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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195700098
Report Date: 03/02/2026
Date Signed: 03/02/2026 04:52:26 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
12/03/2025 and conducted by Evaluator Dawn Dowling
COMPLAINT CONTROL NUMBER: 58-CC-20251203160458
FACILITY NAME:FAIRVIEW CHRISTIAN ACADEMY & ENRICHMENT CENTERFACILITY NUMBER:
195700098
ADMINISTRATOR:ROSHAWN T HOOPERFACILITY TYPE:
850
ADDRESS:3751 W 54TH STREETTELEPHONE:
(424) 227-7999
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY:55CENSUS: DATE:
03/02/2026
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff did not follow reporting requirements.
INVESTIGATION FINDINGS:
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On 03/02/2026 at 4:00 pm Licensing Program Analyst (LPA) Dawn Dowling, conducted an unannounced inspection visit for the purpose of delivering findings on the complaint received on 12/03/2025. LPA met with Jacquelyn Johnson, Principal and explained the purpose of the visit. LPA Dowling was led by Roshawn Hooper, Administraotr on a tour to take census. The Pre- School room, there were 14 children with 2 staff, in Pre K room there were 17 children with 2 staff for a total of 31 chldren with 4 staff. Staff is fingerprint cleared.

On Friday, 11/21/2025, the facility had an incident that occurred during pick up of children. The facility contacted the El Segundo North Regional office on Wednesday, 11/26/2025 at 4:55 pm and reported the Unusual Incident Report (UIR).


Page 1
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Dawn Dowling
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
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 58-CC-20251203160458
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: FAIRVIEW CHRISTIAN ACADEMY & ENRICHMENT CENTER
FACILITY NUMBER: 195700098
VISIT DATE: 03/02/2026
NARRATIVE
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After considering available information, the facility failed to notify the El Segundo North Regional Office of the Unusual incident within the next working day. Based on Unusual Incident Report (UIR) that was telephoned in the El Segundo Regional Office on 11/26/22 the facility self reported the UIR 5 days after the occurrence and did not comply with reporting requirements of the Department in reporting within 24 hours of occurrence.

Therefore , the preponderance of evidence standard has been met, therefore the above allegation that Staff failed to report, is found to be SUBSTANTIATED. California Code of Regulations, Title 22,Division 12 are being cited on the attached LIC 9099.

During today’s visit two Type B violation are being issued under Title 22 Regulations, Division 12, Chapter 1, of the California Code of Regulations: 101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours...; and 101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

Exit interview was conducted with Roshawn Hooper, Administer and a copy of the report was provided.

A Notice of Site visit was given and must remain posted for 30 days.



Appeal rights were reviewed and provided.







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SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Dawn Dowling
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 58-CC-20251203160458
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: FAIRVIEW CHRISTIAN ACADEMY & ENRICHMENT CENTER
FACILITY NUMBER: 195700098
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/02/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2026
Section Cited
CCR
101212(d)
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101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours... This Requirement is not met as evidenced by:
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Director will write statement acknowledging understand of reporting requirements and provide to LPA via email by03/06/2026.
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Based on interviews and record review, The Facility did not notify Licensing of incident within 24 hours of incident, which poses a potential Health or Safety, or personal rights risk to persons in care.
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Director will write a statement acknowledging that she will notify parents/guardians in writing of any incidents that threaten the Health and Safety of Children in care.
Type B
03/06/2026
Section Cited
CCR
101212(f)
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101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.
This Requirement is not met as evidenced by:
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Based on interview and record review, The Facility did not notify parent that an incident occurred which poses an potential Health or Safety, or 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: Raul Navarro
LICENSING EVALUATOR NAME: Dawn Dowling
LICENSING EVALUATOR SIGNATURE:

DATE: 03/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2026
LIC9099 (FAS) - (06/04)
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