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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 192006499
Report Date: 07/30/2024
Date Signed: 07/30/2024 03:41:50 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
05/13/2024 and conducted by Evaluator Judy Laureano
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20240513151757
FACILITY NAME:MOFFETT STATE PRESCHOOLFACILITY NUMBER:
192006499
ADMINISTRATOR:ULLOA, ANAFACILITY TYPE:
850
ADDRESS:11050 LARCH AVETELEPHONE:
(310) 680-3500
CITY:LENNOXSTATE: CAZIP CODE:
90304
CAPACITY:105CENSUS: 0DATE:
07/30/2024
UNANNOUNCEDTIME BEGAN:
11:53 AM
MET WITH:Nellie Rios ParraTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Personal Rights: Staff speak inappropriately to daycare children.
Personal Rights: Staff does not treat day care children fairly
Food Services: Staff did not provide adequate amount of food to day care children

INVESTIGATION FINDINGS:
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On 7/30/2024 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of delivering findings of above-mentioned allegations. LPA was met with Nellie Rios-Parra, Program Director.

Preschool program is not currently in session; no children were observed.

On 5/15/2024 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. LPA toured the facility and observed classroom 51A with 16 children and 3 staff members and classroom 53A with 17 children and 3 staff members.

On 5/29/2024 LPA Judy Laureano arrived at above mentioned facility for the purpose of investigating the above-mentioned allegations. LPA toured the facility and observed classroom 51A with 19 children and 3 staff members and classroom 53A with 19 children and 3 staff members.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
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 4
Control Number 30-CC-20240513151757
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: MOFFETT STATE PRESCHOOL
FACILITY NUMBER: 192006499
VISIT DATE: 07/30/2024
NARRATIVE
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LPA requested and reviewed the following documents: children's roster, sign in sheet, copy of menu and Lennox District Website. LPA interviewed staff members, school cafeteria staff, children and parents.

Per interviews and document review, it was noted that staff yells in the classroom and is not treating children fairly by having 3 children sit in chairs while the class participates in large group/circle time. Interviews also disclosed that staff was not serving the stated food portion to children during mealtime, children were receiving ½ of the required portion.

Based on information obtained and interviews completed with staff, cafeteria staff, children and parents, there is a preponderance of evidence to prove the allegations did occur. Therefore, the allegations of Personal Rights and Food Services are to be SUBSTANTIAED.

LPA Judy Laureano issued three Type B deficiency during today's inspection (see LIC 9099-D for details).

Upon receipt of this report, the Director/Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Program Director – Nellie Rios Parra.

A copy of this report and appeal rights were discussed and left with the Director, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 30-CC-20240513151757
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: MOFFETT STATE PRESCHOOL
FACILITY NUMBER: 192006499
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2024
Section Cited
CCR
101223(a)(1)
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101223(a)(1) Personal Rights
(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 and other persons.

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Director agrees to contract with a consultant, Infant Early Childhood Mental Health Consultation to provide support and technical assistance to all staff, especifically Staff 6, and providing LPA an update by due date and weekly updates there after.
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This requirement is not met as evidence by:Per interviews, it was noted that staff yells in the classroom, staff yells for children instead of meeting where the children are which poses a potential health and safety risks to persons in care.
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Program Director agrees to have consultant on Classroom Assessment Scoring System(CLASS),observed preschool classroom and provide feed back to staff and director. Update on progress will be sent to LPA.
Type B
08/13/2024
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights
(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,...or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning

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Director agrees to ensure training is completed and will send LPA topics and trainings that have been assigned and will submit how training is being applied in the classroom.
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This requirement is not met as evidence by: Per interviews, staff is not treating children fairly by having 3 children sit in chairs while the class participates in large group/circle time, which poses an potential health and safety risk to persons in care.
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Director will agree to support staff in creating a plan and documentation to assist children in transitioning to join the large group. Documentation will be submitted to LPA.
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: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 30-CC-20240513151757
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: MOFFETT STATE PRESCHOOL
FACILITY NUMBER: 192006499
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2024
Section Cited
CCR
101227(a)(1)
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101227(a)(1)-Food Services (a)In child care centers providing meals to children, the following shall apply: (1)All food shall be … in the quantity necessary…meal shall include, at a minimum, the amount of food components as specified by Title 7, Code of Federal Regulations ... All food shall be selected, stored, prepared and served in a safe and healthful manner.
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Director agrees to retrain staff on Food Service Regulation and the required portions provided to children. Director will explore with classroom staff different ways to serve meals in the classroom.
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This requirement is not met as evidence by: Per interviews, it was disclosed that staff was not serving the stated food portion to children during mealtime, children were receiving ½ of the required portion, for example, ½ of Tamal or ½ of Banana. This poses an immediate health and safety risks to persons in care.
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Director will have all staff sign an acknowlegement of understanding form regarding the appropriate portion for all children.
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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: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4