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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334840299
Report Date: 12/14/2023
Date Signed: 12/14/2023 09:19:49 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/07/2023 and conducted by Evaluator Sumayya Habeebulla
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20231107135158
FACILITY NAME:EMAGINE U AT PLAYFACILITY NUMBER:
334840299
ADMINISTRATOR:BEATRICE METELLUSFACILITY TYPE:
850
ADDRESS:14420 ELSWORTH STREET #106TELEPHONE:
(951) 656-3490
CITY:MORENO VALLEYSTATE: CAZIP CODE:
92553
CAPACITY:29CENSUS: 18DATE:
12/14/2023
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Treasure NottinghamTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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• Staff did not accept day care child's doctor's note to return to the facility after illness.
• Staff did not ensure that the facility is free from bugs.
• Staff did not provide day care child adequate supervision, resulting in the child sustaining frequent bruising.
INVESTIGATION FINDINGS:
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On December 14, 2023, at 8:55 am, Licensing Program Analyst (LPA) Sumayya Habeebulla arrived unannounced at the facility and met with Assistant director Treasure Nottingham to deliver the investigative findings for the above stated allegations. During the investigation, confidential interviews were conducted with staff (S1-S3). LPA also obtained copies of pertinent records that included: children’s injury reports, doctor visit summary reports, pest control documents and parent handbook.

On November 07, 2023, complaints were received by the department alleging Staff did not accept day care child's doctor's note to return to the facility after illness, Staff did not ensure that the facility is free from bugs and Staff did not provide day care child adequate supervision, resulting in the child sustaining frequent bruising.

See LIC 9099C for continuation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
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 10-CC-20231107135158
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: EMAGINE U AT PLAY
FACILITY NUMBER: 334840299
VISIT DATE: 12/14/2023
NARRATIVE
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The first allegation is that Staff did not accept day care child's doctor's note to return to the facility after illness. The facility has a written policy in the parent handbook which states that children cannot return to the facility until 24 hours have passed since the fever or other symptoms have cleared. All enrolled parents are aware of this policy and have signed the agreement upon enrollment. As per the facility director, C1 had a fever on November 6th during drop off in the morning around 7:15 AM which was recorded as 101 F & 102 F. Facility director stated to parent that according to the policy the child could not attend the facility until the child was fever free for 24 hrs. The parent took the child to the clinic at 11 am on the same date and the visit report states, “positive for fever”. The child returned to the facility on November 7th and S2 informed the parent that the 24 hours had not yet elapsed and therefore the daycare could not accept the child, as stated in the parent handbook. Based on information gathered, LPA was unable to determine if the child was fever free for 24 hours without medication at the time of drop off the following day.

The second allegation is Staff did not ensure that the facility is free from bugs. Interviews revealed that C1 was dropped off at the facility with bug bites all over the face and arms. Facility staff informed parent during drop off that if the child was observed to be uncomfortable, the parent would be notified to pick the child up. Per records review, LPA observed that the facility-maintained documents for periodic pest control treatment, and noted that the last one was dated Saturday, September 30th, 2023. In addition, per interviews conducted, LPA was unable to determine if the child obtained the bites while at the facility or another location since no other incidents had been reported at the daycare.



See LIC 9099C for continuation.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20231107135158
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: EMAGINE U AT PLAY
FACILITY NUMBER: 334840299
VISIT DATE: 12/14/2023
NARRATIVE
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The third allegation is Staff did not provide day care child adequate supervision, resulting in the child sustaining frequent bruising. Interviews revealed that C1 had never sustained an injury at the facility and there was no recollection by staff of the child getting injured, otherwise an ouch report would have been generated and the parent would have been notified, per facility policy. Per record review, LPA could not verify any incidences when C1 was injured or hurt at the facility and was unable to obtain any additional documentation of the injury from the reporting party.

From the information received through interviews with staff, and facility documents the above allegations cannot be verified. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the allegations did or did not occur, therefore, the allegations are UNSUBSTANTIATED.

An exit interview was conducted, a Notice of Site Visit posted, and a copy of this report was provided to the facility on this date and time.
SUPERVISORS NAME: Carlos Martinez
LICENSING EVALUATOR NAME: Sumayya Habeebulla
LICENSING EVALUATOR SIGNATURE:

DATE: 12/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3