304371441-12-12-2023-06-CC-JHAN-CYJMDT-20231215083137

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371441
Report Date: 12/07/2023
Date Signed: 12/12/2023 02:49:53 PM

Unsubstantiated

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
10/18/2023 and conducted by Evaluator Anna Francesca Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20231018141341

FACILITY NAME:	ACACIA MONTESSORI SCHOOL		FACILITY NUMBER:	304371441
ADMINISTRATOR:	CHUNG, SUN		FACILITY TYPE:	850
ADDRESS:	1701 EAST CHAPMAN AVENUE		TELEPHONE:	(714) 526-7855
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92831
CAPACITY:	54	CENSUS: 22	DATE:	12/07/2023
		UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Director Sun Chung		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff do not isolate a sick children upon observation of illness
Staff did not immediately inform child's authorized person upon observation of illness.

INVESTIGATION FINDINGS:

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On 12/07/23 Licensing Program Analysts (LPAs), Anna Chan and Karen Navar conducted an unannounced complaint investigation visit to the facility to deliver the findings for the above allegations. This is a continuation of the investigation initiated for the complaint received on 10/18/23. Upon arrival, LPAs met with Assistant Director Karina Salgado. At 2:10pm the assistant director guided LPAs on a tour of the facility and a census was taken. There was a total of 22 children and 2 staff. Children were napping when LPAs arrived at the facility. Director Sun Chung arrived around 2:25pm.

A review of facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The Department received a complaint on 10/18/2023 alleging (1) Staff do not isolate a sick child upon observation of illness (2) Staff did not immediately inform child's authorized person upon observation of illness.
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Unsubstantiated

Estimated Days of Completion: 60

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

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-20231018141341

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: ACACIA MONTESSORI SCHOOL	FACILITY NUMBER: 304371441
	VISIT DATE: 12/07/2023

NARRATIVE

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Interview with staff: On 10/24/2023, LPA interviewed six (6) staff at the facility. Four (4) of six (6) staff consistently stated child # 1(C1) was isolated at the office when he felt ill. Staff # 1 (S1) and Staff # 3 (S3) stated that when they checked C1’s temperature, they sent it through Brightwheel app to notify parents 2x in the afternoon at 2:45pm and at 4:10pm. S1 stated that S1 contacted C1's parent regarding fever.

Interview with children: On 10/24/2023, the LPA interviewed four (4) children at the facility. None of the children disclosed any information that could corroborate the allegations about isolation when they are sick.

Interview with Parents: On 11/13/2023, the LPA called eight (8) parents. The LPA reached three (3) parents. The other five (5) parents did not respond to the Department’s request for an interview. All three (3) parents responded similarly stating that the facility overall has good communication and overall satisfied with the care that their children receives.

On 11/21/23, LPA Jung tried to get in touch with the Parent #1 (P1) of C1 to get more information about the incident. P1 stated that he received a call from the school notifying him of C1’s temperature. P1 went to the school immediately after the call.

Record Review: On 10/24/2023, the LPA received several documents from the facility’s director including sick policy. Based on the documents, a child will be inspected for signs of illness daily and parents will be called immediately if a child gets sick.

Based on observation, interviews conducted and record reviews, the complaint alleging (1) Staff do not isolate a sick child upon observation of illness and (2) Staff did not immediately inform child's authorized person upon observation of illness is UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not enough preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview was conducted. Notice of Site Visit was posted during the visit. Director Sun Chung 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. The Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Anna Francesca Chan
LICENSING EVALUATOR SIGNATURE:	DATE: 12/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2023

LIC9099 (FAS) - (06/04)

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