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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198019065
Report Date: 11/14/2022
Date Signed: 11/14/2022 04:10:19 PM

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
09/09/2022 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20220909120339
FACILITY NAME:BLOOMING FLOWERS CHILD CARE CENTERFACILITY NUMBER:
198019065
ADMINISTRATOR:THOMAS, JAZMYNEFACILITY TYPE:
850
ADDRESS:680 E. ARROW HIGHWAYTELEPHONE:
(909) 399-0003
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:60CENSUS: 11DATE:
11/14/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Anntoinette JordanTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility staff transported daycare children in an unsafe manner.
Facility staff transported daycare children without proper authorization.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Anntoinette Jordan.

During the course of this investigation, LPA Lee conducted interviews, reviewed documents, and made observations in regards to the above allegations.

The complaint alleges that facility took Child#1, #2, and #3 home from the facility without proper authorization and in an unsafe manner by not having car seats in the car. The facility denied this allegation and made no disclosure. These 3 children are all from the safe residence and attended the facility for 3 days at the end of August 2022. During the file review for the 3 children, LPA Lee observed that the facility did not have any type of specific documentation regarding the transportation service that was provided for the children. The facility parent handbook and admission agreement does mention transportation services as an option for parents, but there was no additional documents that provided details what type of service is available and who would be providing the actual transportation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2022
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 2
Control Number 33-CC-20220909120339
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: BLOOMING FLOWERS CHILD CARE CENTER
FACILITY NUMBER: 198019065
VISIT DATE: 11/14/2022
NARRATIVE
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During an interview, the Director stated that the transportation is coordinated between her and the other staff members of the facility. During the investigation the Director did provide a list of staff members who do provide transportation, and examples of pick up and drop of schedule for staff members to follow during a normal business day. The Director stated that car seats are always used when transporting younger children, and staff members are to check the car has a car seat available prior to providing the actual transportation to the children in care.

Although it is possible that the facility made a mistake by transporting children to their homes, that were not suppose to be taken home, there is not enough evidence prove that this occurred with Child#1,#2, and #3. The Director stated that she does not recall taking the 3 children mentioned in the allegations home, and that she always uses a car seat when transporting younger children in care. The lack of documentation regarding the transportation service provided to the 3 children also does not provide enough evidence that the facility did not make a mistake of taking the children home when they were suppose to be picked up by the parent from the facility. The facility was advised to amend their admission agreement so the transportation section of the agreement can provide more specific information reader about the service it self.

Based upon the evidence as presented above, this agency has investigated the allegation that facility staff transported day care children without proper authorization and in an unsafe manner. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is found to be unsubstantiated at this time.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Anntoinette Jordan. Appeal rights discussed and explained.

SUPERVISORS NAME: Guangorena Claudia
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
LIC9099 (FAS) - (06/04)
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