed: 01/24/2024 02:58:34 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/19/2024 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240119142950
FACILITY NAME:MANHATTAN BEACH NURSERY SCHOOL, INCFACILITY NUMBER:
191602063
ADMINISTRATOR:CAROL TATSUMIFACILITY TYPE:
850
ADDRESS:1520 NELSON AVETELEPHONE:
(310) 376-1910
CITY:MANHATTAN BEACHSTATE: CAZIP CODE:
90266
CAPACITY:30CENSUS: 9DATE:
01/24/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:CAROL TATSUMI, DIRECTORTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Allegation: Facility staff are not ensuring children’s immunization records are current.
INVESTIGATION FINDINGS:
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On 1/24/2024, Licensing Program Analyst (LPA) Loyce Phillips arrived at the facility for the purpose of conducting an initial complaint investigation. Upon arrival LPA met with Director, Carol Tatsumi. LPA advised Director the purpose of the inspection was due to a complaint received by the El Segundo Child Care Regional Office (ESCCRO). LPA observed 9 children in care with 3 staff.

During inspection, LPA toured the facility, interviewed staff and conducted a record review of children immunizations. LPA review 16 currently enrolled children records and observed 1 child immunization was missing 1 vaccine. LPA reviewed 4 children records who no longer attends the facility and found 4 out 4 children immunizations were missing several vaccines. Therefore, the allegation that facility staff are not ensuring children’s immunization records are current is deemed substantiated. A Substantiated finding means that the allegation is valid because the preponderance of the evidence standard has been met. 9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
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 30-CC-20240119142950
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MANHATTAN BEACH NURSERY SCHOOL, INC
FACILITY NUMBER: 191602063
VISIT DATE: 01/24/2024
NARRATIVE
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Deficiency is cited in accordance with Title 22 of the California Code of Regulations and/or Health & Safety Codes.

An exit interview was conducted, a copy of this report, appeals rights and a notice of site visit were discussed and provided to Director.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20240119142950
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MANHATTAN BEACH NURSERY SCHOOL, INC
FACILITY NUMBER: 191602063
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/04/2024
Section Cited
CCR
101220.1(g)(1)
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101220.1(g)(1)The licensee shall document each child's immunizations and shall maintain such documentation.....(1)This requirement includes updating each child's immunization record when the child is due to receive required immunizations after enrollment in the child care center.
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The child who is enrolled will not attend the facility until immunizations are updated and current. Director will send LPA updated immunization record by POC date.
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This requirement is not met as evidenced by: During record review, 1 child was missing 1 vaccine. LPA reviewed 4 children files who no longer attends the facility and found 4 out 4 children’s immunizations were missing several vaccines. This poses a potential risks to the health and safety of children in care.
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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: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3