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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494332
Report Date: 11/08/2022
Date Signed: 11/08/2022 02:05:50 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
08/16/2022 and conducted by Evaluator Lillian J Casillas
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20220816114416
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: 62DATE:
11/08/2022
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Susana Morales TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Personal Rights: Staff member hit child while in care
INVESTIGATION FINDINGS:
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On 11/8/2022, Licensing Program Analyst (LPA) Lillian Casillas conducted an unannounced complaint visit for the purpose of delivering the findings of the investigation regarding the allegation above. LPA met with Site Supervisor, Susana Morales. LPA observed 62 children with 13 staff.

During today’s inspection, LPA Casillas toured the inside and outside of the facility. LPA interviewed Site Supervisor and 2 staff.

On 8/24/2022, LPA Dalicia Adkins initiated the complaint investigation and observed 57 children with 13 staff. LPA Adkins interviewed Site Supervisor and obtained copies of the following documents: children's roster, staff roster, and classroom activity schedules.

[CONTINUE ON PAGE 2]
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
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 2
Control Number 30-CC-20220816114416
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: CRYSTAL STAIRS HEAD START - HAWTHORNE PLAZA
FACILITY NUMBER: 197494332
VISIT DATE: 11/08/2022
NARRATIVE
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PAGE 2

Based on interviews and record review, 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 allegation is deemed unsubstantiated.

An exit interview was conducted and a copy of this report, the Notice of Site Visit, and Appeal Rights were provided to Site Supervisor, Susana Morales.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Lillian J Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2