198021431-5-12-2026-33-CC-ACHO-DU8UBJ-20260519152625

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198021431
Report Date: 05/12/2026
Date Signed: 05/12/2026 09:47:02 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/19/2026 and conducted by Evaluator Kruz Long

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20260319141907

FACILITY NAME:	SOUTH HILLS ACADEMY		FACILITY NUMBER:	198021431
ADMINISTRATOR:	ANASTA FACUN		FACILITY TYPE:	860
ADDRESS:	1600 E. FRANCISQUITO AVE.		TELEPHONE:	(626) 919-2000
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91791
CAPACITY:	120	CENSUS: 53	DATE:	05/12/2026
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Director Martha Macias		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Child sustained injuries due to lack of supervision.
Facility did not report injuries.

INVESTIGATION FINDINGS:

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On 05/12/2026, Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint visit to the facility for the purpose of delivering complaint findings for the above allegations. Upon arrival, LPA met with Director Martha Macias and explained the purpose of the visit.

During the investigation, LPA obtained a copy of the children roster and emergency disaster plans, toured all four classrooms with Staff #1 (S1), reviewed children records and interviewed Staff #1(S1) to Staff #5(S5) in the office. LPA interviewed Child #2(C2) to Child #4(C4) in the office and attempted to interview Child #1(C1) but child was not available to be interviewed. Reporting Party (RP) and Parent #1(P1) to Parent #3(P3) was also interviewed.

Regarding the allegation: Child sustained injuries due to lack of supervision. RP alleged that C2 got hurt and incident was not observed by Staff. Interview with P2 indicated that P2 was present when C2 sustained an injury on the hand at the facility and was crying for a good few minutes but Staff didn’t notice or attend to C2 until P2 point it out to Staff. Interviews with S1 to S5 did not indicate any Staff witnessed the incident.
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Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

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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Control Number 33-CC-20260319141907

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SOUTH HILLS ACADEMY	FACILITY NUMBER: 198021431
	VISIT DATE: 05/12/2026

NARRATIVE

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Regarding the allegation: Facility did not report injuries. RP alleged that C1 sustained bruises and scratches in early 2025 and facility did not report incidents. LPA interviewed S1 to S5 of which S1 and S4 indicated that C1 has sustained bruises and scratches in the past. S4 corroborated that incidents are not always written up. LPA also verified that C2 sustained a scratch on the hand. LPA requested copies of incidents reports/ouch reports for C1 and C2 and facility was not able to provide reports. Interview with RP and P1 indicated that their child sustained injury but facility did not report the incident to them. Review of facility history did not indicate incidents were reported to the department. Director was reminded to ensure that parents/authorized representative and the department are notified of child injuries.

Based on LPA’s record review, observations and interviews conducted, the preponderance of the evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1, Article 6, 101216(a) and 101212(d)(1)(C) are being cited on the attached LIC9099D

Exit interview conducted with Director Martha Macias and copy of this report and appeal rights provided. A Notice of Site Visit was also provided and must be posted for 30 days.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20260319141907

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: SOUTH HILLS ACADEMY	FACILITY NUMBER: 198021431
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/12/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/26/2026 Section Cited CCR 101216(a)	1 2 3 4 5 6 7	101216 Personnel Requirements (a) Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Per Director, Staff shall be provided addition training regarding adequate supervision of children. Director will provided proof of training to the department by the POC date.
	8 9 10 11 12 13 14	C2 sustained an injury on the hand at the facility and was crying for a good few minutes but Staff didn’t notice and did not attend to C2 until P2 point it out to Staff.	8 9 10 11 12 13 14
Type B 05/26/2026 Section Cited CCR 101212(d)(1)(C)	1 2 3 4 5 6 7	101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the submitted to the Department within seven days following the occurrence of such	1 2 3 4 5 6 7	Director shall complete a declaration indicating unusual incidents will be reported to parent/authorized represesentives and the department within the timeframe specified in this section. Staff will also be provided addtional training regarding reporting requirements by the POC date.
	8 9 10 11 12 13 14	Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be event.(1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirement is not met as evidenced by: Injury sustained by C1 and C2 were not reported to parent/authorized representative and the department.	8 9 10 11 12 13 14

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: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2026

LIC9099 (FAS) - (06/04)

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