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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197419578
Report Date: 04/03/2023
Date Signed: 04/03/2023 05:00:07 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
12/09/2022 and conducted by Evaluator Dalicia Adkins
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20221209105027
FACILITY NAME:SCHUSTER FAMILY CHILD CAREFACILITY NUMBER:
197419578
ADMINISTRATOR:SCHUSTER, FRANKLINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 921-0595
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY:14CENSUS: 6DATE:
04/03/2023
UNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Licensee Franklin Schuster TIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Personal Rights- Infant sustained unexplained injuries while in care.
INVESTIGATION FINDINGS:
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On 04/03/2023, Maureen Neal, Licensing Program Manager (LPM), and Dalicia Adkins Licensing Program Analyst (LPA), conducted an inspection for the purpose of delivering the findings of the complaint investigation.
The investigation of the above allegation was conducted by CDSS investigator Dennis Seng. Based on the completed IB investigation report and evidence that included interviews with pertinent parties, police and medical reports received during the investigation, it was determined there is sufficient evidence to prove the above allegation of an infant sustained unexplained injuries while in care occurred and is substantiated.

Information revealed during the investigation that the infant sustained a series of bruises and scratches to the forehead, cheek, ear, knees, and toes while in care at the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023
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 3
Control Number 30-CC-20221209105027
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: SCHUSTER FAMILY CHILD CARE
FACILITY NUMBER: 197419578
VISIT DATE: 04/03/2023
NARRATIVE
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These types of injuries are serious and considered child abuse. A substantiated allegation is defined as an allegation that is valid because the preponderance of the evidence standard has been met.
9099 C

The facility was cited two type A deficiencies and a civil penalty of $500.00. Please see Report LIC 9099-D for deficiencies cited. Upon approval the facility will receive an enhanced civil penalty in the amount of 2,000 for the serious injuries that the infant sustained while in care.
Licensee was advised upon receipt of this report, the report must be posted along with the notice of site visit for 30 days for parents to view. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed.

Licensee must inform the parents/guardians of children in care at the facility and inform parents/guardians of children newly enrolled at the facility during the next 12 months via form LIC 9224 Acknowledgement of Receipt of Licensing Reports. The report shall be provided to the authorized representative no later than the next business day or the next day the child is in care. LIC 9224 forms were issued to the facility.

An exit interview was conducted, and a copy of this report was provided to licensee along with the appeal rights.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20221209105027
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: SCHUSTER FAMILY CHILD CARE
FACILITY NUMBER: 197419578
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/03/2023
Section Cited
CCR
102423(a)(1)(2)(4)
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Personal Rights- Each child receiving services from a family childcare home shall have certain rights that shall not be waived or abridged by the licensee ...These rights include, but are not limited to, the following: (1) To be treated with dignity…. with staff…. (2) To receive safe, healthful, and comfortable …. (4) To be free from …, infliction of pain...
This requirement was not as evidenced by:
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A non-compliance conference will be held with licensee ASAP.
Facility staff will view personal rights and care & supervision videos and submit in writing their understanding & provide signatures/names of each staff. https://ccld.childcarevideos.org
Plan on how staff will provide full/visual supervision. The corrections for both are due by 4/10/2023 MS Word document via be email to LPA & LPM



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Infant in care was left unsupervised that resulted in a personal rights violation & sustained several injuries in care. This is an immediate health and safety risk to children in care and a type “A” violation
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Type A
04/03/2023
Section Cited
CCR
102425(j)(1)
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102425(j)(1) Infant sleep plan
The provider shall physically check on the infant every 15 minutes.
This requirement was not as evidenced by:
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Licensee and assistants will immediately adhere to this regulation. Licensee will comply with PIN 20-24-CCP. Conduct a training on infant safe sleep regulations and submit a written plan on how this regulation will be met and submit by 4/10/2023 MS Word document via email to LPA & LPM & provide names & signatures of each staff in attendance.


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Infant in care was left unsupervised for more than 15 minutes that resulted in infant sustaining several injuries in care. This is an immediate health and safety risk to children in care and a type “A” violation
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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: Maureen Neal
LICENSING EVALUATOR NAME: Dalicia Adkins
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023
LIC9099 (FAS) - (06/04)
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