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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191500557
Report Date: 03/07/2023
Date Signed: 05/01/2023 10:25:41 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/01/2023 and conducted by Evaluator Carolyn Tuba
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230301084617
FACILITY NAME:FIRST CHRISTIAN CHURCH CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191500557
ADMINISTRATOR:LILIANA VASQUEZFACILITY TYPE:
850
ADDRESS:1751 N PARK AVTELEPHONE:
(909) 629-3636
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:60CENSUS: 9DATE:
03/07/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Patricia UbaTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff did not meet day care child's needs
INVESTIGATION FINDINGS:
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On 03/07/2023 at 10:00 a.m., Licensing Program Analyst (LPA) Carolyn Tuba conducted an unannounced complaint inspection and to deliver findings of the above allegations. A Covid risk assessment was conducted when entering the facility. LPA met with Director, Patricia Uba, who guided LPA on a tour of the facility. There was a total of 9 children present with 2 staff.

Complainant alleged that staff did not meet day care child’s needs. Day care child’s needs were not met, as the reporting party (RP) stated that wood chips were found in Child #1 (C1) diaper. Per RP the exact date of when wood chips were observed in C1’s diaper was unknown. LPA conducted interviews with Staff #1 (S1), #2 (S2), and #3 (S3). Staff #4 (S4) was not available to interview at this time. Children were currently too young to interview. During the interviews staff did state that occasionally children who are potty training and wear pull-ups, which at this time are 5 to 6 children in care occasionally have been found with wood chips, but it is rare, but if wood chips are discovered then children are immediately changed. S1 and S2 stated that they keep a diaper schedule to check and change the children. S1 and S2 state that they make visual observations, as well as ask children if they need to be changed before
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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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 33-CC-20230301084617
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: FIRST CHRISTIAN CHURCH CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191500557
VISIT DATE: 03/07/2023
NARRATIVE
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and after transition times through-out the day or as needed. Director states that once children are verbal about bathroom needs, they begin training children to use the restroom. LPA did observe that the outside playground, where the children play, does have wood chips.

Therefore, the allegation has been determined to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

LPA issued a Technical Violation on this day and explained to Director to have staff check inside of diapers for wood chips after outside time and supervise when children are playing in those areas. While it did not cause any serious injury, however it has the potential to cause injury in their genital areas due to the material is made out of wood.

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 comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview was conducted and appeal rights, along with a copy of this report were given to Director, Patricia Uba.
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4