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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494575
Report Date: 03/27/2024
Date Signed: 03/27/2024 10:29:59 AM

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
01/05/2024 and conducted by Evaluator Silva Garibyan
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20240105151944
FACILITY NAME:DEVONSHIRE INFANT CENTERFACILITY NUMBER:
197494575
ADMINISTRATOR:JACQUELINE SORIA LOPEZFACILITY TYPE:
830
ADDRESS:21203 DEVONSHIRE STREETTELEPHONE:
(818) 700-2821
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:46CENSUS: 4DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
07:25 AM
MET WITH:Marian Ranasinghe, LicenseeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff use inappropriate discipline practices with day care children
INVESTIGATION FINDINGS:
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On 03/27/2024 at 7:25 am, Licensing Program Analyst (LPA) Silva Garibyan arrived at Devonshire Infant Center to deliver the findings of a complaint received by the Department on 01/05/2024 associated to Complaint Control Number 58-CC-20240105151944. LPA met with Marian Ranasinghe, Licensee and explained the purpose of the visit. During today’s visit, there were two staff providing care to four infants.
During the investigation into the allegation listed above, LPA obtained copies of the Facility Children’s Roster and conducted interviews with four staff and three parents.

The allegation indicates that “Staff use inappropriate discipline practices with day care children.”

When interviewed, S2 and S4 explained that they had observed that S5 would move C1 to the table chair upon noticing that the child was going to bite or hit other children as a method to prevent this from happening instead of redirecting the children. The maximum amount of time they observed the children in




Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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 5
Control Number 58-CC-20240105151944
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 INFANT CENTER
FACILITY NUMBER: 197494575
VISIT DATE: 03/27/2024
NARRATIVE
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the table chairs was around 10 minutes. They believe this staff was new and did not have a lot of experience in how to properly address a situation such as this one.

Parents interviewed did not present concerns related to the above-mentioned allegation.

Based on interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 Chapter 1, Article 06. Continuing Requirements, Section 101223 Personal Right is being cited on the attached LIC9099D.

Please refer to LIC9099D for documentation of deficiencies.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee Marian Ranasinghe.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 58-CC-20240105151944
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 INFANT CENTER
FACILITY NUMBER: 197494575
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2024
Section Cited
CCR
101223(a)(3)
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Personal Rights
Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature.
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Director will conduct an In-Service training with staff with emphasis on Personal Rights and watch the “Children’s Personal Rights in child care” video at CCLD.childcarevideos.org.
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This requirement is not met as evidenced by: The child was placed in a table chair to prevent the child from biting or hitting other children which poses a potential Health or Safety, or personal rights risk to persons in care.
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Director will provide a copy of the training agenda, sign in sheet, a LIC 855 Declaration summarizing the regulation and information learned in the video to LPA no later than 04/03/2024 via email.
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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: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5