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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364845371
Report Date: 10/03/2024
Date Signed: 10/04/2024 08:51:56 AM

Unsubstantiated


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
08/30/2024 and conducted by Evaluator Rachel Zeron
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20240830112147
FACILITY NAME:KIDDIE ACADEMYFACILITY NUMBER:
364845371
ADMINISTRATOR:PAMELA FOXFACILITY TYPE:
830
ADDRESS:15861 POMONA RINCON ROADTELEPHONE:
(909) 529-6661
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:24CENSUS: 19DATE:
10/03/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lydia Mena - Assistant Director TIME COMPLETED:
01:15 PM
ALLEGATION(S):
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9

Staff did not seek medical attention for day care child in care as necessary.

INVESTIGATION FINDINGS:
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2
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Licensing Program Analyst (LPA) Rachel Zeron made an unannounced visit to conclude a complaint that was initiated on 09/05/2024. LPA met with Lydia Mena, Assistant Director A census was taken, and the facility was toured. LPA indicated the reason for the visit was to conclude the complaint investigation.

It was alleged that staff did not seek medical attention for day care child in care as necessary. The complaint alleges that while bottle feeding a child, the child had two small convulsion/twitches. LPA interviewed pertinent individuals regarding the allegation, the facility called the responsible party to report the incident and ask for any instructions and none were given. The responsible party stated that they will be there to pick up the child shortly. The Licensing Agency did not obtain any substantial evidence that supports medical attention was needed regarding the child in question. There were inconsistent statements disclosed from pertinent individuals regarding the details surrounding the events.
Therefore, due to conflicting information found throughout this investigation this agency has investigated Although the allegation may have happened, or is valid, 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 conducted and a copy of this report was provided to Lydia Mena, Assistant Director. Notice of site visit was issued and Director agreed to post the notice for the next 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
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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