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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015976
Report Date: 06/23/2025
Date Signed: 06/23/2025 06:38:22 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
04/22/2025 and conducted by Evaluator Carolyn Tuba
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250422130955
FACILITY NAME:CLAREMONT ABC FOR ME PRESCHOOLFACILITY NUMBER:
198015976
ADMINISTRATOR:ADETAYO AKIWOWOFACILITY TYPE:
850
ADDRESS:1700 DANBURY RD.TELEPHONE:
(909) 730-7181
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:37CENSUS: 30DATE:
06/23/2025
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Alicia RodriquezTIME COMPLETED:
06:30 PM
ALLEGATION(S):
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Staff did not report incident(s) to authorized representative
INVESTIGATION FINDINGS:
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On 06/23/2025 an unannounced investigation to deliver findings for a complaint was conducted by Licensing Program Analyst (LPA) Carolyn Tuba. LPA met with Assistant Director, Alicia Rodriguez and obtained a census of 30 children present with 5 staff and a Behavioral Therapist. LPA confirmed that staff was fingerprint cleared. Director, Adetayo Akiwowo arrived at approximately 2:45 pm and was included in the review of the report.

LPA interviewed the Reporting Party and the co-complainant. LPAs, Tuba and Diana Ortiz conducted investigative visits on 4/30/2025 and 5/13/2025. During the investigation LPA, Tuba interviewed Assistant Director #1 (AD1), #2 (AD2), #3(AD3), Staff #1 (S1), #2 (S2), #3 (S3), #4 (S4), #5 (S5), and Child #1 (C1). LPAs Tuba and Ortiz attempted to interview Child #3 (C3) but was not able to answer qualifying questions. LPA, Tuba was unable to interview Child #2 (C2) as they were not available for interview on 5/13/2025 and 6/23/2025. LPA, Ortiz interviewed Parent #1 (P1), #2 (P2) and #3 (P3).

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
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 5
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
04/22/2025 and conducted by Evaluator Carolyn Tuba
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250422130955

FACILITY NAME:CLAREMONT ABC FOR ME PRESCHOOLFACILITY NUMBER:
198015976
ADMINISTRATOR:ADETAYO AKIWOWOFACILITY TYPE:
850
ADDRESS:1700 DANBURY RD.TELEPHONE:
(909) 730-7181
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:37CENSUS: 30DATE:
06/23/2025
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Alicia RodriquezTIME COMPLETED:
06:30 PM
ALLEGATION(S):
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Staff did not prevent children in care from causing injuries to another child in care.
Staff are not providing adequate supervision to day care children.
INVESTIGATION FINDINGS:
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On 06/23/2025 an unannounced investigation to deliver findings for a complaint was conducted by Licensing Program Analyst (LPA) Carolyn Tuba. LPA met with Assistant Director, Alicia Rodriguez and obtained a census of 30 children present with 5 staff and a Behavioral Therapist. LPA confirmed that staff was fingerprint cleared. Director, Adetayo Akiwowo arrived at approximately 2:45 pm and was included in the review of the report.

LPA interviewed the Reporting Party and the co-complainant. LPAs, Tuba and Diana Ortiz conducted investigative visits on 4/30/2025 and 5/13/2025. During the investigation LPA, Tuba interviewed Assistant Director #1 (AD1), #2 (AD2), #3(AD3), Staff #1 (S1), #2 (S2), #3 (S3), #4 (S4), #5 (S5), and Child #1 (C1). LPAs Tuba and Ortiz attempted to interview Child #3 (C3) but was not able to answer qualifying questions. LPA, Tuba was unable to interview Child #2 (C2) as they were unavailable for interview on 5/13/2025 and 6/23/2025. LPA, Ortiz interviewed Parent #1 (P1), #2 (P2) and #3 (P3).
page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20250422130955
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: CLAREMONT ABC FOR ME PRESCHOOL
FACILITY NUMBER: 198015976
VISIT DATE: 06/23/2025
NARRATIVE
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RP alleged, “Staff did not prevent children in care from causing injuries to another child in care.
and “Staff are not providing adequate supervision to day care children” LPA, Tuba obtained from the Assistant Director a statement from S4, as well as interviewed S4 who stated that there was an incident that occurred between C1 and C2, however did not observe any injuries during that time. LPAs interviewed C1 who disclosed that C2 did scratch C1's arm, however LPAs were unable to interview C2 to confirm. LPAs interviewed S1, S2 and S3 who had conflicting stories as to what exactly occurred on 4/8/2025. Based on LPA, Tuba’s observation of the incident that took place between C1 and C2 it was not clear if there may have been blind spots on the playground, however LPA Tuba consulted with the Director and Assistant Director, Rodriquez that staff should always spread themselves out as best practice and since the playground is a big area then certain parts of the playground can be closed or equipment can be moved. According to (AS3) a meeting was conducted with parent of C1 of the incident that had occurred and S4 was present during the meeting who had supervised C1 and C2. S4 stated that she did not observe any injuries to C1, however C1 did have scratches on the inner part of their arm and facility was unsure how that had occurred.

Based on interviews with C1, S1, S2 and S3 the allegations, “Staff did not prevent children in care from causing injuries to another child in care.” and “Staff are not providing adequate supervision to day care children.” is deemed UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

A Notice of Site Visit was provided and must be posted for 30 days. An exit interview was conducted, and a copy of this report was provided to the Assistant Director, Alicia Rogriguez.

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SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20250422130955
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: CLAREMONT ABC FOR ME PRESCHOOL
FACILITY NUMBER: 198015976
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/24/2025
Section Cited
HSC
101226(a)(2)
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Health Related Services: (2) In case of less serious injures including, but not limited to, minor cuts, scratches and bites from other children requiring assessment and/or administration of first aid by staff, the licensee shall document the injury in the child's record and notify the child...............
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LPA consulted with the Director and Assistant Director who have had a staff meeting on 6/21/2025 and discussed Ouch report training/wellness checks. Attendance sheet was provided with staff signatures in attendance and examples of handouts.
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This requirement is not met as evidenced by: Base on disclosures made by staff interview and documentation of the class Dojo. This poses/posed an potential Health and Safety risk to 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: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20250422130955
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: CLAREMONT ABC FOR ME PRESCHOOL
FACILITY NUMBER: 198015976
VISIT DATE: 06/23/2025
NARRATIVE
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RP alleged, “Staff did not report incident(s) to authorized representative” During the interviews S1 recalled that C1 had fallen during play time but was not sure if that is when the scratches occurred. Parents of C1 had reached out to S5 but S5 did not recall the incident occurring at the Enrichment Program that C1 attends in the morning time, however S1 did recall C1 falling that afternoon and had sent a message using the app Class Dojo to Parents of C1. S1 stated in the message that C1 was observed falling on the playground blacktop and the time stamp of copies obtained by the LPAs showed 8:32 pm on 4/8/2025. The facility closes at 7:00 pm. which is past the time to notify parents. The staff including the assistant director could not locate an incident report written to parents on that day. During an interview by LPA, Ortiz (P2) stated that sometimes the facility tries to inform the parents of incidents. There were no other disclosures made from S2, S3, S4, S5, P1 or P3. A copy of the Health & Safety regulations was provided to the facility for record keeping.

Based on interviews conducted the above allegation is deemed SUBSTANTIATED. During interviews it was disclosed by S1 and P2 that Staff did not report incident(s) to authorized representative. A finding of Substantiated means that the preponderance of evidence standard has been met.

The following deficiency listed on the attached LIC 9099-D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiency that are being cited need to be cleared to protect the children’s health & safety.

A Notice of Site Visit was provided and must be posted for 30 days. An exit interview was conducted, and a copy of this report was provided to the Assistant Director, Alicia Rodriguez.

page 2 of 2
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5