300614019-8-8-2024-06-CC-MMAE-D87KTX-20240816081152

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300614019
Report Date: 08/08/2024
Date Signed: 08/08/2024 11:47:32 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/01/2024 and conducted by Evaluator Cindy Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20240701085424

FACILITY NAME:	BETHANY BIBLE FELLOWSHIP BETHANY CHRISTIAN PRE.		FACILITY NUMBER:	300614019
ADMINISTRATOR:	CARRILLO, AUDRIANA		FACILITY TYPE:	850
ADDRESS:	13431 EDWARDS STREET		TELEPHONE:	(714) 894-0144
CITY:	WESTMINISTER	STATE: CA	ZIP CODE:	92683
CAPACITY:	102	CENSUS: 43	DATE:	08/08/2024
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Director, Audriana Carrillo		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Child sustained and unexplained injury while in care.
Staff did not ensure adequate supervision was provided to child in care.
Staff did not ensure reporting requirements were followed.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs), Cindy Nguyen and Vivian Trinh conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 07/08/2024. Upon arrival, LPAs met with the Director, Audriana Carrillo who accompanied LPAs on a tour of the facility. LPA observed 43 preschool age children with 6 staff members. A review of staff criminal records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

On 07/01/2024, a complaint was filed with the Department alleging 1) child sustained an unexplained injury while in care, 2) staff did not ensure adequate supervision was provided to child in care, and 3) staff did not ensure reporting requirements were followed. During the investigation, LPA Nguyen conducted interviews with the reporting party (complainant), 4 staff members, 3 parents, obtained facility children's roster, and reviewed parent handbook.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20240701085424

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: BETHANY BIBLE FELLOWSHIP BETHANY CHRISTIAN PRE.	FACILITY NUMBER: 300614019
	VISIT DATE: 08/08/2024

NARRATIVE

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Page 9099C

Complainant (Reporting Party) stated that when changing clothes after picking Child #1 (C1) up from school, there was a cut on C1’s leg. Complainant (Reporting Party) also stated that the facility did not notify C1’s authorized representative of the injury and did not know the origin of the injury.

During the interviews, all interviewed staff denied observing or noticing that, Child#1 obtained an injury at the facility. Staff #3 (S3) stated that during a potty break at approximately 4:30pm, they did not observe an injury on C1. All interviewed staff were able to describe the facility protocol when an injury occurred and the responsibilities of reporting the incident.

LPA Nguyen reviewed Parent Handbook. The facility’s procedure for a minor injury to a child, is that staff will report the injury to the office and the authorized representative will receive a text message about the incident. For medium injury, the director or office staff will call the authorized representative to give the information and report the event including the additional care given. For urgent injuries, facility will make an immediate attempt to contact a parent and the designated physician. If necessary, facility will call 911 to get immediate paramedic help. Based on the Parent’s Handbook, when injuries occur, no matter how minor they are, the facility will notify the authorized representative by phone, through their app and/or with an ouch report.

During interviews regarding staff did not ensure adequate supervision was provided to child in care, all interviewed staff give consistent responses about facility supervision procedure including always keeping an eye on the children and never leave a child unattended. All interviewed staff denied that there was any incident occurred to C1 on 06/28/2024, and there was no injury/incident report for child on the alleged date.

On 7/22/2024, LPA Nguyen called ten parents requesting an interview. Three parents were reached. The parents interviewed did not express any concerns related to the allegations and did not provide any information that could corroborate the allegations. The rest of the parents did not respond to the Department’s request for an interview.

LPA Nguyen did not interview children due to age, limited vocabulary and did not qualify for interview.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20240701085424

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: BETHANY BIBLE FELLOWSHIP BETHANY CHRISTIAN PRE.	FACILITY NUMBER: 300614019
	VISIT DATE: 08/08/2024

NARRATIVE

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Based on LPA’s observations and interviews which were conducted, there was insufficient evidence to corroborate the allegations that child sustained an unexplained injury while in care, staff did not ensure adequate supervision was provided to child in care, and staff did not ensure reporting requirements were followed was not met therefore the above allegations are found to be UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted with Director, Audriana Carrillo. Notice of Site Visit was posted during the visit. Director was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

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SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2024

LIC9099 (FAS) - (06/04)

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