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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370788
Report Date: 05/06/2022
Date Signed: 05/06/2022 04:26:21 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
05/05/2022 and conducted by Evaluator Carmen Odom
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220505114714
FACILITY NAME:HANDS TOGETHERFACILITY NUMBER:
304370788
ADMINISTRATOR:CHAVEZ, KARINAFACILITY TYPE:
850
ADDRESS:201 E CIVIC CENTER DRIVETELEPHONE:
(714) 479-0294
CITY:SANTA ANASTATE: CAZIP CODE:
92701
CAPACITY:84CENSUS: 57DATE:
05/06/2022
UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Karina Chavez - DirectorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Facility has pests
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Carmen Odom conducted an unannounced complaint investigation. Upon arrival LPA met with Director, Karina Chavez. Director guided LPA on a tour of the facility. At 12:30pm LPA observed a total of 57 preschool age children with 6 staff.

A review of staff 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.

The department received a complaint on 05/05/22 alleging facility has pests. Reporting Party (RP) stated the facility has roaches and mice. RP stated mice have been seen running along the space between the floor and the bottom of the cabinets. RP stated roaches have been seen on top of the counters and cabinets.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022
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 4
Control Number 06-CC-20220505114714
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: HANDS TOGETHER
FACILITY NUMBER: 304370788
VISIT DATE: 05/06/2022
NARRATIVE
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During the investigation LPA Odom interviewed director, 4 staff members, conducted a facility inspection, took pictures and reviewed the children’s roster, and personnel report. LPA did not interview children or parents due to allegation being physical plant.

During the investigation, Director (S1) was interviewed on 05/06/22. S1 stated they currently have an issue with roaches and mice in the childcare center. Back in April Staff #3 (S3) saw a mouse run into the lounge and this week Staff #2 (S2) saw a mouse as well. The roaches have been observed in the kitchen and in the lounge. S1 stated in April when the mouse was seen the first time, they contacted the pest control company and the pest control company came out within a couple days to inspect the center and set traps for the mouse and spray for the roaches along with sticky traps. S1 stated last week the pest control company came to the childcare center to provide a quote to fumigate the entire childcare center. S1 stated they spoke with the pest control company today to schedule the date for the fumigation that will last 1 day, and it will be done on a weekend. S1 stated they have told staff to make sure they do not leave any food laying around and clean and disinfect daily. S1 stated children have not seen the mice or roaches. S1 stated meals are not prepared in the childcare center, meals are ordered from Great American Lunch Box.

During the investigation, 4 staff members were interviewed on 05/06/22. S2 stated on 5/4/22 when they arrived at the facility, they saw a mouse run into the lounge and 1 month ago they saw roaches in the kitchen. S3 stated a couple months ago they saw a mouse run out of their classroom into the lounge before the children arrived and in January, they saw roaches in the classroom. Staff #5 (S5) stated two and half months ago they saw a mouse in the kitchen run in between the refrigerators before the children arrived. S2 and S3 disclosed that pest control company came to the childcare center within a couple days to lay traps and spray the center. Staff #4 (S4) stated they have not seen mice or roaches in the childcare center, but they heard another staff mention they saw a mouse in the childcare center.

During the facility inspection LPA Odom observed mouse traps and sticky roach traps in the kitchen, bathroom, and lounge. LPA Odom observed the sticky roach traps had roaches on them but did not observe a mouse on today’s visit.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 06-CC-20220505114714
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: HANDS TOGETHER
FACILITY NUMBER: 304370788
VISIT DATE: 05/06/2022
NARRATIVE
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Based on LPA’s facility inspection, observations, interviews conducted with director, 4 staff members, pictures taken, and records reviewed, it has been determined that the facility has pests. Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, 101238(a)(1) Buildings and Grounds is being cited on the attached LIC 9099D.

Exit interview was conducted with Director Karina Chavez. 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: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 06-CC-20220505114714
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: HANDS TOGETHER
FACILITY NUMBER: 304370788
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/06/2022
Section Cited
CCR
101238(a)(1)
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101238 Buildings and Grounds (a)The child care center shall be clean, safe, sanitary... at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement was not met evidence by:
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Director stated they have scheduled a date to fumigate the childcare center on 5/14/22. Director will also provide a written preventative maintenance plan to licening department by 5/10/22.
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Based on observation and interviews conducted director and 3 staff members have seen a mouse in different areas of the childcare center on different dates. Staff have also observed roaches in the kitchen and lounge. 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: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:

DATE: 05/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2022
LIC9099 (FAS) - (06/04)
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