197414573-3-7-2024-58-CC-RRAS-D3C24V-20240313170433

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197414573
Report Date: 03/07/2024
Date Signed: 03/07/2024 11:07:25 AM

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
12/14/2023 and conducted by Evaluator Lilia Hernandez

PUBLIC

COMPLAINT CONTROL NUMBER: 58-CC-20231214152810

FACILITY NAME:	KIDSVILLE U.S.A.		FACILITY NUMBER:	197414573
ADMINISTRATOR:	PERERA, MAUREEN		FACILITY TYPE:	830
ADDRESS:	8472 CORBIN AVENUE		TELEPHONE:	(818) 886-3508
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91324
CAPACITY:	24	CENSUS: 10	DATE:	03/07/2024
		UNANNOUNCED	TIME BEGAN:	09:57 AM
MET WITH:	Maureen Perera, Licensee		TIME COMPLETED:	11:20 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Allegation 1: Facility is unsanitary
Allegation 2: Staff are allowing sick children at facility
Allegation 3: Staff did not provide a safe and comfortable environment for daycare children

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced complaint inspection to the above facility on 03/07/2024. LPAs arrived at the facility at 9:57AM and met with Lluliana Gonzalez, Lead Teacher, who guided LPAs on tour of the facility. There were 10 infants, and 3 staff upon arrival. LPA was later met by Maureen Perera, Licensee.

The purpose of the visit is to deliver findings for the above allegation.

During the investigation conducted by the LPA, records were reviewed, and interviews and observations were conducted. LPA also obtained copies of rosters and other pertinent information and documents.

Details provided by the reporting party indicates that the facility is unsanitary, staff are allowing sick children at facility and staff did not provide a safe and comfortable environment for daycare children. ---Page 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024

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-20231214152810

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: KIDSVILLE U.S.A.	FACILITY NUMBER: 197414573
	VISIT DATE: 03/07/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Per Licensee, the facility is maintained clean daily. Staff makes sure to remove any toys that infants place in their mouths and sanitized them before making the toys accessible to infants. A cleaning service is contracted to clean the facility outside hours of operation. Health checks are conducted daily before infants are dropped off for care. Should an infant develop symptoms while in care, parents are notified and asked to pick up their infant. Per Licensee, there has been no instances of staff not providing a safe and comfortable environment while infants are in care.

During LPA’s observation of care and supervision, staff were observed caring for infant’s both indoors and outdoors. Staff had gloves and tissue available should an infant need their hands or face wiped both indoors and outdoors.

During parent interviews, no disclosures were made that supports the allegations above. 3 of the 5 parents interviewed reported that when their infant shows signs of illness while in care, the facility notifies them and request that infant be picked up. Parents also disclosed that staff take good care of their infants and are satisfies with the quality of care.

Based on the investigation conducted by the LPA, it has been determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

The Notice of Site Visit 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 result in a civil penalty of $100.00.

Exit interview conducted and report was reviewed with Maureen Perera, Licensee.

---Page 2 of 2

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2