191501824-10-1-2026-54-CC-WBIS-DYP2BU-20261008171542

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191501824
Report Date: 10/01/2026
Date Signed: 10/01/2026 12:12:52 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 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
08/31/2026 and conducted by Evaluator Erica Lujan

COMPLAINT CONTROL NUMBER: 54-CC-20260831122408

FACILITY NAME:	DOWNEY UNITED METHODIST CHURCH NURSERY SCHOOL		FACILITY NUMBER:	191501824
ADMINISTRATOR:	CYNTHIA CRUZ		FACILITY TYPE:	850
ADDRESS:	10801 S DOWNEY AVE		TELEPHONE:	(562) 923-8719
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90241
CAPACITY:	76	CENSUS: 44	DATE:	10/01/2026
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Kristi Rogers-Facility Representative		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff inappropriately sprayed day children with silly string.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Erica Lujan conducted an unannounced complaint visit to deliver findings at the above facility. LPA met with Facility Representative Kristi Rogers and informed her of the reason for the visit. LPA Lujan observed 44 preschool children present and supervised by 7 staff.

During this investigation, LPA conducted child interviews, staff interviews, reviewed video, and obtained a facility roster. The video appears to show teacher #1 playfully spraying silly string at the children who were approximately 3 to 7 feet away (during a planned end of school year activity). Staff #1 did not identify any concerns or issues with using silly string spray and indicated it was a fun activity for the children. Staff #2 also witnessed no concerns during the silly string activity. Both staff stated that no children were injured or discomforted due to the silly string spray. LPA also conducted an interview with 1 child who witnessed the silly string activity and received no disclosure that would substantiate the

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Erica Lujan
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2026

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 54-CC-20260831122408

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: DOWNEY UNITED METHODIST CHURCH NURSERY SCHOOL	FACILITY NUMBER: 191501824
	VISIT DATE: 10/01/2026

NARRATIVE

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allegation. No other children were available for interview at the facility.

Based on LPA observations, video footage, interviews and record reviews, the above allegations are found to be unsubstantiated. 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.

No deficiencies were cited during today’s investigation.

Appeal Rights provided and explained. Notice of Site Visit must be posted for (30) days. Failure to do so may result in a $100.00 civil penalty.

Exit interview conducted with Facility Representative Kristi Rogers.

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Erica Lujan
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2026

LIC9099 (FAS) - (06/04)

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