336300087-12-1-2022-10-CC-PBER-CM72AX-20221216161413

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336300087
Report Date: 12/01/2022
Date Signed: 12/01/2022 05:16:50 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, 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
10/05/2022 and conducted by Evaluator Andrea Taylor

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20221005082448

FACILITY NAME:	ABC CHILD CARE CENTER		FACILITY NUMBER:	336300087
ADMINISTRATOR:	ANGELINE ANTON		FACILITY TYPE:	850
ADDRESS:	29705 SOLANA WAY		TELEPHONE:	(951) 491-0940
CITY:	TEMECULA	STATE: CA	ZIP CODE:	92591
CAPACITY:	190	CENSUS: 111	DATE:	12/01/2022
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Angel Anton-Administrator		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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Staff did not follow proper reporting requirements
Lack of Supervision
Staff yelled at child in care

INVESTIGATION FINDINGS:

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On today's date Licensing Program Analyst (LPA) Andrea Taylor conducted an unannounced complaint visit.

LPA met with Administrator, Angel Anton to deliver findings on the above stated allegations.
Investigation consisted of; interviews with Staff, Children and persons pertanent to the investigation.

During a previous inspection on 10/11/22 LPA interviewed one staff and one child and obtained records.

On 10/5/2022, a complaint allegation was received by the Community Care Licensing (CCL) office.
Specifically, it was alleged that a child obtained a small scratch on the nose and a large scratch on the side of the chin due to being pushed off a bike by another child and that staff did not inform authorized representative. Confidential interviews disclosed inconsistencies in information regarding injuries. It was disclosed the small scratch was seen by staff at the school but the staff did not observe a large scratch on the child's chin. A small scratch does not require a report

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022

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 10-CC-20221005082448

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: ABC CHILD CARE CENTER	FACILITY NUMBER: 336300087
	VISIT DATE: 12/01/2022

NARRATIVE

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Based on interviews with staff and children conducted, the allegation that day-care child was injured and staff not reporting the injury, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED at this time.

During the confidential interviews there is inconsistence in the information provided to LPA in regard to allegation and disclosure during interviews of a lack of supervision resulting in a child being injured when allegedly pushed of a bike by another child.

Based on interviews with staff and children conducted, the allegation that day-care child injured due to a lack of supervision, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED at this time.

Based on the confidential interviews with staff and children there were inconsistences in the information provided to LPA regarding the allegation of staff yelling at a child in care. The allegation was staff yelled at child in care confidential interviews disclosed no staff yelled at child.

Based on interviews with staff and children conducted, the allegation that staff yelled at a child in care, may have happened or is valid, but there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is UNSUBSTANTIATED at this time.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights. 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.

SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Andrea Taylor
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022

LIC9099 (FAS) - (06/04)

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