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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334846446
Report Date: 02/16/2024
Date Signed: 02/16/2024 10:24:44 AM

Substantiated


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 ST., SUITE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/11/2023 and conducted by Evaluator Samuel Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20231211215221
FACILITY NAME:SOUTHWEST CHRISTIAN ACADEMYFACILITY NUMBER:
334846446
ADMINISTRATOR:DEBORAH BENAVIDESFACILITY TYPE:
830
ADDRESS:44-175 WASHINGTON STREETTELEPHONE:
(760) 200-2000
CITY:INDIAN WELLSSTATE: CAZIP CODE:
92210
CAPACITY:41CENSUS: 9DATE:
02/16/2024
UNANNOUNCEDTIME BEGAN:
08:06 AM
MET WITH:Director Illona Anderson and Assistant Director Deborah BenavidesTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Neglect/Lack of Supervision - Daycare child sustained unexplained injuries while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct an inspection regarding a complaint received concerning the above allegation. LPA was given access to the facility by the Director Illona Anderson. LPA toured the facility and took a census. LPA met with Director Illona Anderson to further discuss the complaint/allegation. Previously, on 12/14/2023, an inspection was conducted regarding the complaint, during that inspection, interviews were conducted, facility files reviewed, and documentation was obtained.

The following was alleged: a child was picked up from the facility with several small cuts on their fingertips and spots of what appeared to be blood on their clothes, along with some red marks on the right foot. Facility staff could not provide any explanation of how the child had sustained those injuries.

The Licensing Program Analyst (LPA) Samuel Lopez investigated the above allegation and gathered the following information: a child was dropped off at the facility without any signs of injuries, as confirmed by the daily health checks.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
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 6
Control Number 09-CC-20231211215221
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846446
VISIT DATE: 02/16/2024
NARRATIVE
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However, by the time the child was picked up, the child had speckles/spots of dried blood on their fingers, clothes, and leg. This observation was made by the child’s parent/legal guardian and not the facility staff. Upon initial follow up by facility staff, it was assumed that the spots were a result of the child consuming raspberries, which the child took from another child. That theory was questioned as the child was not yet consuming solid foods. Then, additional speckles/spots of blood were discovered in the room, where the child is cared for. These areas included the base and fabric of a swing, that is used by the child, also on a white infant/child safety lock, located on a wooden cabinet. Only assumptions were made as to what may have happened but, all staff that were providing care and supervision to the child, on the day in question, did not know what happened. Medical documentation was obtained in which it described the child suffering cuts/abrasions to their fingertips and hand.

In touring the classroom (room#4), LPA observed an area located on one of the doorways where it appeared that door hinges may have been removed. There were holes where the screws previously held the hinges, that were sharp to the touch. Also, near the key lock of a wooden cabinet, which was where the infant/child safety lock was located, there was a splinter that was also sharp.

Based on observation made at the facility and information obtained the preponderance of evidence standard has been met, therefore the above allegation regarding Neglect/Lack of Supervision, is found to be Substantiated.

See LIC 9099-D for deficiency cited.

LPA Lopez informed Director Illona Anderson that this report dated February 16, 2024 document(s) (1) Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 09-CC-20231211215221
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 ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846446
VISIT DATE: 02/16/2024
NARRATIVE
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Also, LPA Lopez informed the Director Illona Anderson to provide a copy of this licensing report dated February 16, 2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Director Illona Anderson.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 09-CC-20231211215221
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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: SOUTHWEST CHRISTIAN ACADEMY
FACILITY NUMBER: 334846446
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/19/2024
Section Cited
CCR
101429(a)(1)
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Responsibility for Providing Care and Supervision for Infants: Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement was not being met as evidenced by interview(s) and document review.
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Per Director, training is supervision was already conducted. Director agrees to provide an agenda and sign in sheet to the Riverside Child Care Regional Office by 2/19/2024.
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A child suffered cuts and abrasions while in care however, only assumptions were made as to what may have happened but, all staff that were providing care and supervision to the child, on the day in question, did not know what happened.
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This poses an immediate health, safety, or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 6