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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414470
Report Date: 05/23/2024
Date Signed: 05/23/2024 02:53:08 PM

Unsubstantiated


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
04/08/2024 and conducted by Evaluator Suzette Ornelas
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240408153325
FACILITY NAME:SHEPHERD OF THE VALLEY LUTHERAN CHURCHFACILITY NUMBER:
197414470
ADMINISTRATOR:SUZANNE LEGUMFACILITY TYPE:
850
ADDRESS:23838 KITTRIDGE STREETTELEPHONE:
(818) 347-6784
CITY:WEST HILLSSTATE: CAZIP CODE:
91307
CAPACITY:104CENSUS: 26DATE:
05/23/2024
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Wendy Torres- Office ManagerTIME COMPLETED:
02:50 PM
ALLEGATION(S):
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9
Day care is out of ratio
INVESTIGATION FINDINGS:
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On 5/23/2024, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced follow up complaint inspection for the purpose of delivering the findings for the above-mentioned allegation. Upon arrival, LPA was greeted and let into the facility by Wendy Torres- Office Manager to whom the reason for the inspection was announced. LPA toured the facility and observed 26 daycare children and 7 staff.

During the course of the investigation, LPA Ornelas made observations, obtained documentation in the form of children’s roster, staff roster, staff schedules, children and staff sign in/out sheets and interviewed the parents and staff in regard to the above allegation.

-Pertaining to the allegation that – Day care is out of ratio
According to the RP, the green door classroom is consistently out of ration with only one teacher to sometimes 14 students.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
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 2
Control Number 58-CC-20240408153325
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: SHEPHERD OF THE VALLEY LUTHERAN CHURCH
FACILITY NUMBER: 197414470
VISIT DATE: 05/23/2024
NARRATIVE
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According to Staff 1 (S1), Staff 2 (S2), Staff 3 (S3), Staff 4 (S4), Staff 6 (S6), Staff 8 (S8) and Staff 9 (S9) the number of children enrolled in the classroom is 9 children. Staff stated that they are never out of ratio and that there is always a fully qualified teacher present supervising children.

According to Parent 1 (P1) and Parent 2 (P2), Parent 3 (P3) they have never observed more that 6 children present and are aware of there only being 9 children enrolled in the classroom.

LPA observed classrooms, reviewed children sign in/out sheets, staff sign in/out sheets and interviewed parents and staff in regard to the allegation.

Based on the evidence as documented above, the allegations have been determined to be Unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the allegation occurred.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Wendy Torres- Office Manager.
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2