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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494332
Report Date: 08/30/2021
Date Signed: 08/30/2021 07:27:09 PM

Unsubstantiated


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
08/20/2021 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210820162122
FACILITY NAME:CRYSTAL STAIRS HEAD START - HAWTHORNE PLAZAFACILITY NUMBER:
197494332
ADMINISTRATOR:CARDENAS, LAURAFACILITY TYPE:
850
ADDRESS:4300-A W. 120TH STREETTELEPHONE:
(323) 421-1100
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:116CENSUS: 26DATE:
08/30/2021
UNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Shaniece Smith/site supervisorTIME COMPLETED:
04:50 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
1) Staff are not following proper COVID-19 mask guidance
2) Staff did not inform parents of COVID-19 cases and exposures
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Silva Garibyan conducted a visit regarding the above mentioned allegations. LPA met with Shaniece Smith, site supervisor at 3:45 p.m on 08/30/2021. There were 26 children and 10 teachers present at the time of the visit.

Based upon the evidence obtained through the course of investigation which include observations at the facility, interview with relevant parties there is insufficient evidence to support or disprove that Staff are not following proper COVID-19 mask guidance and Staff did not inform parents of COVID-19 cases and exposures. Therefore, this allegation has been determined unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
An exit interview was conducted and a copy of this report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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