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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494574
Report Date: 12/07/2023
Date Signed: 12/07/2023 05:22:17 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
11/28/2023 and conducted by Evaluator Suzette Ornelas
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20231128090629
FACILITY NAME:DEVONSHIRE PRESCHOOLFACILITY NUMBER:
197494574
ADMINISTRATOR:JACQUELINE SORIA LOPEZFACILITY TYPE:
850
ADDRESS:21203 DEVONSHIRE STREETTELEPHONE:
(818) 700-2821
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:60CENSUS: 15DATE:
12/07/2023
UNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Jacqueline Soria Lopez-DirectorTIME COMPLETED:
05:21 PM
ALLEGATION(S):
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Allegation 1 - Facility is in disrepair
Allegation 2 - Staff did not prevent day care children from having access to hazardous items
INVESTIGATION FINDINGS:
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On 12/7/2023, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced follow up complaint inspection for the purpose of delivering the findings for the above-mentioned allegation. Upon arrival, LPA were greeted and let into the facility by Director, Jacqueline Soria Lopez, to whom the reason for the inspection was announced. LPA toured the facility and observed 15 daycare children and 4 staff.

Throughout the course of the investigation, LPA Ornelas made observations.

-Pertaining to the allegations that - Facility is in disrepair and Staff did not prevent day care children from having access to hazardous items

According to the reporting party (RP) facility is in need of repair due to chipped paint inside and outside exposing metal frame, asphalt is buckled, and kids trip over it, unused rooms are filled with junk and cleaning supplies (bleach & old paint) are under the cabinet not locked up. RP stated that are also broken toys in the outdoor space.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
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 3
Control Number 58-CC-20231128090629
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: DEVONSHIRE PRESCHOOL
FACILITY NUMBER: 197494574
VISIT DATE: 12/07/2023
NARRATIVE
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LPA made observations and observed the inside and outside of the facility is in need of repair due to chipped paint inside and outside exposing metal frame and old paint underneath, asphalt in the outdoor playground is buckled and poses a hazard to children, unused licensed classrooms and restroom are not set up for use. There are broken toys in the outdoor space that need to be removed or repaired. Wooden gate surrounding facility needs to be painted and broken pieces need to be repaired. All petal and wooden posts need to be covered with a soft cushioning material.

Based on the information obtained through observations and interviews, the allegation is 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.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Director, Jacqueline Soria Lopez.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20231128090629
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: DEVONSHIRE PRESCHOOL
FACILITY NUMBER: 197494574
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/08/2024
Section Cited
CCR
101238(a)
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101238(a) Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evidence by:
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Per Director, Owner has been contacted and repairs will be made on or before 3/8/2024.
Visit will be scheduled to observe repairs made.
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Based on observations,facility is in unsafe and in need of repair, which poses a potential health, 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: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3