304270620-8-4-2022-06-CC-THOO-CH7N2G-20220811100442

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304270620
Report Date: 08/04/2022
Date Signed: 08/04/2022 04:10:17 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, 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
05/11/2022 and conducted by Evaluator Stacy Torrence

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20220511090500

FACILITY NAME:	ADVENTURES IN LEARNING II		FACILITY NUMBER:	304270620
ADMINISTRATOR:	MENDOZA, SUSANA		FACILITY TYPE:	850
ADDRESS:	1111 EL CAMINO REAL		TELEPHONE:	(714) 730-5458
CITY:	TUSTIN	STATE: CA	ZIP CODE:	92780
CAPACITY:	79	CENSUS: 25	DATE:	08/04/2022
		UNANNOUNCED	TIME BEGAN:	09:48 AM
MET WITH:	Susana Mendoza, Director		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Child was injured while in care.
Staff did not communicate with authorized representative.

INVESTIGATION FINDINGS:

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On 05/11/2022, Licensing Program Analyst (LPA) Stacy Torrence conducted an in-person inspection to deliver the findings regarding the above complaint allegations. LPA Torrence met with Director Susana Mendoza. There was a total of 25 preschool children present, with four staff supervising. A review of staff criminal clearance records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 05/11/2022, Licensing office received a complaint alleging the following: child was injured while in care and staff did not communicate with authorized representative.

During the course of the investigation, LPA Torrence conducted an interview with RP. RP stated on 05/02/2022, RP’s grandpa picked up Child 1(C1) from facility and noticed C1’s nose was swollen and discoloration underneath the eyes. RP stated C1 was taken to the emergency.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

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-20220511090500

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: ADVENTURES IN LEARNING II	FACILITY NUMBER: 304270620
	VISIT DATE: 08/04/2022

NARRATIVE

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RP stated C1 disclosed accidently running into a pole on the playground and teacher did not do anything. RP stated the next day director was asked what happened to C1, and director responded they had no knowledge of C1’s injury. RP stated C1’s injury was not reported to RP.

During the course of the investigation, LPA interviewed Adult 1 (A1). A1 stated C1 was quiet and when they got home C1 told A1 that C1 ran into a pole on the playground. A1 noticed C1’s nose was green/purple and was starting to turn more purple. A1 stated did not ask the director or teachers about it at pickup because the injury was not noticed until they were home, and they live 0.5 miles from the preschool.

During the course of the investigation, LPA Torrence interviewed five staff members. Staff 1(S1) stated when C1 woke up from nap, C1 didn’t complain and stated C1 is very verbal and tell them everything that happens to C1. S1 stated C1’s skin is fair, and they would have noticed any bruises. Staff 2 (S2) stated no children complained about hurting their nose. Staff 3 stated a wellness/health check is done at drop off by the Director. Interviewed staff denied witnessing any children running into a pole or noticing a child with a swollen nose. Interviewed staff disclosed when a child is hurt parents are notified, by means of school application and written incident reports. Interviewed staff disclosed, while on the playground, there are 4-5 teachers supervising, with 24-28 children. S2 stated when on the playground the teachers are position in different areas.

During the course of investigation, LPA Torrence was able to interview subject child. Child 1 (C1) disclosed running into a pole, because friends were chasing C1 and teacher saw it, and gave C1 an ice pack. C1 was asked if a teacher saw C1 running into a pole, C1 responded by stating, “I told the teacher I hurt myself, she gave me an ice pack and a band aid to put on my nose.” C1 denied getting hurt at home.

During the course of the investigation, LPA Torrence interviewed five children. Interviewed children who play with C1 denied seeing C1 running into a pole on the playground. Interviewed children denied noticing C1’s nose swollen. Interviewed children disclosed the teachers are on the playground watching them making sure they don’t get hurt.

LPA Torrence reviewed the medical report and it stated, “Nasal injury may have resulted in contusion(bruise)”.

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SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 06-CC-20220511090500

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: ADVENTURES IN LEARNING II	FACILITY NUMBER: 304270620
	VISIT DATE: 08/04/2022

NARRATIVE

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During the course of the investigation, LPA Torrence conducted phone interviews with five parents. Interviewed parents had no issues or concerns with the daycare.

Based on the information gathered from LPA' interviews, observation, and reviewing records, there was no evidence to prove child was injured while in care and staff did not communicate with authorized representative. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations are unsubstantiated.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

End of Report

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Stacy Torrence
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

LIC9099 (FAS) - (06/04)

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