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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370719
Report Date: 09/14/2023
Date Signed: 09/14/2023 04:15:36 PM

Substantiated


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
07/21/2023 and conducted by Evaluator Cindy Nguyen
COMPLAINT CONTROL NUMBER: 06-CC-20230721152539
FACILITY NAME:LEARNING CTR.C.D. P.S./ BOYS & GIRLS OF H.V.FACILITY NUMBER:
304370719
ADMINISTRATOR:SUSAN BIXLERFACILITY TYPE:
850
ADDRESS:17565 LOS ALAMOS STREETTELEPHONE:
(714) 593-1524
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY:105CENSUS: 39DATE:
09/14/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Director, Susan BixlerTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff prohibit children from leaving the table for extended periods of time.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cindy Nguyen conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 07/24/2023. Upon arrival LPA met with Director, Susan Bixler who accompanied LPA on a tour of the facility. Census was taken as follow: 39 preschool children with 5 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 07/21/2023 a complaint was filed with the Department alleging that staff prohibit children from leaving the table for extended periods of time. During the investigation, LPA Nguyen conducted 2 physical plant inspection, interviewed 5 staff members, 6 preschool children, obtained a classroom’s schedule, a personnel report (LIC 500) and a copy of the children's roster.

Continued on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
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 3
Control Number 06-CC-20230721152539
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: LEARNING CTR.C.D. P.S./ BOYS & GIRLS OF H.V.
FACILITY NUMBER: 304370719
VISIT DATE: 09/14/2023
NARRATIVE
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Page 9099C

Complainant alleged that children are forced to sit at a table for 3 hours at a time. Complainant stated that because the facility has staffing issues the children are combined into one classroom. The children who are being added to the classroom are required to sit at the table and not allowed to move around in the classroom that they are combined in.

During the staff interviews, all 5 interviewed disclosed that the children in room 2 and room 4 are combined. Three out of the five staff interviews disclosed that children in room 4, when combined in room 2, are only allowed to do table activities and stayed at a small carpeted science area in room 2.

LPA Nguyen interviewed 6 preschool children, and all six children stated that room 4 children can only play at the table activities when combined in room 2.

During the physical plant inspection on 07/24/23, LPA observed room 4 combined in room 2 and room 4 children were doing table activities only.

Based on the information gathered from LPA's interviews with 5 staff members, 6 preschool children, and observation by LPA, it has been determined that staff limited the children to table top activities and the small carpeted science area for the extended periods of time when combined in room 2. The preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED. California Code of Regulations, Title 22 101223(a)(3) Personal Rights are being cited on the attached LIC9099D.

Exit interview was conducted with Director, Susan Bixler and Director of Preschool Program, Rochelle Nguyen. 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.
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20230721152539
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: LEARNING CTR.C.D. P.S./ BOYS & GIRLS OF H.V.
FACILITY NUMBER: 304370719
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/19/2023
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights (a) The licensee shall ensure ...personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion...functioning. This requirement was not met evidence by:
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Director stated the children in room 4 can pick whatever areas they want to play at when combined in room 2. Director stated she held a meeting with all the staff. Action Plan and staff sign- in sheets will be sent to LPA by POC date.
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Based on interviews and observations conducted by LPA, it was determined that
staff limited the children to table top activities and the small carpeted science area for the extended periods of time when combined in room 2. This is a potential Health and Safety risk to the 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: Patricia Magana
LICENSING EVALUATOR NAME: Cindy Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC9099 (FAS) - (06/04)
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