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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364817412
Report Date: 10/06/2021
Date Signed: 10/08/2021 04:41:41 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/29/2021 and conducted by Evaluator Donna Maddox
PUBLIC
COMPLAINT CONTROL NUMBER: 12-CC-20210929133612
FACILITY NAME:FUNDAMENTALS PRESCHOOL ACADEMY, THEFACILITY NUMBER:
364817412
ADMINISTRATOR:EVELYN CHINCHILLAFACILITY TYPE:
850
ADDRESS:2424 KENDALL DRIVETELEPHONE:
(909) 887-1150
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92407
CAPACITY:45CENSUS: 17DATE:
10/06/2021
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Evelyn ChinchillaTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Personal rights: Facility staff did not protect a daycare child from hazardous cleaning solutions A daycare child's clothing was damaged by hazardous cleaning solutions. Facility staff spoke in a demeaning way about a child in the child’s presences
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Maddox conducted a 10 day complaint investigation and met with Director, Evelyn Chinchilla today regarding aforementioned allegations. Present during this inspection was also Administrator, Enrique Velasquez.

LPA interviewed Director about the allegations and she stated the following: Child #1 had attended for approximately 2 weeks when this incident occurred. Director stated she interviewed the teacher involved who told her child #1 was standing on the carpeted area rug and where he had an accident. The teacher stated she changed child #1's clothing, and proceeded to spray the area on the carpet with a bleach water solution. As soon as she cleaned the area, child #1 came and sat on the area before it dried which led to the solution causing discoloration to child #1's pants. Director also stated she spoke with Staff person #1 (who is no longer employed at the center) about what was said to
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
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 12-CC-20210929133612
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FUNDAMENTALS PRESCHOOL ACADEMY, THE
FACILITY NUMBER: 364817412
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/08/2021
Section Cited
CCR
101223
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(a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his needs.
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Director will follow up with CCRC and the Departments consultants to come up with a better cleaning,disinfecting alternative that's safe to use around children.
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This requirement was not met as evidenced by: Staff cleaned the area rug with a bleach solution that caused damage to child #1s pants when he sat in the un-dried area and when Staff made a demeaning comment about child #1 in his presence and to his parent.
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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: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 12-CC-20210929133612
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: FUNDAMENTALS PRESCHOOL ACADEMY, THE
FACILITY NUMBER: 364817412
VISIT DATE: 10/06/2021
NARRATIVE
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parent about the incident (while child #1 was present). After hearing what transpired and the manner it was conveyed to parent, the Director agreed that the information could have been said in a manner that would not have violated the personal rights of child #1.
Based on the information provided, the above complaint allegations are substantiated. A Substantiated allegation means that the “preponderance of the evidence” standard has been met.

A Type B citation will be issued as a result, LPA is requesting Director contact CCRC and the Departments consultants for alternative cleaning/disinfecting solutions are safe to use around children and will not cause any damage to material.
SUPERVISORS NAME: Mariela Ramon
LICENSING EVALUATOR NAME: Donna Maddox
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3