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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020970
Report Date: 06/06/2023
Date Signed: 06/07/2023 03:27:27 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
04/25/2023 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20230425115636
FACILITY NAME:BLOSSOM GARDEN LEARNING ACADEMYFACILITY NUMBER:
198020970
ADMINISTRATOR:MEGHA SAHNIFACILITY TYPE:
850
ADDRESS:101 S. ATLANTIC BLVDTELEPHONE:
(626) 627-2318
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:75CENSUS: 61DATE:
06/06/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Megha Sahni.TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility staff did not follow reporting requirements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Megha Sahni.

During the course of this inspection LPA Lee conducted interviews, reviewed documents, and made observations in regards to the above allegation(s).

The complaint alleges that the facility does not follow reporting requirements. The complaint alleged that the parent of Child#1 observed a mark on Child#1 during pick up on 04/20/23 but was not provided with any type of explanation or a report from the facility until the next day during pick up. The reporting party stated that Child#1 sustained an injury 2 times prior to 04/20/2023, and only a verbal explanation was provided from the facility. LPA Lee observed the pictures provided of Child#1's alleged injuries that was provided by the reporting party.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
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 5
Control Number 33-CC-20230425115636
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: BLOSSOM GARDEN LEARNING ACADEMY
FACILITY NUMBER: 198020970
VISIT DATE: 06/06/2023
NARRATIVE
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The facility denied this allegation and made no disclosure. The Director stated that the facility provided the incident report to the parent of Child#1 the next day. When asked why the incident that occurred on 04/20/23 was not reported to the department the Director stated the facility decided not the report the incident based on the severity of the injury that Child#1 sustained. During interviews, staff members interviewed stated that written reports are provided to parents during pick up, and the only time a written report is not provided is if the parents chose to decline after being informed verbally.

Regulations for child care center states that a child's parent/authorized representative should receive a report within 24 hours or the next business day. The parent of Child#1 received a written report on 04/21/23 for an incident that had occurred on 04/20/23. LPA Lee confirmed with the facility that the incident that occurred on 04/20/23 was not reported to the department. The facility stated that it is possible that during the initial response to the injury, the mark that was determined to be not severe enough could have swollen and gotten worse later on in the day or the next day. When the facility gathered and verified information from staff members and created the written report on 04/21/23, a report should have been made to the department that day or the next business day which would have been 04/24/23. If a parent is inquiring to get more information about a mark that was observed, the facility should have verified with the parent the status of the child's injury when the report was provided on 04/21/23 and then reported this incident to the department. The fact that this facility chose to not report this incident the department is a potential risk to children in care.

Based on the information obtained during the investigation, the preponderance of evidence standard has been met, therefore the allegation that the facility did not follow reporting requirements has been substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 1, ariticle 6), is being cited on the attached LIC 9099D.

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 Megha Sahni. Appeal rights discussed and explained.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20230425115636
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: BLOSSOM GARDEN LEARNING ACADEMY
FACILITY NUMBER: 198020970
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/06/2023
Section Cited
CCR
101212(d)(1)(B)
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Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. This requirement was not as evidenced by the
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Director stated that future incidents involving a child being injured will be reported to the department
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fact that an incident involving Child#1 that occurred on 04/20/23 was not reported to the department. This is a potential 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: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
04/25/2023 and conducted by Evaluator Seung Lee
COMPLAINT CONTROL NUMBER: 33-CC-20230425115636

FACILITY NAME:BLOSSOM GARDEN LEARNING ACADEMYFACILITY NUMBER:
198020970
ADMINISTRATOR:MEGHA SAHNIFACILITY TYPE:
850
ADDRESS:101 S. ATLANTIC BLVDTELEPHONE:
(626) 627-2318
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:75CENSUS: 61DATE:
06/06/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Facility staff did not adequately supervise day care child.
Day care child sustained multiple injuries while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Megha Sahni.

During the course of this inspection LPA Lee conducted interviews, reviewed documents, and made observations in regards to the above allegation(s).

The complaint alleges that facility did not provide adequate supervision resulting in child#1 sustaining multiple injuries. The reporting party stated that Child#1 was injured 3 times total while attending the facility and provided pictures of the alleged injuries. The facility denied the allegations and made no disclosure. Child#1 was observed to be in a classroom with 2 staff members when he or she was attending the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20230425115636
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: BLOSSOM GARDEN LEARNING ACADEMY
FACILITY NUMBER: 198020970
VISIT DATE: 06/06/2023
NARRATIVE
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It is possible that the alleged injuries sustained by Child#1 was due to the lack of supervision from the staff members in the classroom. It is also possible that Child#1 sustained the injuries, despite adequate supervision being provided by the facility. A child that suddenly trips or falls can sustain an injury despite a staff member providing enough supervision to provide aide and document the incident that lead to an injury.

Based on the evidence collected during the investigation, the allegations that staff did not provide adequate supervision resulting in child sustaining multiple injuries may be valid. However, there is not enough preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegations are found to be unsubstantiated.

Exit interview conducted with Director Megha Sahni. Appeal rights discussed and explained.
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.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 06/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5