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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418470
Report Date: 08/07/2024
Date Signed: 08/09/2024 10:40:48 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2024 and conducted by Evaluator Ashley Calderon
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240520140546
FACILITY NAME:IMMANUEL DREW CHILD DEVELOPMENT CORPORATIONFACILITY NUMBER:
197418470
ADMINISTRATOR:TAMELA TYLERFACILITY TYPE:
850
ADDRESS:506 E. LAUREL STREETTELEPHONE:
(310) 635-3543
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY:84CENSUS: 13DATE:
08/07/2024
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Director Edwina Shivers TIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Children not allowed to get drinking water.
Facility staff aggressively holding child by arm in an inappropriate manner.
Staff are not changing diapers appropriately.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced subsequent complaint inspection. LPA arrived at the facility and met with Staff Heather Booth-Fuller. At approximately 10:15am LPA met with Director Edwina Shivers and discussed the purpose of today’s visit which consist of delivering findings for the above allegation(s).

LPA observed 10 staff and 13 children in care upon arrival. During the course of the investigation, LPA conducted interviews with staff, parents and children and made observations during investigation dates. On today’s visit, LPA was given permission by facility staff Heather Booth-Fuller to conduct a self guided tour of the facility.

Regarding allegation: Children not allowed to get drinking water.
(Continuation 9099-C...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
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 8
Control Number 54-CC-20240520140546
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: IMMANUEL DREW CHILD DEVELOPMENT CORPORATION
FACILITY NUMBER: 197418470
VISIT DATE: 08/07/2024
NARRATIVE
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Based on interviews conducted with five (5) staff, informed LPA that all children have drinking water available and drink water, staff denied the above allegation. Four (4) staff stated water dispensers are in each classrooms to provide drinking water for the children and staff informed LPA all children having cups available, whether it is from a personal sippy cups/ water bottle, big size cups or small size cups based on availability.

LPA interviewed Quality Assurance personnel from Immanuel Drew Corporate Office who stated no issues and/or complaints regarding drinking water has been reported.

Based on parent interviews conducted via telephonically with LPA, four (4) parents stated they have no issues or no complaints regarding their child not allowed drinking water and that there child have drinking water available. Two (2) parents stated their child brings their own bottles/cups to school. Parent # 3 informed LPA before the change in staff children were using facility disposable cups and then school implemented bringing in personnel cups but children always water available.

It was reported that there was an incident that there was a hearsay situation were a staff told a staff they were unable to fill up children’s water cups. It was also reported that children started to bring to the school their personal water cups/bottles due to facility running out of water cups but that the children did not go without water.

LPA’s on all three visit days observed water dispensers in all classrooms and water available for children inside and outside for children’s drinking needs.

Regarding allegation: Facility staff aggressively holding child by arm in an inappropriate manner

Based on allegation LPA Calderon did a file review for the above facility, the facility self reported an Unusual Incident Report (UIR) via telephone call, dated 5/17/24 reported to Licensing. There is a UIR regarding personal rights of a child. Per UIR a staff witnessed a staff grabbing a child by the arm and lifting their arm up over their head and when staff observed someone watching they repositioned to hold child in a more appropriate position. UIR states alleged staff wrote a statement on what occurred. LPA reviewed statement and there is no evidence to corroborate the above allegation. Per interview with alleged staff, staff informed LPA that a child’s parent had concerns regarding staff inappropriately holding their child, and asked staff for information regarding incident. Alleged staff stated not knowing incident occurring regarding their child, and staff is new to the site so unaware of child being mentioned and provided parent with licensing complaint hotline number if parent had a complaint to report due to staff not able to corroborate to the above allegation.

(Continuation 9099-C...)

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2024 and conducted by Evaluator Ashley Calderon
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20240520140546

FACILITY NAME:IMMANUEL DREW CHILD DEVELOPMENT CORPORATIONFACILITY NUMBER:
197418470
ADMINISTRATOR:TAMELA TYLERFACILITY TYPE:
850
ADDRESS:506 E. LAUREL STREETTELEPHONE:
(310) 635-3543
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY:84CENSUS: 13DATE:
08/07/2024
UNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Director Edwina Shivers TIME COMPLETED:
11:35 AM
ALLEGATION(S):
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Playground gates are broken and unsecured for children to easily to open.
Playground flooring has defects causing tripping hazards for children and staff.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced subsequent complaint inspection. LPA arrived at the facility and met with Staff Heather Booth-Fuller. At approximately:15am LPA met with Director Edwina Shivers and discussed the purpose of today’s visit which consist of delivering findings for the above allegation(s).

LPA observed 10 staff and 13 children in care upon arrival. During the course of the investigation, LPA conducted interviews with staff, parents and children and made observations during investigation dates. On today’s visit, LPA was given permission by facility staff Heather Booth-Fuller to conduct a self guided tour of the facility.

Regarding allegation: Playground gates are broken and unsecured for children to easily to open
Based on interviews with Iterm Site Supervisor Ms.Flores, Staff #1 & Staff #2, LPA was informed that gate that divides the preschool and toddler play yard was broken causing children ....(continuation 9099-C)

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 54-CC-20240520140546
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: IMMANUEL DREW CHILD DEVELOPMENT CORPORATION
FACILITY NUMBER: 197418470
VISIT DATE: 08/07/2024
NARRATIVE
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from different age group to enter each yard. Based on interviews with Staff #1 (S1) and #2 (S2) informed LPA that although teachers would supervise children during outdoor play staff had to supervise the gate area due to broken latch and children easily open gate and entering playyards. S1 stated gate broke approximately January 2024 and S2 stated since start employment noticed in February 2024 gate broken. Interview with Iterm Site Supervisor Ms. Flores informed LPA when they started working at the above facility in May 2024, playground gate was broken and Ms. Flores stated putting a chain around the gate as temporary solution until permanently fixed.

Three (3) parents were unaware of the broken gate between the two playgrounds therefore they were unable to corroborate. Parent #3 informed LPA that their child’s father attempted to fix gate and was concerned due to child running through broken gate when seeing parent come to the school for pick up.

On 7/10/24, LPA Calderon and LPA Sanchez observed gate in the play yard between the toddler and preschool area was repaired with appropriate latch.

Regarding Allegation: Playground flooring has defects causing tripping hazards for children and staff.



Based on LPA’s record review submitted to the school’s corporation office by Iterm Site Supervisor Edith Flores, submitted a ticket to get the playground floor defects fixed.

LPA Calderon and LPA Sanchez observation on 5/21/24 and 6/7/24 (took pictures) the floor in toddler / preschool playground to be uneven, having defects like dips, cracks and/or holes which could cause a tripping hazard to children and staff.

In addition, LPAs observed in the preschool side unlevel grass and dips in the grass area next to cement concrete strip/ block that is dividing the grass and the dirt area. Holes in dirt/grass area in preschool side along the fence. In addition, LPA’s observed in the preschool side unlevel grass space along the grass area next to the play ground cushion turf. These observations pose an immediate risk to the staff and children in care.

(Continuation 9099-C..)

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 8
Control Number 54-CC-20240520140546
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: IMMANUEL DREW CHILD DEVELOPMENT CORPORATION
FACILITY NUMBER: 197418470
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2024
Section Cited
CCR
101238(a)
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Building & Grounds: (a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidence by:
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LPA on 7/10/24 observed gate between the preschool and toddler play ground fixed and repiared. LPA requested ticket forms of play yards completion on what was done and on what dates the facility did repairs to be sent by POC due date.
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Interviews with 3 staff confirmed broken gate, approx. broken Jan/ Feb 24'. Parent interview with Parent #3 stated child enrolled in school parent helped fix gate and kept breaking. LPA's Caldron observed gate having a metal chain and not the latch that goes to gate.
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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: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 54-CC-20240520140546
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: IMMANUEL DREW CHILD DEVELOPMENT CORPORATION
FACILITY NUMBER: 197418470
VISIT DATE: 08/07/2024
NARRATIVE
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Based on interviews conducted by Ms. Flores informed LPA’s that the floor has dips and holes and she put a bench to cover the holes as a temporary solution for safety. Staff #1 based on interview informed LPA was doing office work due injury from falling in the playground. Staff #2 during interviewed informed LPA’s witnessing Staff #1 falling in a dip on the turf in the toddler playground due to floor being sunken in. Staff #3 informed LPA that in the month of May the Toddler play yard side had defects, there was a patch that was torn.

LPA interviewed facility corporation Quality Assurance personnel via telephonically who stated they received a ticket submission regarding the playground repairs that are needed in the preschool play yard and is aware of an incident of a staff getting injured in the toddler playground on the soft turf that was cracking and was fixed after the incident took place.

Based on parent interviews conducted by LPA Calderon and/or LPA Sanchez, four (4) were unaware of the playground defects therefore were unable to corroborate. P2 when observing the toddler play yard they have not observed any defects in the playground. P3 informed LPA the toddler play yard is unleveled.

On visit date 8/7/24 LPA observed all unleveled areas, dips and holes were fixed.

Based on LPA interviews conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. Per California Code of Regulations, (Title 22, Division 12, Chapter 1) facility is being cited on the attached LIC 9099-D page.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Appeal rights were discussed and copy of report was provided.

An exit interview was conducted and report was reviewed with the Director Edwina Shivers.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 8
Control Number 54-CC-20240520140546
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: IMMANUEL DREW CHILD DEVELOPMENT CORPORATION
FACILITY NUMBER: 197418470
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/08/2024
Section Cited
CCR
101238(a)
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Building & Grounds: (a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidence by:
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LPA on 8/7/24 observed areas in preschool and toddler side fixed and repaired and areas were flat , leveled and no safety concerns observed. LPA requested ticket forms of play yards completion on what was done and on what dates the facility did repairs to be by 8/30/24 to LPA Calderon.
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Staff reporting and Staff #1 fell on the todder play yard due to floor having a dip (sunken in turf) and being uneven. LPA Calderon and LPA Sanchez observed unleveled floor, dips and holes in preschool side. Preschool side had holes in dirt area near fence, grass was unlevel near cement block and turf area.
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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: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 8
Control Number 54-CC-20240520140546
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: IMMANUEL DREW CHILD DEVELOPMENT CORPORATION
FACILITY NUMBER: 197418470
VISIT DATE: 08/07/2024
NARRATIVE
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Telephonic Interview was conducted with Immanuel Drew Corporate Quality Assurance (Q.A) personnel on 7/30/24, Q.A stated they were unaware of this incident occurring and had no information regarding the individuals reported in this allegation. On 8/5/24 Q.A informed LPA via telephonically they recently after LPA initial phone call opened a internal investigation on the corporates behave.

Staff #1 informed LPA they observed a child being aggressively grabbed by a staff. Three (3) additional staff interviewed stated they haven’t observed staff aggressively holding child by arm in an inappropriate manner. LPA reviewed UIR for incident reported, under person(s) observed the incident Staff #1 was not listed as a witness.

Regarding allegation: Staff are not changing diapers appropriately.

LPA Calderon and LPA Sanchez observed on visit dates 5/21/24, 6/7/24, children being changed in the diaper table located in the toddler classroom.

Based on parent interviews conducted via telephonically three (3) parents informed LPA that their child gets changed and facility uses changing table. Parent #3 stated has observed children standing up and being changed not near a sink or changing table.

Three (3) staff stated during interviews children are changed on the tables. Staff #1 informed LPA that there was an incident they did not observe but heard a substitute teacher was told by an office staff to change a preschool child on a mat. Per Program Director stated changing tables have a weight limit, therefore preschool children would be changed due to potty accidents or wet clothing accidents, if needed in alterative ways using sanitization procedures and providing privacy to the child getting changed.

It was reported that a staff was directed to use a diaper changing table paper from the toddler side (used to lay child to change diapers) and for staff to change child on a cot.

Although the above allegations may have happened or are valid; based on observations, interviews, and documents obtained there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore at this time the allegations are deemed UNSUBSTANTIATED. No deficiency was cited at this time for this complaint allegation.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview was conducted with Director Edwina Shivers. (End of Report)

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 8 of 8