304371442-5-18-2023-06-CC-JHAN-CS7U3G-20230526151330

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371442
Report Date: 05/18/2023
Date Signed: 05/18/2023 09:52:32 AM

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
04/10/2023 and conducted by Evaluator Carmen Odom

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20230410100405

FACILITY NAME:	ACACIA MONTESSORI SCHOOL		FACILITY NUMBER:	304371442
ADMINISTRATOR:	CHUNG, SUN		FACILITY TYPE:	830
ADDRESS:	1701 EAST CHAPMAN AVENUE		TELEPHONE:	(336) 870-2176
CITY:	FULLERTON	STATE: CA	ZIP CODE:	92831
CAPACITY:	13	CENSUS: 6	DATE:	05/18/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Sun (Stella) Chung - Director		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Odom conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 04/13/2023. Upon arrival LPA met with Director, Sun (Stella) Chung to deliver complaint findings. Director guided LPA on a tour of the facility. LPA took census, at 8:45am LPA observed a total of 6 infants with 3 staff in the infant room. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios.
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 04/10/23 alleging facility is out of ratio. Reporting Party (RP) stated on Thursday’s afternoons around 3:00pm after nap time the center is understaffed. RP stated it started happening since January of this year.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

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-20230410100405

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: ACACIA MONTESSORI SCHOOL	FACILITY NUMBER: 304371442
	VISIT DATE: 05/18/2023

NARRATIVE

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During the investigation LPA Odom interviewed reporting party, director, 3 staff members, 4 parents, conducted a facility inspection and reviewed the children’s roster, personnel report, staff timecards, and sign in/out sheets. LPA did not interview children due to children being nonverbal.

During the investigation, Staff #1 (S1) was interviewed on 05/03/23. S1 stated as a fully qualified staff, they had been filling in to help cover in the infant classroom on Thursday’s afternoon from 2:30pm to 5:30pm because 1 staff is off on Thursday and another staff only works half day. S1 stated they have attempted to hire a staff on Thursday’s afternoons, but they have not been able to find a candidate to work 1 day per week for half of day. S1 denied being out of ratio because S1 will fill in to help during breaks and when staff are off. S1 stated as of 04/06/23 they have contracted a Substitute agency to help cover when staff are off because as of April there are 13 infants enrolled in the childcare center, but before April there were only 10 infants enrolled.

During the investigation, 3 staff members were interviewed on 05/03/23. All the staff disclosed S1 will help cover on Thursdays in the afternoons from 3:00pm to 6:00pm and during breaks to stay in ratio. All the staff disclosed they have never been responsible for more than 4 infants at a time, or they have never been alone with more than 4 infants. All the staff disclosed the beginning of April S1 has hired Substitute staff to help in the infant classroom.

On 5/5/23 LPA Odom attempted interviewing 7 parents, however only 4 parents were available for interviews. Three out four parents disclosed they did not have any concern with ratio at the childcare center and are satisfied with the care provided at the childcare center. Parent #3 (P3) stated there have been a few times the childcare center has sent their child home for unclear reasons in which it can be frustrating for a working parent. P3 disclosed they have observed S1 in the infant classroom a few times during pick up.

LPA Odom reviewed staff timecards and children’s sign in/out sheets for the month of March and April of 2023. According to the documents provided did not show infant childcare facility being understaffed for the number of infant children present, or out of ratio when S1 was providing assistance to maintain appropriate ratio.
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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20230410100405

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: ACACIA MONTESSORI SCHOOL	FACILITY NUMBER: 304371442
	VISIT DATE: 05/18/2023

NARRATIVE

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Based on LPA’s facility inspection, observations, interviews conducted with reporting party, director, 3 staff, 4 parents and records reviewed it was determined there was insufficient evidence that facility is operating out of ratio. 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 with Director Sun Chung. 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: 05/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

LIC9099 (FAS) - (06/04)

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