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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192002594
Report Date: 11/08/2022
Date Signed: 11/08/2022 01:16:08 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
08/17/2022 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20220817092839
FACILITY NAME:HAPPY PRESCHOOL LANDFACILITY NUMBER:
192002594
ADMINISTRATOR:LUCY STEPANIANFACILITY TYPE:
850
ADDRESS:15727 VANOWEN STREETTELEPHONE:
(818) 785-1982
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY:61CENSUS: 12DATE:
11/08/2022
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Lucy StepanianTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Allegation #1: Facility is operating out of ratio.
Allegation #2: Staff left child in soiled clothing for extended period of time.
INVESTIGATION FINDINGS:
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On 11/8/2022, Licensing Program Analyst (LPA), Loyce Phillips, conducted an unannounced visit for the purpose of delivering the findings on the above allegations. LPA was greeted by Director, Lucy Stepanian. LPA toured the facility and observed 12 children in care with 3 staff.

LPA conducted a full investigation that included interviews, observations and records review. Information obtained from Interviews reveal that 3 out 4 parents expressed issues and concerns regarding their child’s diapering and potty training needs not being met. Based on the information obtained the allegation of staff left child in soiled clothing for extended period of time is substantiated.
LPA review children sign in/out sheets and staff timecards. During LPA’s record review, it was observed that on 8/8/2022, 1 staff was caring for 19 children. On 8/12/2022, 1 staff was caring for 16 children. Therefore the allegations of operating out of ratio is substantiated. Substantiated findings mean 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: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
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 4
Control Number 58-CC-20220817092839
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HAPPY PRESCHOOL LAND
FACILITY NUMBER: 192002594
VISIT DATE: 11/08/2022
NARRATIVE
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A copy of this report must be provided to the authorized representative of all currently enrolled children and any newly enrolled child for the following 12 months. The acknowledgement of receipt of Licensing Reports (LIC 9224) shall be signed and kept in each of the children’s records.

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 results in a civil penalty of 100.00.

Exit interview conducted, report and appeals rights were discussed and provided to Director.

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

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 58-CC-20220817092839
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: HAPPY PRESCHOOL LAND
FACILITY NUMBER: 192002594
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/09/2022
Section Cited
CCR
101216.3(a)
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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement was not met as evidenced by: Based on LPA's record review of staff time cards and children sign in/out sheets.
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Director will submit a written plan of correction no later than the end of business day on 11/8/2022 explaining how the facility will remain within required ratios at all times.
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1 teacher was found supervising more than 12 children on two separate days. Facility was operating beyond staffing ratios. This is a type A Deficiency which poses an immediate Health and Safety, and personal rights risk to persons 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: 11/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 58-CC-20220817092839
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: HAPPY PRESCHOOL LAND
FACILITY NUMBER: 192002594
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/18/2022
Section Cited
CCR
101223(a)(3)
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(a) The licensee shall ensure that each child is accorded the following personal rights:(3)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......
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Director will meet with staff to discuss diapering and toileting needs for children. DIrector will submit a written statement and submit to LPA by plan of correction date.
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This requirement was not met as evidenced by: Based on interviews with parents. Three parents expressed issues and concerns regarding diapering and toileting needs with their child, which poses a potential health, safety, or personal rights to persons 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: 11/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4