304371533-9-26-2022-06-CC-THOO-CJN29L-20220926171203

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371533
Report Date: 07/12/2022
Date Signed: 09/26/2022 03:26:40 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
04/14/2022 and conducted by Evaluator Tina Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20220414095950

FACILITY NAME:	EVERBROOK ACADEMY		FACILITY NUMBER:	304371533
ADMINISTRATOR:	WELCH, AMBER		FACILITY TYPE:	830
ADDRESS:	16498 ROYAL OAK		TELEPHONE:	(949) 559-6810
CITY:	IRVINE	STATE: CA	ZIP CODE:	92618
CAPACITY:	30	CENSUS: 7	DATE:	07/12/2022
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Assistant director Sandra Johnson Director Joelle Courtney		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Toys are not cleaned between children
Staff don't wash children's hands before meals

INVESTIGATION FINDINGS:

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On 07/12/2022, Licensing Program Analyst (LPA) Tina Nguyen conducted an unannounced visit to deliver the findings regarding the above complaint allegations. This complaint investigation had been started on 04/14/2022 by LPA Tina Nguyen. LPA Nguyen met with Assistant director Sandra Johnson. Director Joelle Courtney came after. LPA Nguyen touted the facility. The Covid-19 Emergency Response questionnaires were asked.
There was a total of 7 children with 4 staff observed during the inspection. 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.
On 04/14/2022, our office received a complaintn and complainant stated, toys are not cleaned between children, Staff members don't wash children's hands before meals. Facility representative reported the incident at the facility to Licensing office on 04/15/2022, compliant with reporting requirement regulations.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

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-20220414095950

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: 304371533
	VISIT DATE: 07/12/2022

NARRATIVE

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During the investigation, LPA interviewed 4 staff members and no disclosures were made by any staff member. During the investigation, interviewed staff members indicated the following: when children put the toy in their mouth; the teacher will wash that toys before giving it to another child; no staff members have witnessed any staff not washing the children’s toy for a long period of time; the teachers wash children’ hand multiple times during the day, such as in the morning when the children come in, before meals, after diaper changing, coming from outside, and through-out the days. Staff #3 (S3) disclosed that S3 cleaned the toys multiple times, such as during naptime or the end of the day. S3 indicated that if the child touched the trash can, the teachers wash their hand immediately.
LPA Nguyen contacted five parents by phone and was able to interview two parents. All two interviewed parents stated they like the facility and all staff members are very nice, friendly, and professional. Interviewed parents also stated they did not have any concern or issue with the facility.
LPA Nguyen also conducted an interview with 4 children. However, children were too young and not qualified for an interview.

Based on the information gathered from LPAs' interviews and reviewing records, there is insufficient evidence to corroborate the allegations of toys are not cleaned between children and staff don't wash children's hands before meals. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove toys are not cleaned between children, Staff don't wash children's hands before meals did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) was provided. First level appeal is to Regional Manager, address is above on the report.

SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Dianna ValdezSantana
LICENSING EVALUATOR SIGNATURE:	DATE: 07/12/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022

LIC9099 (FAS) - (06/04)

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