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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197414463
Report Date: 05/22/2023
Date Signed: 05/22/2023 04:09:38 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 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
02/27/2023 and conducted by Evaluator Loyce Phillips
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20230227122449
FACILITY NAME:ROA FAMILY CHILD CAREFACILITY NUMBER:
197414463
ADMINISTRATOR:ROA, CARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 219-1677
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY:14CENSUS: 1DATE:
05/22/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:CARMEN ROA, LICENSEETIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Allegation #1: Sexual Abuse - Adult in home inappropriately touched a child in care
Allegation #2: Neglect/Lack of Supervision – Licensee allowed her son to provide care and supervision to children in care.
INVESTIGATION FINDINGS:
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On 05/22/2023, Licensing Program Analysts (LP) Loyce Phillips and Judy Laureano conducted a joint visit to deliver the findings of the above complaint allegations. A tour was conduct LPA observed 1 infant and 2 staff present. Licensee's adult son arrived to the facility at 3:30pm.

The investigation was conducted by IB Investigator Philippe Ryan Miles. Based on the totality of the circumstances, the preponderance of evidence and the consistency of child’s disclosure, it is more than likely adult in the home inappropriately touched child in the daycare. In addition, mother of child, current and former daycare attendees confirmed Licensee’s son has provided care and supervision to children in care while Licensee had appointments and errands. Therefore, the allegations of Sexual Abuse and Neglect/Lack of Supervision are deemed substantiated.

9099-C

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023
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 4
Control Number 30-CC-20230227122449
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ROA FAMILY CHILD CARE
FACILITY NUMBER: 197414463
VISIT DATE: 05/22/2023
NARRATIVE
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Type A citations and enhanced civil penalty has been issued. See LIC 9099D for deficiencies cited per California Code of Regulations Title 22, Division 12.

A copy of this report must be provided to the authorized representative of all currently enrolled children and any newly enrolled child for the following 12 months. The acknowledgement of receipt of Licensing Reports (LIC 9224) shall be signed and kept in each of the children’s records.

The notice of Site Visit (LIC 9213) 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 results in a civil penalty of 100.00.



An exit interview was conducted, and a copy of this report and appeals rights was provided to Licensee Carmen Roa.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 30-CC-20230227122449
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ROA FAMILY CHILD CARE
FACILITY NUMBER: 197414463
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/22/2023
Section Cited
CCR
102423(a)(1)
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102423(a)(1) Personal Rights (a)Each child receiving services from a family childcare home shall have certain rights that shall not be waived… (1) To be treated with dignity in his/her personal relationship with staff and other persons.
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A Non-Compliance Conference meeting will be scheduled at a later date.
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This requirement is not met as evidence by: Licensee’s adult son inappropriately touched child in care, which poses an immediate health, safety or personal rights risk to persons in care.
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Type A
05/22/2023
Section Cited
HSC
1596.885(c)
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1596.885(c) Conduct which is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility or the people of this state.
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A Non-Compliance Conference meeting will be scheduled at a later date.
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This requirement is not met as evidence by: Adult that resides in the home engaged in conduct which is inimical, which poses an immediate health, safety or personal rights to persons in care.
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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: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 30-CC-20230227122449
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ROA FAMILY CHILD CARE
FACILITY NUMBER: 197414463
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/22/2023
Section Cited
CCR
102417(a)
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102417(a) Operation of a Family Child Care Home (a)The Licensee shall be present in the home and shall ensure that children in care are supervised at all times.
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A Non-Compliance Conference meeting will be scheduled at a later date.
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This requirement was not met as evidence by: Licensee violated the conditional exemption by allowing her adult son to provide care and supervision in her absence, which poses an immediate health, safety or personal rights risk to persons in care.
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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: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 05/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/22/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4