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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198012968
Report Date: 11/30/2021
Date Signed: 11/30/2021 03:25:22 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/05/2021 and conducted by Evaluator Tiffanie Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20211005082626
FACILITY NAME:BALDWIN PARK USD TRICITIES HEAD START ELIZABETHFACILITY NUMBER:
198012968
ADMINISTRATOR:NANCY LOPEZFACILITY TYPE:
850
ADDRESS:4811 E. ELIZABETH STREETTELEPHONE:
(626) 962-3311
CITY:CUDAHYSTATE: CAZIP CODE:
90201
CAPACITY:120CENSUS: 53DATE:
11/30/2021
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Nancy Lopez, Education Program ManagerTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal Rights- Children with diaper has being changed standing up due to no changing table in the classroom.

Personal Rights- Staff not providing adequate supervision to children in care resulting in children being hit by other children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), T Tran arrived at the above licensed facility to conduct an unannounced subsequent complaint inspection for the purpose of concluding the investigation of the above allegations. Upon arrival, LPA met with Nancy Lopez, Education Program Manager.
Based upon the evidence obtained during the course of the investigation through interviews, record reviews, and observation, the evidence does not support, nor disprove the above allegation of the facility failed to provide changing table therefore a child has been changed standing up. This is a preschool facility serving children ages 2-5 years old no changing table is not required. Furthermore, the allegation of staff provided inadequate supervision as a result a child in care being hitting other children in care. Record reviewed indicates the program had completed the referral process, parents and disabilities team were onboard to ensure child's need is met. In addition, child's schedule has been modified, and one-on-one support was provided. Therefore, the allegations have been determined unsubstantiated. 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 violation occurred. The copy of this report was explained and issued to noted person.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2021
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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