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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191870741
Report Date: 12/17/2021
Date Signed: 12/17/2021 03:59:19 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
10/04/2021 and conducted by Evaluator Keyona Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20211004102749
FACILITY NAME:HAWAIIAN AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870741
ADMINISTRATOR:AGUET, DEBORAHFACILITY TYPE:
850
ADDRESS:501 HAWAIIAN AVE.TELEPHONE:
(310) 834-7186
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY:117CENSUS: 34DATE:
12/17/2021
UNANNOUNCEDTIME BEGAN:
02:27 PM
MET WITH:Raquel Sheppard- PrincipalTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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PERSONAL RIGHTS: Staff member inappropriately handled day care child.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA), Keyona Scott, made an unannounced inspection to the childcare facility, for the purpose of delivering the findings to the complaint investigation, control number 30-CC-20211004102749. Upon arrival, LPA met with Principal, Raquel Sheppard, on 12/17/2021 at 2:34 PM. LPA observed 34 children in care with the proper teacher to child ratios.

It was alleged that staff member inappropriately handled day care child. During the investigation, disclosures were made that a teacher at the facility spanked a child in care. Based on the information obtained and interviews conducted, the preponderance of evidence standard has been met, therefore, the allegation of PERSONAL RIGHTS, staff member inappropriately handled day care child, is SUBSTANTIATED. California Code of Regulation, Title 22, 101223(a)(2)(3) is being cited on the attached LIC9099D.


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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
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-20211004102749
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HAWAIIAN AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870741
VISIT DATE: 12/17/2021
NARRATIVE
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The following was thoroughly discussed with Licensee:

The Licensee was advised that, once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

LPA discussed AB633 and informed that, upon receipt of a Type A deficiency, the Licensee shall post and provide copies of this licensing report to parent/representative of children in care at the facility and to parent/representative of children newly enrolled at the facility during the next 12 months. Licensee was advised that each parent or child representative must sign the LIC 9224 Acknowledgement of Receipt of Licensing Report and return by the close of the business day or upon the next day the child returns to the facility or upon a newly enrolled child within the next 12 months and place the LIC 9224 in each child's file.



A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Principal Raquel Sheppard.

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SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20211004102749
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: HAWAIIAN AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870741
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/20/2021
Section Cited
CCR
101223(a)(1)(2)(3)
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(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff... (2) To be accorded safe, healthful and comfortable accommodations... (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation...
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Licensee is to provide training to all staff on appropriate discipline for childcare children, have staff watch videos regarding inappropriate and appropriate handling of childcare children. Licensee is to have all staff sign that they have attended the training and provide LPA with a copy of the meeting agenda and staff sign in sheet no later than 12/20/2021.
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This requirement is not met as evidenced by:
Based on information obtained and interviews conducted, Licensee did not ensure that staff handled child(ren) in care in an appropriate manner, which poses an immediate risk to the Health, Safety and Personal Rights of the 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: Mary Ruiz
LICENSING EVALUATOR NAME: Keyona Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3