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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414573
Report Date: 06/26/2023
Date Signed: 06/26/2023 03:13:24 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
05/09/2023 and conducted by Evaluator Miriam Cohen
COMPLAINT CONTROL NUMBER: 58-CC-20230509145210
FACILITY NAME:KIDSVILLE U.S.A.FACILITY NUMBER:
197414573
ADMINISTRATOR:PERERA, MAUREENFACILITY TYPE:
830
ADDRESS:8472 CORBIN AVENUETELEPHONE:
(818) 886-3508
CITY:NORTHRIDGESTATE: CAZIP CODE:
91324
CAPACITY:24CENSUS: 11DATE:
06/26/2023
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Maureen Perera, DirectorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility operated out of ratio.
Children in care were commingled.
Infants in care were not supervised by staff at all times.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/26/2023 @ 12:45 PM, LPA Cohen conducted an unannounced visit for the purpose of delivering the findings against alleged complaints reported concerning the above preschool. Upon arrival, LPA Cohen observed four adults providing care for 11 children. LPA Cohen met with Infant Center director, Maureen Perera. Based upon the following observations below, there is not a preponderance of the evidence to support all allegation noted above:
a) Interviews – verbal statements with written declaration from staff members; verbal interview from parents of children currently enrolled in the above preschool; b) Visual observation; c) Record reviews
Therefore, the following conclusion has been reached concerning the allegation noted above: Unsubstantiated - A finding that the complaint is unsubstantiated means that although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. The investigation regarding the allegations noted above has been completed. It has been determined that the facility is not in violation of Title 22 Regulations. No deficiencies will be issued. An exit interview and a copy of the report was provided to the designated personnel.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Miriam Cohen
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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