191594688-8-2-2023-33-CC-ACHO-CUDQSE-20230804122524

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191594688
Report Date: 08/02/2023
Date Signed: 08/02/2023 09:24:54 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
05/03/2023 and conducted by Evaluator Jennifer Hua

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230503101300

FACILITY NAME:	L.A. COUNTY FAIR ASSOC. INFANT CENTER		FACILITY NUMBER:	191594688
ADMINISTRATOR:	ALEXIS GORDILLO		FACILITY TYPE:	830
ADDRESS:	1101 W. MCKINLEY		TELEPHONE:	(909) 623-3899
CITY:	POMONA	STATE: CA	ZIP CODE:	91768
CAPACITY:	62	CENSUS: 40	DATE:	08/02/2023
		UNANNOUNCED	TIME BEGAN:	08:33 AM
MET WITH:	Crystal Darling		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Infant was exposed to illegal drugs while in care
Staff did not provide a safe environment for daycare child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jennifer Hua conducted an unannounced complaint inspection at the above facility. A COVID-19 risk assessment was conducted. The purpose of the inspection is to deliver the findings regarding the above allegations. LPA met with Site Supervisor, Crystal Darling who guided LPA on a tour of the facility. LPA observed 47 children in care with 19 staff members.

The investigation was conducted by the Department’s Investigation Bureau by Investigator Phillipe Ryan Miles. The investigation consisted of interviews that were conducted with daycare staff, Reporting Parties (RPs), and other relevant parties. Records were also reviewed.

The complaint alleges that an infant picked up and ingested an illegal drug while at the day care and that staff did not provide a safe environment by serving infant meals on highchairs that are placed on the floor.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023

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 3

Control Number 33-CC-20230503101300

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: L.A. COUNTY FAIR ASSOC. INFANT CENTER	FACILITY NUMBER: 191594688
	VISIT DATE: 08/02/2023

NARRATIVE

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According to staff 1(S1), the day of the incident, child was dropped off at 7:30am by mother. Mother placed child on the highchair and left facility. When children were being served breakfast, another staff entered the classroom. Infant’s eyes were not tracking or following the staff. S1 immediately contacted the site supervisor. S1 believed child was having a seizure. Mother was contacted and arrived within ten minutes. Facility offered to call 911 however, mother opted to take child to the hospital.

According to staff 2(S2), staff observed infant to be coherent. Staff was unsure if infant was having a seizure, but child was not responding to external stimulus while on highchair. Staff continued to observe child for two more minutes before making a decision to call child’s mother. S2 stated that 911 was not called because child seemed coherent, crawling and behaving like an infant. Mother arrived within five to ten minutes.

According to staff 3(S3), when staff entered the classroom at 8:00am, there were other staff sitting next to the infant. S3 was only able to observe infant’s backside before infant was placed on the ground. While observing child on the ground, infant looked “shaky” while attempting to crawl. S3 stated that Site Supervisor were notified immediately.

Staff 4(S4) also stated that infant appeared to be lethargic and slow-moving.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 33-CC-20230503101300

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: L.A. COUNTY FAIR ASSOC. INFANT CENTER	FACILITY NUMBER: 191594688
	VISIT DATE: 08/02/2023

NARRATIVE

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According to infant’s primary doctor, it is believed that the preliminary false-positive results were “wrong or an error”. Pediatrician shared that it is possible that when an infant digests certain medications, they may test positive for meth adding that if the child was observed to be lethargic on 4/27/2023, it could have been because the infant was having multiple seizures and not digesting medications or drugs. Pomona Police Department was contacted, however, the case was closed due to insufficient evidence.

Based on the above, although the allegations 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 allegations are unsubstantiated.

An exit interview conducted with Crystal Darling, copy of report provided and Notice of Site Visit provided and shall be posted for 30 days in an area accessible for review.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023

LIC9099 (FAS) - (06/04)

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