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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 372006517
Report Date: 08/01/2024
Date Signed: 08/01/2024 02:26:31 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/26/2024 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240726114348
FACILITY NAME:CHILDREN'S PARADISE INC. - VALE TERRACEFACILITY NUMBER:
372006517
ADMINISTRATOR:AMELIA COOKFACILITY TYPE:
850
ADDRESS:990 VALE TERRACE DRIVETELEPHONE:
(760) 941-7578
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:80CENSUS: 63DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Kailani Hirakawa, Assistant DirectorTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff handled day care child in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner arrived unannounced to the facility to initiate an investigation into the above allegation. LPA met with Assistant Director Kailani Hirakawa and then met with Director Amelia Cook (S1) and conducted a tour. LPA explained the purpose of the visit. During the visit, LPA interviewed staff and children, and received and reviewed documents.

It was alleged that a teacher pulled a child roughly away from a window while they watched their sibling leave the area. LPA conducted interviews with several staff and found that Staff Two (S2) was personally having a difficult time that day, and LPA found that Child One (C1) was not listening to instructions.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/26/2024 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240726114348

FACILITY NAME:CHILDREN'S PARADISE INC. - VALE TERRACEFACILITY NUMBER:
372006517
ADMINISTRATOR:AMELIA COOKFACILITY TYPE:
850
ADDRESS:990 VALE TERRACE DRIVETELEPHONE:
(760) 941-7578
CITY:VISTASTATE: CAZIP CODE:
92084
CAPACITY:80CENSUS: 63DATE:
08/01/2024
UNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Kailani Hirakawa, Assistant DirectorTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff did not apply prescribed topical medication to day care child
Staff did not provide a snack to day care child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner arrived unannounced to the facility to initiate an investigation into the above allegation. LPA met with Assistant Director Kailani Hirakawa and then met with Director Amelia Cook (S1) and conducted a tour and then LPA explained the purpose of the visit. During the visit, LPA interviewed staff and children, and reviewed and received documents.

It was alleged that staff did not apply prescribed topical medication (M1) to Child Two (C2) 3 times daily. It was further alleged that M1 was to be applied three times per day so C2 would require only one application in the afternoon and staff were alledgedly aware of this; however, staff have allegedly failed to apply the cream and as a result, C2’s face was red and itchy.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20240726114348
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S PARADISE INC. - VALE TERRACE
FACILITY NUMBER: 372006517
VISIT DATE: 08/01/2024
NARRATIVE
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LPA interviewed staff who work directly involved with C2, and found that M1 is applied when symptoms are presented on C2. LPA reviewed and received several documents related to the administration of M1 and signed by C2's doctor. Record review further revealed that M1 has been administered as ordered by C2's doctor. Thus, this allegation was Unsubstantiated.

It was alleged that staff did not provide a snack to Child Two (C2). C2 allegedly expressed that a snack fell on the floor on an undetermined date, and C2 was not given another snack as staff allegedly stated that they ran out of snacks. LPA conducted interviews with several staff, and attempted an interview with C2. Staff interviews revealed that snacks are replenished each Monday for the week with plenty of variety of snacks. LPA's observation concluded that, on today's date (Thursday), there were several boxes of crackers, cookies, and other miscellaneous snacks available for children. Additionally, interviews revealed that on day of incident, staff witnessed C2 ingest their snack. Additionally, staff interview revealed that upon finding that C2 asked for an additional snack, the classrooms were checked for extra snacks, but none were able to be located. Also, the kitchen door seemed to be jammed not allowing staff access. Based on observation, and interviews with relevant parties, the allegation was Unsubstantiated.

A finding of UNSUBSTANTIATED means 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.

An exit interview was conducted where a copy of this report was provided to Director Amelia Cook along with copies of the LIC 811 (confidential names list) and Appeal Rights.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 10-CC-20240726114348
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SE CC RO, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S PARADISE INC. - VALE TERRACE
FACILITY NUMBER: 372006517
VISIT DATE: 08/01/2024
NARRATIVE
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C1 was then forcefully grabbed by their arm away from the window where C1 was watching Child Two (C2) leaving the area en-route to C2's classroom.

The Title 22 requirement for children to be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature was not met; thus, this allegation was Substantiated.
A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met.

An exit interview was conducted where a copy of this report was reviewed with and provided to Director Amelia Cook along with copies of the LIC 9099D, LIC811 (confidential names list), and Appeal Rights.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20240726114348
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: CHILDREN'S PARADISE INC. - VALE TERRACE
FACILITY NUMBER: 372006517
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/02/2024
Section Cited
CCR
101223(a)(3)
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101223 Personal Rights
Personal Rights:
(a) The licensee shall ensure that each child is accorded the following personal rights:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: ..with functions of daily living including eating..to physical functioning. This requirement was not being met as evidenced by:
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Licensee states that they will conduct in-service training with all staff on the cited deficiency and provide proof of such by POC date.
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Based on interview, S2 admitted to forcefully removing C1 from the window by their arm. This is a potential personal rights risk to 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: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5