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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494608
Report Date: 10/23/2023
Date Signed: 10/23/2023 03:51:31 PM

Unsubstantiated


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
10/17/2023 and conducted by Evaluator Lilia Hernandez
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20231017085831
FACILITY NAME:OUR LADY OF MALIBU CHURCH AND SCHOOLFACILITY NUMBER:
197494608
ADMINISTRATOR:REV MATHEW MURPHYFACILITY TYPE:
850
ADDRESS:3625 S WINTER CANYON RDTELEPHONE:
(310) 456-8071
CITY:MALIBUSTATE: CAZIP CODE:
90265
CAPACITY:22CENSUS: 7DATE:
10/23/2023
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Rich Nambu, PrincipalTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility gates are in disrepair
Facility has exposed hardware/wires
Facility is not kept free of animal feces
Facility has broken toys accessible to children in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced complaint inspection on 10/23/2023 to investigate the above allegations. LPA arrived at the facility at 09:20 AM and met with Rich Nambu, Principal who guided LPA on tour of the facility. There were 7 children and 1 staff present upon arrival.

During the investigation LPAs took pictures and and conducted interviews with licensee, and staff #1. Children's roster was not obtained.

Per Principal, children's roster was not available.

Information provided by the reporting party indicates that the facility gates are in disrepair, facility has exposed hardware and wires, facility is not kept free of animal feces, and facility has broken toys accessible to children in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
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 2
Control Number 58-CC-20231017085831
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: OUR LADY OF MALIBU CHURCH AND SCHOOL
FACILITY NUMBER: 197494608
VISIT DATE: 10/23/2023
NARRATIVE
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Per Principal, gates to the upper licensed play yard were installed 18 months ago.(Date unknown) Gates have security codes. Plant manager cleans the yard daily before the facility opens, makes repairs when needed throughout the day and throws out the trash in the afternoon.

While interviewing staff, S1 did not disclose seeing any hazards in the licensed area where children eat and play.

During the investigation, LPA did not observe any gates in disrepair, any hardware or wires exposed, any animal feces or broken toys accessible to children in the licensed areas indicated in the facility sketch where children eat and play.

Based on the investigation conducted by the LPA, it has been determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

The Notice of Site Visit 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.

Exit interview was conducted with Rich Nambu, Principal, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2