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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020089
Report Date: 12/16/2021
Date Signed: 12/16/2021 11:23:04 AM

Substantiated


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
10/01/2021 and conducted by Evaluator Mireya Garcia
COMPLAINT CONTROL NUMBER: 33-CC-20211001173741
FACILITY NAME:LEARNING TREE MONTESSORI OF ARCADIAFACILITY NUMBER:
198020089
ADMINISTRATOR:CAROLYN MORALESFACILITY TYPE:
850
ADDRESS:9845 E LEMON AVETELEPHONE:
(626) 241-1234
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY:120CENSUS: 36DATE:
12/16/2021
UNANNOUNCEDTIME BEGAN:
08:36 AM
MET WITH:Victoria Garcia, DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Child was injured while in care.
Staff did not seek medical attention for child's injuries.
Staff did not inform child's authorized representative of child's injuries.
Child's hygiene needs were not met while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mireya García arrived unannounced at the facility for the purpose of conducting a follow up complaint investigation to deliver findings regarding the allegations listed above. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA met with Director, Victoria Garcia who guided LPA on a tour of the facility. There were thirty-six (36) children observed to be present at the facility during this inspection.

Information provided by the complainant alleges that child was injured while in care, staff did not seek medical attention for child's injuries, staff did not inform child's authorized representative of child's injuries, and child's hygiene needs were not met while in care.

REPORT CONTINUES ON NEXT PAGE 1 OF 3.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021
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
Control Number 33-CC-20211001173741
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: LEARNING TREE MONTESSORI OF ARCADIA
FACILITY NUMBER: 198020089
VISIT DATE: 12/16/2021
NARRATIVE
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During this investigation, LPAs Garcia and Green obtained a copy of Children’s roster dated 10/06/21, obtained a copy of the facility security video footage dated 09/29/2021 and conducted interviews with Director, three (3) day care staff, three (3) former day care parents, four (4) current day care parents and attempted to interview one (1) former staff.

Pertaining to the allegation of child was injured while in care, interviews conducted with Staff determined an incident occurred in September where child #1 was injured while in care. Statements from staff confirm that incident took place at the facility. Staff providing care and supervision disclosed not observing child #1 when child #1 was injured, child #1 was left without visual observation, this poses a potential health and safety risk to children in care.

Based on observations made on 10/06/2021, LPA García and Green observed facility security video footage of incident dated 09/29/2021, LPAs observed child #1’s Thumb stuck in between gate opening when staff #1 closed gate. Although staff was observed to be present, staff #1, staff #2 and staff#3 did not witness incident occurring since all staff were looking elsewhere. After a few seconds sometime under one-minute, staff #3 noticed child #1 was injured and provided assistance.

Regarding to the allegation of staff did not seek medical attention for child’s injuries. Interview with Director reveal child #1 was given a popsicle that was placed in child’s injury. Interviews conducted with staff confirm child #1 was given a popsicle to place on injury. In addition, when Director was asked about the facilities first aid supplies such as cold compress availability, Director informed LPAs that the facility uses popsicles and ice when administrating first aid cold compressions.

REPORT CONTINUES ON NEXT PAGE 2 OF 3.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20211001173741
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: LEARNING TREE MONTESSORI OF ARCADIA
FACILITY NUMBER: 198020089
VISIT DATE: 12/16/2021
NARRATIVE
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Based on observations made on 10/06/2021, LPA García observed one (1) box of popsicles stored in the classroom’s refrigerator (picture was taken). No first aid cold compress was observed to be readily available.

Referring to the allegation of staff did not inform child's authorized representative of child's injuries interviews conducted with day care staff revealed that an incident occurred at the facility where child #1 was injured and staff did not contact parent to report child’s injury.

Lastly regarding the allegation of child's hygiene needs were not met while in care. Interview with day care staff #2 revealed that staff overlooked area and did not clean child #1’s chin thoroughly after lunch which resulted in child #1 skin to be irritated from spaghetti sauce left on child.

Based on LPAs interviews which were conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiencies are being cited (see attached 9099D).

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

Exit interview conducted and report was reviewed with facility representative, Victoria Garcia.

END OF REPORT: PAGE 3 OF 3.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20211001173741
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: LEARNING TREE MONTESSORI OF ARCADIA
FACILITY NUMBER: 198020089
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/31/2021
Section Cited
CCR
101229(a)(1)
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101229- Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by:
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Per Site Director, she has provided training to all staff in regards to the responsibility for providing care and supervision to ensure staff use active supervision strategies and follow Title 22 Regulations.
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LPAs interview disclosure confirmed by staff that incident took place where child #1 was injured while in care. Staff providing care and supervision were looking elsewhere and did not observe child #1 when child #1 was injured. This poses a potential health and safety risk to children in care.
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Director will submit the training agenda, materials and staff sign in attendance for the training conducted to CCLD via email to LPA Garcia by or before 12/31/2021 in order to clear this citation.
Type B
12/31/2021
Section Cited
CCR
101223(a)(2)
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101223-Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by:
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Per Director, she has provided training to all staff in regards to personal rights and has demonstrate CCLD personal rights video (https://ccld.childcarevideos.org/child-care-center-operators/childrens-personal-rights-in-child-care/) to ensure staff follow Title 22 Regulations.
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Based on interview disclosure with Director reveal child #1 was given a popsicle that was placed in child’s injury. In addition, Interview with day care staff #2 revealed that staff overlooked area and did not clean child #1’s chin thoroughly after lunch which resulted in child #1 skin irritated from spaghetti sauce left on child. This poses a potential risk to the health and safety of children in care.
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 In addition, Director has added cold compress packs to classrooms which were observed by LPA Garcia to be stored readily and available in classroom refrigerators. Director will submit the training agenda, materials and staff sign in attendance for the training conducted to CCLD via email to LPA Garcia by or before 12/31/21 in order to clear this citation.
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: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20211001173741
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: LEARNING TREE MONTESSORI OF ARCADIA
FACILITY NUMBER: 198020089
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/31/2021
Section Cited
CCR
101226(a)
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101226- Health-Related Services: (a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. This requirement is not met as evidenced by:
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Per Director, she will provide training to all staff in regard to protocols and procedures when a child sustains injury to ensure staff follow Title 22 Regulations. In addition, Director will take the Step II Operations and Recordkeeping online training https://www.cdss.ca.gov/inforesources/child-care-licensing/how-to-become-licensed/ccc-online-orientations.
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Based on interviews conducted with day care staff reveal that an incident occurred at the facility where child #1 was injured and staff did not contact parent to report child’s injury. This poses a potential risk to the health and safety of children in care.
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Director will then submit the training agenda, materials, staff sign in attendance for the training, and certificate of completion to CCLD via email to LPA Garcia by or before 12/31/21 in order to clear this citation.
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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: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5