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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370986
Report Date: 05/14/2024
Date Signed: 05/14/2024 04:21:57 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 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
02/21/2024 and conducted by Evaluator Romelia M Castanon
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240221155858
FACILITY NAME:KIDDIE ACADEMY OF HUNTINGTON BEACHFACILITY NUMBER:
304370986
ADMINISTRATOR:NICOLE CARREONFACILITY TYPE:
830
ADDRESS:19342 BEACH BLVD.TELEPHONE:
(714) 968-0078
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92648
CAPACITY:44CENSUS: 17DATE:
05/14/2024
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Director Nicole CarreonTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in child sustaining injuries
INVESTIGATION FINDINGS:
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On 05/14/2024, Licensing Program Analyst (LPA) Romy Castanon made an unannounced visit to the facility to deliver findings of a complaint that was received at the Orange County Regional Child Care Program Office. LPA met with Nicole Carreon and explained the reason for today’s visit. Observed at the time of the visit was a total of 17 infants and 7 staff.
A review of the Facility Personnel Report Summary on 05/14/2024 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
On 02/21/2024, the Regional Office received a complaint report alleging staff did not provide adequate supervision resulting in child sustaining injuries. Complaint stated on 02/20/2024, in Infant Room #3 Child #1 (C1) climbed on Child #2’s (C2) cot during nap time. C1 was bit on the right cheek by C2. C1 sustained a quarter sized bite mark with no broken skin. LPA interviewed the Reporting Party (RP) on 02/27/2024. RP stated during that same incident, C1 sustained multiple injuries to the face and chest including bruises and a scratch to their left eyelid and chest. RP stated C1’s injuries were because of lack of supervision by staff in classroom. LPA reviewed hospital discharge summary for C1 for their abrasion. (Continue to page 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
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-20240221155858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370986
VISIT DATE: 05/14/2024
NARRATIVE
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(Page 2) LPA conducted a visit on 02/27/2024 and interviewed Director Nicole Carreon and Assistant Director Loretta Munoz (AD). AD reported the right cheek bite incident to RP only. AD was unaware of any other injuries at the time of reporting. Director was able to provide LPA with C1’s daily health checklist for the month of February 2024 that listed the scratch on C1’s eyelid dated 02/20/2024. LPA reviewed the Incident Report that stated C1 was bit by C2 during the facility’s rest period and was signed by staff, AD and RP. LPA was unable to verify the origin of a chest scratch and mark above C1’s left eyebrow. Director stated during a staff meeting in January 2024, the topic of classroom supervision was mentioned briefly. LPA requested to review the video footage, but video was not available as it is live feed.

On 02/27/2024, LPA interviewed 11 staff from three infant classrooms. All 11 staff were able to reiterate the facility’s supervision, communication, and incident report policies. LPA verified that there were 12 children and two staff members in Infant Room 3 at the time C1 was bit on the cheek, Staff #8 (S8) and Staff #11 (S11). S8 was changing children’s diapers at the time and looked up because they heard C1 begin to cry and observed C1 at C2’s cot. S11 stated they observed C1 crawling toward C2’s cot. S11 was tending to another child at the time and did not witness the bite but heard C1 cry.

LPA was not able to interview children due to age and language development.

LPA interviewed 2 out of 5 parents. Parents did not make any disclosures regarding the allegations of this complaint.

Based on LPA’s interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation staff did not provide adequate supervision resulting in child sustaining multiple bites and injuries is substantiated. California Code of Regulations, Title 22, Division 12, 101429 Responsibility for Providing Care and Supervision for Infants is being cited on the attached LIC9099D.

Exit interview was conducted with Nicole Carreon. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

Upon receipt, Director Nicole Carreon shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file.

End of Report

SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Citations on this Visit Report are Under Appeal!

Control Number 06-CC-20240221155858
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: KIDDIE ACADEMY OF HUNTINGTON BEACH
FACILITY NUMBER: 304370986
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type A
05/15/2024
Section Cited
CCR
101429(a)(1)
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101429 Responsibility for Providing Care and Supervision for Infants(a) In addition to Section 101229, the following shall apply:(1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement is not met as evidenced by:
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Director stated children lunch schedule and nap time were changed effective 04/29/2024. Staff break times were also revised and all staff return before nap time is over. Director will conduct an all staff meeting regarding classroom supervision and submit signed topics to LPA by 05/16/2024.
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Based on LPA’s staff interviews, two (2) staff members in Infant Room #3 did not observe an incident on 02/20/2024 involving C1 sustaining a bite on the right cheek by C2. The bite did not break skin but left a quarter size mark on C1. This poses an immediate health, safety or personal rights risks to persons 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: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3