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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371532
Report Date: 09/19/2024
Date Signed: 09/19/2024 02:53:48 PM

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
07/12/2024 and conducted by Evaluator Patricia Duron
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20240712153220
FACILITY NAME:EVERBROOK ACADEMYFACILITY NUMBER:
304371532
ADMINISTRATOR:JOHNSON, SANDRAFACILITY TYPE:
850
ADDRESS:16498 ROYAL OAKTELEPHONE:
(949) 559-6810
CITY:IRVINESTATE: CAZIP CODE:
92618
CAPACITY:195CENSUS: 39DATE:
09/19/2024
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Kathern De La Torre Director TIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Staff handled daycare child in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced complaint visit to deliver the complaint findings. This is a continuation of the investigation initiated on 7/19/24, LPA met with Director
Kathern De La Torre and informed director of the purpose of the visit. The Director guided LPA on a tour of the facility and a census was taken. The overall census observed was 8 staff and 39 children. A review of staff criminal clearance records 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.
On 7/12/2024 a complaint was filed with the Licensing office alleging staff handled daycare child in a rough manner. Reporting Party (RP) observed Staff #1 (S1) grabbed a child roughly. RP states S1 grabbed the child from the back and lifted child up.
During the course of investigation, LPA interviewed 6 staff members, 4 children, 4 parents, and reviewed records.
Page 1 of 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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 2
Control Number 06-CC-20240712153220
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: EVERBROOK ACADEMY
FACILITY NUMBER: 304371532
VISIT DATE: 09/19/2024
NARRATIVE
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LPA interviewed 6 staff members. 6 out of 6 staff members stated they have not witnessed S1 handle daycare child in a rough manner. S3 stated, staff comfort child when they are crying. Staff ask them if they want something; if they want a hug or play music. Staff will give child space when they are having challenging behaviors. Staff will go up to child and talk to them and explain to child what they are doing is not ok. Staff write out informal form and give to child’s parent. S4 stated, if a child is crying staff will sit with them, and try to calm the child down, and see why they are crying. Staff help child to solve problem. S4 stated if a child is having challenging behaviors, staff will give child space, then come back and see if child are ready. Staff will speak to the child about the rules and keeping their hands and feet to themselves. S6 stated, staff comfort the child, if the child wants to be held, staff will hold them, staff will ask the child do you want a hug? And staff will hug child for comfort. S6 stated, when handling children with challenging behaviors, staff will leave them be, but staff are still present when giving them their space. Staff don't carry or touch child, staff gives them space until they are calm. Unless they are trying to hurt another child, staff will stand close to child or at their level and re-direct them to a positive interaction.

LPA interviewed four children and none make any disclosure regarding the above allegation.

LPA Duron interviewed 4 parents. All interviewed parents stated they did not have any concern with facility.



Based on the information gathered from LPAs’ interviews, observation, and the reviewing of records, there is insufficient evidence to corroborate the allegation: Staff handled daycare child in a rough manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur in the day care facility, therefore the allegation is UNSUBSTANTIATED.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were provided. The facility representative was provided a copy of their appeal rights and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be
immediately reported to the Department.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice
of Site Visit” must be posted on or adjacent to the door

Page 2 of 2. End of Report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC9099 (FAS) - (06/04)
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