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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191606802
Report Date: 11/13/2025
Date Signed: 11/13/2025 09:36:20 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 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
09/10/2025 and conducted by Evaluator Tyra Chavies
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20250910085815
FACILITY NAME:CHILD LANEFACILITY NUMBER:
191606802
ADMINISTRATOR:AOLELANI LUTUFACILITY TYPE:
850
ADDRESS:769 W. 3RD STREETTELEPHONE:
(310) 514-4999
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY:62CENSUS: DATE:
11/13/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Stephanie ThibodeauxTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Neglect/Lack of Supervision- Staff are not adequately supervising children resulting in inappropriate interactions between children
INVESTIGATION FINDINGS:
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On 11/13/2025 Licensing Program Analyst, LPA, Tyra Chavies, met with New Director, Stephanie Thibodeaux, for the purpose of an unannounced visit to deliver complaint findings.There are 25 children being supervised by 5 staff members.

10/27/2025- LPA Chavies attempted to conducted interviews via telephone with P#3, P#4, P#5 and P#6
10/27/2025 – LPA Chavies conducted interviews via telephone with P#2
10/07/2027- LPA Chavies conducted in person interview with Director
09/16/2025 - LPA Chavies observed children in care, conducted interviews with P#1, S#1, S#2, S#3, S#4, and S#5, received facility roster and personnel documents.

Based on LPAs observation, interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation, Staff are not adequately supervising children resulting in inappropriate interactions between children, is found to be SUBSTANTIATED. California Code of Regulation. (Title 22, Division 12 & Chapter 1)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Tyra Chavies
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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-20250910085815
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CHILD LANE
FACILITY NUMBER: 191606802
VISIT DATE: 11/13/2025
NARRATIVE
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 Licensee is being cited a Type B on the attached LIC 9099D.”)

An exit interview was conducted with Director this report was read and a copy issued.

Notice of site visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Tyra Chavies
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20250910085815
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHILD LANE
FACILITY NUMBER: 191606802
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/13/2025
Section Cited
CCR
101223(a)(3)
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The licensee shall ensure that each child is accorded the following personal rights:
To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to:
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Review zoning and work with staff in regards to active supervison.
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This requirement is not met as evidenced by:Based on interviews, the facility did not comply with the section cited above.
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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: Tyra Chavies
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3