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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195700031
Report Date: 06/03/2026
Date Signed: 06/03/2026 01:28:03 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
05/14/2026 and conducted by Evaluator Brittanee Cleveland
COMPLAINT CONTROL NUMBER: 58-CC-20260514114207
FACILITY NAME:BOULEVARD SCHOOL, THEFACILITY NUMBER:
195700031
ADMINISTRATOR:JENNIFER WILLFACILITY TYPE:
850
ADDRESS:23022 VICTORY BLVDTELEPHONE:
(818) 883-0607
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:203CENSUS: 100DATE:
06/03/2026
UNANNOUNCEDTIME BEGAN:
09:17 AM
MET WITH: Carrie Zuckerman, Owner and Co-DirectorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff inappropriately handled child in care.
INVESTIGATION FINDINGS:
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On June 3, 2026, at 09:17 A.M., Licensing Program Analyst (LPA) Brittanee Cleveland conducted an unannounced investigation for a complaint received. LPA met with Carrie Zuckerman, Owner and Co-Director, whom guided a tour of the facility. LPA explained the purpose of today’s visit is to discuss the allegation stated above.

During today’s visit LPA was guided on a tour of facility, interviewed staff, and obtained rosters.

During interviews, staff #3 stated they heard a child in distress and went to assist. When Staff #3 arrived, child was was yelling and behavioral therapist was observing. Staff #3 stated they helped child lay on the napping mat, choose a blanket, and provided some toys. Child became resistant after a while, and child poked Staff #3 in the eye. -- Page 1
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Brittanee Cleveland
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
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-20260514114207
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: BOULEVARD SCHOOL, THE
FACILITY NUMBER: 195700031
VISIT DATE: 06/03/2026
NARRATIVE
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Staff #3 stated when poked in the eye, they stepped away from the situation. Staff #2 stated Staff #3 told them about the situation, where Staff #2 informed Staff #3 to write a report. After the incident, Staff #3 was given guidance on how to take care of incidents like these. The staff that were interviewed stated the behavioral therapist was new to the child when the incident occurred.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

The Notice of Site Visit was provided and 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 Carrie Zuckerman, Owner and Co-Director, and Appeals Rights provided.

-- Page 2

SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Brittanee Cleveland
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2