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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419648
Report Date: 06/23/2023
Date Signed: 06/23/2023 05:58:34 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/18/2023 and conducted by Evaluator Veronica Wheatley
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230418142214
FACILITY NAME:EAGLES NEST PRESCHOOLFACILITY NUMBER:
197419648
ADMINISTRATOR:DR. MELISSA MOOREFACILITY TYPE:
850
ADDRESS:641 SHELDON STREETTELEPHONE:
(310) 615-2650
CITY:EL SEGUNDOSTATE: CAZIP CODE:
90245
CAPACITY:105CENSUS: 0DATE:
06/23/2023
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Guadalupe GrijalevaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff member handled child inappropriately
Staff member yelled at a child
INVESTIGATION FINDINGS:
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On 6/23/2023 Licensing Program Analyst (LPA) V. Wheatley conducted an inspection at 12:40PM and met with Guadalupe Grijaleva regarding the above allegations.

On 4/27/23, LPA Wheatley met with Kimberly Linz, Melissa Gooden and Tracy Manning in the absence of the director Guadalupe Grijaleva. LPA interviewed several staff members and was provided a copy of the rosters.

Based on the information obtained through interviews and thorough investigation, the allegations are substantiated. A substantiated finding means that the complaint is substantiated and the allegation is valid because the preponderance of the evidence standard has been met. See LIC 9099D

Exit interview. A copy of the report will be provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023
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 30-CC-20230418142214
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: EAGLES NEST PRESCHOOL
FACILITY NUMBER: 197419648
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/26/2023
Section Cited
CCR
101223(a)(1)
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101223(a)(1)Personal Rights -To be accorded dignity in his/her personal relationships with staff and other persons.
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The director will submit a Plan of Correction to the Department by 6/26/23. The director will have a staff meeting about personal rights training and submit the agenda signed by staff to the Department within 30 days. The director will have the staff review the Department videos on Personal Rights. The director will submit LIC 624 (unusual incident report)
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This is evidenced by: Child #1 was not treated with dignity by a staff member.
This is an immediate risk to the health and safety of children in care.
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Type A
06/26/2023
Section Cited
CCR
101223(a)(3)
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101223(a)(3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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The director will submit a Plan of Correction to the Department by 6/26/23. The director will have a staff meeting about personal rights training and submit the agenda signed by staff to the Department within 30 days. The director will have the staff review the Department videos on Personal Rights. LIC 624 (unusual incident report)
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This is evidenced by: Child #1 was treated with intimidation, humiliation and yelling in the face by a staff member. This behavior is a violation an immediate risk to the health and safety of children in care.
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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: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2