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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 360902361
Report Date: 04/15/2025
Date Signed: 04/15/2025 09:18:39 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 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
03/06/2025 and conducted by Evaluator Aman Lama
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250306093538
FACILITY NAME:HIGHLAND AVENUE CHRISTIAN SCHOOLFACILITY NUMBER:
360902361
ADMINISTRATOR:CYNTHIA ALLENFACILITY TYPE:
850
ADDRESS:9944 HIGHLAND AVENUETELEPHONE:
(909) 989-3009
CITY:ALTA LOMASTATE: CAZIP CODE:
91701
CAPACITY:171CENSUS: 60DATE:
04/15/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Cynthia "Cindy" Allen TIME COMPLETED:
09:30 AM
ALLEGATION(S):
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Licensee does not ensure the person who brings child to and from the facility is signing the child in and out.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Aman Lama arrived at the facility to conclude an investigation pertaining to the above allegation. A previous visit was conducted on 03/10/2025.

LPA met with the facility representative, Kelsy Zielo, and informed them of the purpose of this visit. LPA toured the facility and took census. LPA was later met with Cynthia “Cindy” Allen to deliver findings.

During the investigation, LPA made observations, reviewed relevant documentation, and conducted interviews with pertinent parties. It was alleged that the licensee does not ensure the person who brings the child to and from the facility is signing the child in and out.

SEE LIC9099C…………………
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
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 09-CC-20250306093538
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: HIGHLAND AVENUE CHRISTIAN SCHOOL
FACILITY NUMBER: 360902361
VISIT DATE: 04/15/2025
NARRATIVE
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Allegedly, an authorized individual was utilizing an electronic log in code, from the Brightwheel app, of another authorized representative to sign a child in/out. It was alleged the facility representative(s) were informed, and to rectify this, facility representative(s) stated they would have the authorized representatives sign the child in/out via pen and paper on a physical log.

During interviews with multiple pertinent parties, it was disclosed the authorized individual who would physically sign the child in did not match the name of the sign in/out documents.

LPA collected documentation, including the physical log, “check in” document from the Brightwheel app, and the “2024-2025 Parent Handbook”. After review of all documents, LPA confirmed what was stated during interviews with pertinent parties.

Based on LPAs review of documentation and information received during interviews, the department has determined the preponderance of evidence standard had been met, therefore the above allegation is found to be SUBSTANTIATED, per California Code of Regulations, Title 22, Division 12.

See LIC809D for deficiencies cited.

An exit interview was conducted, and a copy of this report and Notice of Site (NOS) Visit was provided to facility representative, Cynthia “Cindy” Allen. Upon request, this report must be made available to the public for three years.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20250306093538
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: HIGHLAND AVENUE CHRISTIAN SCHOOL
FACILITY NUMBER: 360902361
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/18/2025
Section Cited
CCR
101229.1(b)
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Sign in and out: The person who brings the child to, and removes the child from, the center shall sign the child in/out. This was not met as evidenced by: Based on documentation and information disclosed in interviews, person who was physically bringing the child to, and removing the child,
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Facility agrees to send a mass email to all parents reminding them to utilize their own code to log their child/children in/out. A copy of this email is due to the department no later than the POC due date.
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did not match sign in/out documents. This poses a potential risk to the health and safety of 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: Gilbert Sena
LICENSING EVALUATOR NAME: Aman Lama
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3