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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197493484
Report Date: 08/12/2022
Date Signed: 08/12/2022 02:11:56 PM

Substantiated


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
08/09/2022 and conducted by Evaluator Antonio Almanza
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20220809132200
FACILITY NAME:TINY THINKERS PRESCHOOLFACILITY NUMBER:
197493484
ADMINISTRATOR:GOONEWARDENA, KAMANIFACILITY TYPE:
850
ADDRESS:15737 PARTHENIA STREETTELEPHONE:
(818) 892-2655
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:70CENSUS: 0DATE:
08/12/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Director Marisol NepomucenoTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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1) Parents not notified of an active shooter.
2) Reporting requirements.
INVESTIGATION FINDINGS:
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On 08/12/2022 at 11:00 a.m., Antonio Almanza, Licensing Program Analyst (LPA), conducted an unannounced site visit for the purpose of investigating complaint received on 08/09/2022. LPA met with Marisol Nepomuceno, Director, and explained the purpose of the visit. During today’s visit there are no children in care, facility has staff development day. LPA conducted Risk Assessment.

LPA Almanza conducted interviews and reviewed documents regarding Allegations, (1) Parents not notified of an active shooter. (2) Reporting requirements.

On Monday, 08/08/22, facility had an incident that occurred around 1:40 p.m., during nap time. The facility front glass door was shot by what staff are reporting to have been possibly caused by a BB-gun. As a result, the front door had a small circular hole and the glass was shattered.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022
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 3
Control Number 58-CC-20220809132200
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: TINY THINKERS PRESCHOOL
FACILITY NUMBER: 197493484
VISIT DATE: 08/12/2022
NARRATIVE
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The facility was place on lock down until after 3:00 p.m. when LAPD cleared the facility. LAPD investigative report indicates “Unit suspects punctured glass”. Staff were not instructed to notify parents of the incident. The glass was replaced the following day.

The facility contacted the El Segundo Regional office on Wednesday, 08/10/22 at 4:21 pm and left a voicemail on this LPAs voicemail, notifying LPA of an Unusual Incident Report.

After considering available information, the facility failed to notify parents of the facility being placed on lock down due to a possible active shooter; Facility failed to notify the El Segundo Regional of the Unusual Incident within the next working day. Based on LPAs interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California code of Regulations, Title 22, Division 12 & Chapter, are being cited on the attached LIC9099D.

During today’s visit two Type B violation are being issued under Title 22 Regulations, Division 12, Chapter 1, of the California Code of Regulations: 101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours...; and 101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

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.

A copy of this report, Appeal Rights (LIC9058) and Notice of Site Visit were reviewed and provided to the Director Marisol Nepomuceno.

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20220809132200
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: TINY THINKERS PRESCHOOL
FACILITY NUMBER: 197493484
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/19/2022
Section Cited
CCR
101212(f)
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101212 Reporting Requirements (f) The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.
This Requirement is not met as evidenced by:
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Director will write a statement acknowledging that she will notify parents of incident that threaten the Health and Safety of Children in care.
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Based on interview and record review, The Facility did not notify parents that the facility was place on lock down do to possible shooter, which poses an potentialHealth or Safety, or personal rights risk to persons in care.
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Type B
08/19/2022
Section Cited
CCR
101212(d)
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101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours... This Requirement is not met as evidenced by:
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Director will write statement acknowledging understand of reporting requirements and provide to LPA via email by 08/19/22.
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Based on interviews and record review, The Facility did not notify Licensing that the facility was place on lock down do to possible shooter, which poses a potential Health or Safety, or personal rights risk to persons 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: Rita Ramos
LICENSING EVALUATOR NAME: Antonio Almanza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022
LIC9099 (FAS) - (06/04)
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