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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191502175
Report Date: 10/24/2024
Date Signed: 10/24/2024 12:27:24 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
09/03/2024 and conducted by Evaluator Saul Valenzuela
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240903092940
FACILITY NAME:PLAY FACTORYFACILITY NUMBER:
191502175
ADMINISTRATOR:LANA SHIFFLETFACILITY TYPE:
850
ADDRESS:9723 GARIBALDI AVE.TELEPHONE:
(626) 285-9223
CITY:TEMPLE CITYSTATE: CAZIP CODE:
91780
CAPACITY:74CENSUS: 43DATE:
10/24/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Director Wendy VeasTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Staff mishandled the daycare children while in care
Staff behavior poses as a risk to the daycare children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced follow-up complaint inspection to deliver findings on the above allegations. LPA met with Director, Wendy Veas to whom the reason for the visit was explained. Director guided LPA on a tour of the facility. LPA observed 43 children, and 8 staff present at the facility during this inspection.

During this investigation LPA conducted interviews with Reporting Party (RP), ten (10) Staff, two (2) Children, and Parents. LPA also obtained documents related to complaint allegation, including but not limited to, a copy of the Children’s Roster (LIC 9040), Personnel Report (LIC 500), Injury Reports, Employee Handbook, Parent Handbook, and Declaration Statements (LIC 855).

According to the allegations, Staff mishandled daycare children while in care.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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-20240903092940
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PLAY FACTORY
FACILITY NUMBER: 191502175
VISIT DATE: 10/24/2024
NARRATIVE
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During interviews conducted, Staff #4 (S4) stated that they have observed Staff #11 (S11) mishandle a child while in care. S4 disclosed that S11 was observed to “grab the arm and the face” of a child about 5 to 6 months ago. According to S4 the child was crying when S11 grabbed them. Staff #5 corroborated that they were made aware that S11 grabbed a child by the “chin”, and that the previous director was aware of the incident. According to Director Wendy Veas they were unaware of the incident as the incident happened before they were hired, and no documentation was recorded by the school. Child’s name was not disclosed at the time of the investigation. This incident was not reported to the department.

According to the allegations, Staff behavior poses a risk to the daycare children.

During interviews conducted, S5 disclosed that they have witnessed S11 yell at a child when a child was under a table. According to S5 the parent of the child underneath the table observed S11 yelling at their child and was upset at the situation. Per S5 the parent came back to the school the following day to speak to the previous director regarding the incident. Per Director of Operation, who was the previous director at the time of the incident did not recall a parent speaking to them regarding staff at the school. Child’s name was not disclosed at the time of investigation. This incident was not reported to the department.

On 9/13/2024, an Unusual Incident was self-reported to the department that stated an incident occurred on 9/11/2024 with S11 and Child #1 (C1). According to staff, they were serving lunch in the Fellowship Hall because of abnormal weather conditions due to heat advisory and poor air quality caused by nearby wildfires. According to staff, they observed C1 throw their plate on the floor. Per staff, S11 picked up C1 from under their arms and lifted C1 above S11 face “high”. Staff disclosed that C1 screamed louder as they were picked up and placed on the ground. S11 disclosed that they lifted the child out of the chair to prevent child from throwing objects to other children nearby.

Based on interviews conducted by the LPA and the staffs’ own statements, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & chapter 1), are being cited on the attached LIC 9099D.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 33-CC-20240903092940
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PLAY FACTORY
FACILITY NUMBER: 191502175
VISIT DATE: 10/24/2024
NARRATIVE
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LPA Saul Valenzuela informed Preschool Director Wendy Veas that this report dated 10/24/2024 document one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Saul Valenzuela informed the Preschool Director Wendy Veas to provide a copy of this licensing report dated 10/24/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of
$100.

An exit interview conducted, and the report was reviewed with Director, Wendy Veas.




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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 33-CC-20240903092940
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PLAY FACTORY
FACILITY NUMBER: 191502175
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/25/2024
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
a) The licensee shall ensure that each child is accorded the following personal rights:(2) To be accorded safe, healthful, and comfortable... to meet his/her needs. This requirement is not met as evidenced by:
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Per Director, continue with development in training with personal rights, supporting the children needs and supporting the teachers, and ongoing coaching with Quality Start Outline. Per Director, they will submit a roster sheet of staff that attened the training.
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Based on interviews, S11 has been observed by staff to violate personal rights of children in care in three different occassions.This is an immediate risk to the health, safety, and personal rights of children 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: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4