<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419435
Report Date: 07/24/2024
Date Signed: 07/24/2024 01:03:23 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
04/30/2024 and conducted by Evaluator Elicia Calvillo
COMPLAINT CONTROL NUMBER: 58-CC-20240430133059
FACILITY NAME:LITTLE TREEHOUSE ACADEMYFACILITY NUMBER:
197419435
ADMINISTRATOR:ANNA SHIROKOVAFACILITY TYPE:
850
ADDRESS:18510 PLUMMER STREETTELEPHONE:
(818) 772-9320
CITY:NORTHRIDGESTATE: CAZIP CODE:
91324
CAPACITY:85CENSUS: 33DATE:
07/24/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Anna Shirokova, DirectorTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff member affects childrens physical personal rights while in care.
Staff member affects childrens emotional personal rights while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/24/2024 at 12:30 PM, Licensing Program Analysts (LPAs) Elicia Calvillo and Roberto Luque Avila conducted an unannounced complaint investigation visit to deliver findings on the above-mentioned allegations. LPAs identified self and met with Anna S, Director, who guided analyst on a tour of the inside and outside of the facility. LPAs observed 33 children and 4 staff upon arrival during sleep time.

Throughout the course of the investigation, LPA Calvillo obtained the LIC 9040 Child Care Facility Roster, LIC 500 Personnel Report, interviewed Director, interviewed staff, interviewed parents, and interviewed children.

During today’s visit, LPA addressed the allegations per Reporting Party that staff physically and emotionally affects the personal rights of the children while in care.

Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
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-20240430133059
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: LITTLE TREEHOUSE ACADEMY
FACILITY NUMBER: 197419435
VISIT DATE: 07/24/2024
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
The allegation that staff physically and emotionally affects the personal rights of the children while in care, has been found to be unsubstantiated. Per Director, on 03/21/2024 all staff received training on Personal Rights of children while in care. Per staff interviews, none witnessed other staff physically or emotionally affecting the personal rights of the children. Per parents interviews, none disclosed that any staff affected their child in a physical or emotional manner. Per children interviews, none made any disclosures.

Based on LPA investigation, documents obtained, and statements obtained, it has been determined that the complaint allegations that staff physically and emotionally affect the personal rights of the children while in care, is unsubstantiated. 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 allegations are unsubstantiated.

LPAs advised Director about the Technical Support Program (TSP) and will LPA Calvillo will obtain an referral for the facility.

The Notice of Site Visit (LIC 9213) 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 was conducted with Anna Shirokova, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2