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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364846209
Report Date: 10/06/2022
Date Signed: 10/06/2022 11:52:01 AM

Substantiated


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
08/25/2022 and conducted by Evaluator Samuel Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220825131602
FACILITY NAME:FERN ACADEMY EDUCATIONAL CHILDCAREFACILITY NUMBER:
364846209
ADMINISTRATOR:HE, LINGLINFACILITY TYPE:
850
ADDRESS:6921 SCHAEFER AVETELEPHONE:
(909) 696-9638
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:128CENSUS: 67DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Licensee/Director Linglin HeTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Admission Agreement - Facility did not follow policy when terminating care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samuel Lopez 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 Licensee/Director Linglin He. LPA toured the facility and took a census. LPA met with Licensee/Director Linglin He to further discuss the complaint/allegation. Previously, on 9/1/2022, an inspection was conducted regarding the complaint, during that inspection, interviews were conducted, and facility files reviewed.

The following was alleged: Facility terminated the care of children and did not notify the parent/legal guardian, prior to termination notice, of any issues regarding children behavior.

The Licensing Program Analyst (LPA) Samuel Lopez investigated the above allegation and gathered the following information: There were children terminated from care due to behavioral issues after only being in care for 14 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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 5
Control Number 09-CC-20220825131602
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: FERN ACADEMY EDUCATIONAL CHILDCARE
FACILITY NUMBER: 364846209
VISIT DATE: 10/06/2022
NARRATIVE
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According to Fern Academy Parent Handbook/Admission Agreement: Fern reserves the right to terminate the enrollment of a child at any time and for any reason deemed appropriate. All children are expected to abide by the rules of our Code of Conduct. Any violation of the Code of Conduct can be grounds for automatic dismissal and refunds will not be given. Every effort will be made to rectify a situation before termination is required. LPA obtained internal communication logs that are utilized by the facility to document how contact was made to parents/legal guardians and why. One log showed 10 incidents occurring on the same day but, did not list how this was communicated. Another log showed 7 incidents that had occurred from 8/11/2022 to 8/25/2022. According to that log, two of the incidents were reported to the parent/legal guardian via the Brightwheel app. When LPA reviewed a printout of the incident reports, in Brightwheel from August 8/8/2022 through 8/25/2022, there was only one incident of a child tripping and cutting their lip, nothing regarding behavior. Also, conflicting information was obtained during the investigation, regarding the verbal reporting of these incidents to the parent/legal guardian. A portion of the information provided states that the parent/legal guardian was informed of the incidents, verbally, as they occurred, however additional information obtained states that the incidents were reported once notice of termination was given. The information that was not obtained during this investigation was the effort made, by Fern Academy, to rectify the situation before termination, as stated in their Parent Handbook/Admission Agreement.

Based on LPAs observations and interviews which were conducted, and a review of additional pertinent information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated.

See LIC9099-D for cited deficiency.

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 licensee/Director Linglin He.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 09-CC-20220825131602
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: FERN ACADEMY EDUCATIONAL CHILDCARE
FACILITY NUMBER: 364846209
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2022
Section Cited
CCR
101219(f)
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Admission Agreements: The licensee shall comply with all terms and conditions set forth in the admission agreement. Based on interviews and records review, the licensee did not comply with the section cited above. In reviewing facility files, there was no proof that the facility informed the parent/legal
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Licensee has conducted meetings and training with the entire staff. Licensee has also implemented additional logs and reports to assure proper documentation and communication with Parents/Legal Guardian. Samples of logs and reports were provided as verification.
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guardian of any behavioral issues concerning their child(ren). Also no information/proof obtained that, if, there were any behavioral issues, what effort was made by the facility to rectify the situation before termination. This poses a potential health, safety, or personal rights risk to persons 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: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
08/25/2022 and conducted by Evaluator Samuel Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20220825131602

FACILITY NAME:FERN ACADEMY EDUCATIONAL CHILDCAREFACILITY NUMBER:
364846209
ADMINISTRATOR:HE, LINGLINFACILITY TYPE:
850
ADDRESS:6921 SCHAEFER AVETELEPHONE:
(909) 696-9638
CITY:CHINOSTATE: CAZIP CODE:
91710
CAPACITY:90CENSUS: 67DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Licensee/Director Linglin HeTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Personal Rights: Child sustained a rash
Personal Rights: Facility did not meet child’s diapering needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samuel Lopez 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 Licensee/Director Linglin He. LPA toured the facility and took a census. LPA met with Licensee/Director Linglin He to further discuss the complaint/allegation. Previously, on 9/1/2022, an inspection was conducted regarding the complaint, during that inspection, interviews were conducted, and facility files reviewed.

The following was alleged: Child was left in a soiled diaper on more than one occasion which eventually caused a rash.

The Licensing Program Analyst (LPA) Samuel Lopez investigated the above allegation and gathered the following information: Diaper checks and diaper changing is done every hour and a half to two hours. Some staff do diaper checks every hour and complete the diapering process regardless if a child is soiled or dry.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 09-CC-20220825131602
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: FERN ACADEMY EDUCATIONAL CHILDCARE
FACILITY NUMBER: 364846209
VISIT DATE: 10/06/2022
NARRATIVE
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 There are times where children are observed to need a diaper changed sooner than an hour after the last change, if that occurs, then the diaper is also changed. Any diaper check or diapering is to be inputted into the Brightwheel application to keep a record and for parents to be aware. From the information obtained during the investigation, there had been a child that had a full diaper upon being picked up from the facility on three separate occasions. On all three occasions, staff offered to do a diaper change prior to the child leaving however, parent/guardian refused the offer and optioned to take the child home and change the diaper themselves. By the third time, the child had developed a diaper rash. The diaper rash was reported on August 15, 2022, by the parent/legal guardian to facility staff and the parent/legal guardian was informed that the issue would be addressed. Also, it could not be determined how long after the child was picked up from the facility, was the rash observed. Information regarding the diapering issues that were reported was requested, obtained, and reviewed. In reviewing the information from Brightwheel, diapering information for August 8, 2022, through August 15, 2022, was unavailable. Also, for the date of August 16, 2022, there was an entry for a diaper change being done at 10:18pm, yet the child had been signed out at 5:25pm, and the facility closes at 6:30pm. This information could not be explained by staff.

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 licensee/Director Linglin He.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5