191594166-11-3-2023-33-CC-BVON-CXD3PD-20231107172521

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191594166
Report Date: 11/03/2023
Date Signed: 11/03/2023 11:39:02 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
08/21/2023 and conducted by Evaluator Roxana Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230821153345

FACILITY NAME:	BURDICK'S SCHOOL FOR LITTLE CHILDREN		FACILITY NUMBER:	191594166
ADMINISTRATOR:	HEREDIA, TONY		FACILITY TYPE:	830
ADDRESS:	4124 MAXSON RD.		TELEPHONE:	(626) 442-6719
CITY:	EL MONTE	STATE: CA	ZIP CODE:	91732
CAPACITY:	48	CENSUS: 8	DATE:	11/03/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director Elodia Bernhart		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Day care child sustained an unexplained injury while in care

INVESTIGATION FINDINGS:

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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 11/3/23. A COVID risk assessment was conducted. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 08/21/2023. LPA met with Director Elodia Barnhart to whom the purpose of the inspection was announced. Census was taken.

Throughout the course of the investigation, interviews were conducted with staff and parents. LPA also reviewed and obtained copies of children’s roster, incident reports and personnel report. LPA was unable to interview children as nonverbal.

An interview was conducted with the complainant to obtain further details regarding the allegation made. Per initial complaint report, the complainant reported that Child # 1 sustained unexplained injuries while in care. Complainant stated that Initially Parent # 1 was informed that Child #1 had hit themselves with a toy
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

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 33-CC-20230821153345

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: BURDICK'S SCHOOL FOR LITTLE CHILDREN	FACILITY NUMBER: 191594166
	VISIT DATE: 11/03/2023

NARRATIVE

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causing a bruise on forehead and when incident report was received it stated that child hit themselves on a “desk.”

In regard to allegation day care child sustained an unexplained injury while in care: LPA conducted interviews with staff # 1- 3. Staff # 2 and # 3 corroborated that child was walking in the classroom and tripped on the rug falling forward, hitting their forehead on an activity table. Staff # 2 applied iced and inform the Director (Staff # 1) of the incident. Per Staff # 2 and 3 incident happened in the afternoon closed to pick up time- therefore they informed parent # 1 of incident upon arrival but did not have incident report available. Per Staff # 1, 2 and 3 there was a language barrier between all staff and parent # 1, communication was mainly with parent # 2. Staff # 3 disclosed that as they were informing parent # 1 of incident, they were not sure parent # 1 was understanding. Staff # 1 disclosed that Parent # 2 called to ask about the incident report- but it was not available. Incident report was available the next day- Parent # 2 asked for report to be translated in Spanish- Staff # 1 translated the report as Staff # 2 is not able to write in Spanish.

LPA conducted interviews with parents. Parents’ statements corroborated that they do not have any concerns with supervision, and they have been informed of any incidents involving their child.

This agency has investigated the complaint alleging day care child sustained an unexplained injury while in care. Based upon the evidence as presented above, the allegation has been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated.

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

Exit interview conducted and report was reviewed with facility representative Elodia Barnhart.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2023

LIC9099 (FAS) - (06/04)

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