360902361-6-30-2023-09-CC-GSEA-CTHQ3U-20230707114916

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 360902361
Report Date: 06/30/2023
Date Signed: 06/30/2023 01:20:35 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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/31/2023 and conducted by Evaluator Patricia Berry

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20230531081738

FACILITY NAME:	HIGHLAND AVENUE CHRISTIAN SCHOOL		FACILITY NUMBER:	360902361
ADMINISTRATOR:	CYNTHIA ALLEN		FACILITY TYPE:	850
ADDRESS:	9944 HIGHLAND AVENUE		TELEPHONE:	(909) 989-3009
CITY:	ALTA LOMA	STATE: CA	ZIP CODE:	91701
CAPACITY:	171	CENSUS: 26	DATE:	06/30/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Cynthia Allen/director		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff disclosed child's confidential information
Staff unusually punishing child
Child sustained unexplained injuries while in care

INVESTIGATION FINDINGS:

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On 6/3023 at 1:00 pm, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation. LPA met with Cynthia Allen and was granted access into the facility. LPA toured facility and took a census.

Allegation: Staff disclosed child's confidential information
It was alleged staff disclosed a child’s confidential information to other parties. LPA interviewed all pertinent parties, including four staff.

Staff stated they did not disclose confidential information to anyone. Staff stated one time, a child disclosed information to an authorized representative about another child while staff was present. Staff stated they know not to disclose any child’s confidential information.

(Cont on 9099C)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

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 09-CC-20230531081738

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: HIGHLAND AVENUE CHRISTIAN SCHOOL	FACILITY NUMBER: 360902361
	VISIT DATE: 06/30/2023

NARRATIVE

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Based on interviews conducted, there is conflicting information from what was alleged; therefore, the above allegation is unsubstantiated.

Allegation: Staff unusually punishing child
It was alleged staff were punishing a child by taking the child to a classroom which was not age appropriate, several different classrooms, and sent to a playground without other children present. LPA interviewed all pertinent parties, including four staff, reviewed the facilities behavior policy, and reviewed sign in/out sheets.
Staff stated children are not unusually punished. Staff stated there might be times children may need to be separated to avoid injuries with other children. Staff stated the children will be separated in adjoining classrooms, so the children always have classmates with them. Staff stated if there is an incident that occurs on the playground, staff may need to separate the children; however, children are never without their classmates.

LPA reviewed sign-in and out sheets from April and May of 2023. The sign-in and out sheets showed there are times the child does go to different classrooms; however, the classrooms are the same age group as the child.

LPA reviewed the facilities behavior policy. The behavior policy states the children are redirected or will go in time-out. The policy states if a child’s behavior is excessive, then the child will be sent home. Staff stated part of re-directing a child is sending a child to another classroom.

Based on interviews conducted and documentation reviewed, there is conflicting information from what was alleged; therefore, the above allegation is unsubstantiated.

Allegation: Child sustained unexplained injuries while in care
It was alleged a child sustained multiple injuries at the facility, and when asked, staff did not know how the injuries occurred. LPA interviewed all pertinent parties, including four staff, reviewed injury reports and photos.

(Cont on 9099C)

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 09-CC-20230531081738

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: HIGHLAND AVENUE CHRISTIAN SCHOOL	FACILITY NUMBER: 360902361
	VISIT DATE: 06/30/2023

NARRATIVE

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Staff stated they did report child’s injuries and staff were able to inform parent of each injury on an app called “Bright wheel”. LPA reviewed injury reports from the “Bright wheel” app. LPA reviewed 4 injury reports from 08/2022 to 03/2023.

LPA received 15 photos of injuries of the child and compared the photos to the injury reports reported to the parent via “Bright wheel”. LPA was unable to confirm if all the injuries in the photos occurred at the facility.
Based on interviews conducted and documentation reviewed, there is conflicting information from what was alleged; therefore, the above allegation is unsubstantiated.

Exit interview conducted with director, report, appeal rights and notice of site visit issued.

Notice of site visit must be posted for 30 days.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:	DATE: 06/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023

LIC9099 (FAS) - (06/04)

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