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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198012306
Report Date: 11/30/2023
Date Signed: 11/30/2023 03:13:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 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
10/17/2023 and conducted by Evaluator Mary Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20231017113615
FACILITY NAME:DEJONG FAMILY CHILD CAREFACILITY NUMBER:
198012306
ADMINISTRATOR:DEJONG, AIDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 764-4077
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:14CENSUS: 5DATE:
11/30/2023
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Aida Dejong-LicenseeTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Licensee did not prevent day care child from being attacked by a animal.
INVESTIGATION FINDINGS:
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On 11/30/2023 at 1:30pm, Licensing Program Analysts (LPA)s Mary Silva and Stephanie Li conducted a subsequent complaint inspection to conclude the investigation regarding the above complaint allegation. LPA met with licensee Aida Dejong, the reason for the inspection was explained. Licensee guided LPA on a tour of the facility. There was a total of 5 children present with 3 staff.

Complainant alleged that the licensee did not prevent daycare child from being attacked by an animal.

During the course of this investigation, LPA obtained a copy of the facility roster, parent agreement, and photographs of the facility. Interviews were also conducted with the Licensee, staff #1, daycare children, and parents of daycare children. While interviewing daycare children, a disclosure was made that corroborates with the above complaint allegation. Child #3 disclosed they sustained a scratch on the arm from one of the animals in the facility.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
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-20231017113615
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DEJONG FAMILY CHILD CARE
FACILITY NUMBER: 198012306
VISIT DATE: 11/30/2023
NARRATIVE
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Based on the preponderance of evidence, the standard has been met, therefore, the above allegations are found to be substantiated. California Code of Regulations (Title 22 Division & Chapter), are being cited on the attached deficiencies page LIC 9099-D.

Upon receipt of this report, the licensee shall post any licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the director will provide copies to the parents of the children in care for up to one year.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was explained and provided to the Director.

A notice of site visit was given and must remain posted for 30 days. Appeal Rights provided.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Aida Dejong. Appeal rights and procedures were provided during this visit.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20231017113615
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: DEJONG FAMILY CHILD CARE
FACILITY NUMBER: 198012306
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/14/2023
Section Cited
CCR
102423(a)(2)
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102423(a)(2) Personal Rights
Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative.... This requirement was not met as evidenced by:
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Per Licensee will install a clear partitioner in the open wall space between the kitchen and daycare room to prevent animals from entering the day care space. Licensee will provide a picture of secured installment by POC due date.
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Based on interviews conducted, the licensee did not comply with the section cited above as evidenced by a disclosure made by a daycare child, which poses an immediate health, safety, and personal rights of children in care.
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Licensee submitted declaration ensuring that the animals will remain in the kitchen (off limits area) during day care hours.
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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: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023
LIC9099 (FAS) - (06/04)
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