153808780-7-26-2023-57-CC-DMAA-CU5TEE-20230727143948

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 153808780
Report Date: 07/26/2023
Date Signed: 07/26/2023 10:25:36 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/04/2023 and conducted by Evaluator Jose Penate

PUBLIC

COMPLAINT CONTROL NUMBER: 57-CC-20230504110836

FACILITY NAME:	CALIFORNIA IVY LEAGUE PREP ACADEMY, PS & IC		FACILITY NUMBER:	153808780
ADMINISTRATOR:	MILLER, AMY		FACILITY TYPE:	850
ADDRESS:	2301 ASHE ROAD		TELEPHONE:	(661) 832-8300
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93309
CAPACITY:	178	CENSUS: 65	DATE:	07/26/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Director, Amy Miller		TIME COMPLETED:	10:40 AM

ALLEGATION(S):

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Staff handle day care children in a rough manner

Staff yell at day care children

Staff restrain day care children on nap mats

INVESTIGATION FINDINGS:

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On 07/26/2023, An unannounced complaint inspection was conducted today by Licensing Program Analyst (LPA), Jose Penate. LPA met with Director, Amy Miller. LPA advised the purpose of today's inspection is to close the complaint investigation. During investigation, LPA interviewed staff, interviews children’s representatives, reviewed facility records, and observations made by LPA.

With the allegations of, Staff handle day care children in a rough manner, Staff yell at day care children, and Staff restrain day care children on nap mats have been investigated and based off of interviews and LPA observations conducted these incidents did in fact occur at the facility.

After conducting interviews, information gathered that staff are not properly redirecting children at the facility, whether that be by verbal redirection or physical. Staff have violated the Personal Rights of children in care and have not been given the proper redirection that is necessary at the facility. This resulted in the children being handled in a rough manner and also staff yelling at the children while in care. This is a violation of the Personal Rights of children in care.

Continued on 9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

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 57-CC-20230504110836

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CALIFORNIA IVY LEAGUE PREP ACADEMY, PS & IC	FACILITY NUMBER: 153808780
	VISIT DATE: 07/26/2023

NARRATIVE

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After conducting interviews, information was gathered that staff have restrained a child/ren in care whether it be by holding the child down and that they remain on their sleeping mat so that they do not wake up the other children in care and also staff have physically restrained a child by placing their leg/s over the child while on his/her sleep mat so that they do not get up from the mat. This is a violation of the Personal Right of children in care.

This agency has investigated the complaint with the 3 allegations. After interviews and LPA observations this agency has investigated the above complaint allegations and the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, the following deficiency is being cited on the attached LIC9099-D, see next page.

Exit interview was conducted with Director, Amy Miller.

A Notice of Site Visit Form was posted and must remain posted for 30 days.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

LIC9099 (FAS) - (06/04)

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Control Number 57-CC-20230504110836

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CALIFORNIA IVY LEAGUE PREP ACADEMY, PS & IC	FACILITY NUMBER: 153808780
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/26/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/18/2023 Section Cited CCR 101223(a)(1)(3)	1 2 3 4 5 6 7	101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons. (3) To be free	1 2 3 4 5 6 7	Director will have an all staff meeting and ensure that all past and new staff have been trained on Personal Rights of all children in care. Director will submit minutes and log of all staff that attended the meeting.
	8 9 10 11 12 13 14	from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. Based on interviews conducted and LPA observations of items listed on LIC 9099. This poses a potential health, safety or personal rights risk to children in care.	8 9 10 11 12 13 14
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	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023

LIC9099 (FAS) - (06/04)

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