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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364846072
Report Date: 02/06/2024
Date Signed: 02/06/2024 11:32:10 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 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
12/12/2023 and conducted by Evaluator Rachel Zeron
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20231212152115
FACILITY NAME:EVERBROOK ACADEMYFACILITY NUMBER:
364846072
ADMINISTRATOR:VAN DUZER, MARGARET GALEFACILITY TYPE:
850
ADDRESS:3040 CHINO AVETELEPHONE:
(909) 591-7574
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:168CENSUS: 104DATE:
02/06/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Margaret Gale Van Duzer - Director TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Personal Rights - Staff did not seek any medical attention for daycare child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rachel Zeron arrived at the facility to conduct an inspection regarding a complaint received concerning the above allegation. LPA was given access to the facility by the Director Margaret (Gale) Van Duzer. LPA toured the facility and took a census. LPA met with Director Margaret (Gale) Van Duzer to further discuss the complaint/allegation. Previously, on 12/18/2023, an inspection was conducted regarding the complaint, during that inspection, interviews were conducted, facility files reviewed, and documentation was obtained.
The following was alleged: a child, not wearing shoes, slipped, fell on the ground, and hit their head, causing a red bump behind the left ear. The child was left unattended on the floor for 5 minutes and the facility did not seek any medical attention for the child.
The Licensing Program Analyst (LPA) Samuel Lopez investigated the above allegation and gathered the following information: an incident occurred where a child was running around the classroom, no shoes/just socks, as the child had taken his shoes off soon after staff had put them on the child. The child was instructed not to run and to use their walking feet, since running is not allowed in the classrooms.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
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 4
Control Number 09-CC-20231212152115
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
INLAND EMPIRE CHILD, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: EVERBROOK ACADEMY
FACILITY NUMBER: 364846072
VISIT DATE: 02/06/2024
NARRATIVE
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The child continued running from the carpet and then on over to the wood floor area. Once on the wood floor area, the child slipped and fell on their side, hitting their head on the floor. Staff went over to the child, which was on the floor and crying, placed the child on their lap, checking the child from head to toe. Redness near and around the ear was observed. The child then walked over to the library area of the classroom and sat on the ground with his head between his legs, still crying. Front office staff were informed of the incident so that parents/guardians could be notified. Staff provided first aid by placing ice on the injured area, but the child refused and after insisting, staff discontinued placing the ice because the child appeared to cry even more. The child walked over to a carpet area in the classroom and laid on the floor for a few minutes and then sat up. Shortly after, the child’s parent/legal guardian arrived and wondered why staff did not seek emergency medical attention (9-1-1). Staff did not believe the incident and the child’s demeanor afterwards required a 9-1-1 call.
LPA also obtained another account of the incident, in where the child fell and sustained a bump in the back of the ear, laid on the floor, unattended, for about five minutes. The staff refused to seek medical attention and when the parent/legal guardian arrived, they called emergency services (9-1-1). Prior to Paramedics arriving, the child was at the front office of the facility, responsive and eating. The child was evaluated by Paramedics while at the facility and eventually transported to a hospital, via ambulance.
The recommendation for follow up by the Paramedics and why the child was transported could not be verified due to conflicting information obtained. First, LPA was informed that the Paramedics required/requested the child to be taken to a hospital. Then, LPA was informed that the paramedics did not feel the need for the child to be further evaluated however, parents/legal guardians requested it. Furthermore, medical reports were not provided to the facility and the child returned to the facility the next day without limitations and/or restrictions.
Based on the conflicting information obtained, it was determined that 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.
A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director Margaret (Gale) Van Duzer.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Rachel Zeron
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4