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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376300876
Report Date: 09/19/2024
Date Signed: 09/19/2024 03:35:24 PM

Unsubstantiated


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
08/05/2024 and conducted by Evaluator William M Chancellor Jr.
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20240805112131
FACILITY NAME:CHILDREN'S CHOICE ACADEMY - VISTAFACILITY NUMBER:
376300876
ADMINISTRATOR:JENNI GRAWVUNDERFACILITY TYPE:
830
ADDRESS:739 OLIVE AVETELEPHONE:
(619) 249-4329
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:36CENSUS: 24DATE:
09/19/2024
UNANNOUNCEDTIME BEGAN:
02:16 PM
MET WITH:Sahnnon SpencerTIME COMPLETED:
02:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of staff supervision resulting in infant sustaining injury while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On September 19, 2024, at 2:16PM, Licensing Program Analyst (LPA), William Chancellor arrived unannounced to Childrens Choice Academy: Vista (CCC) and met with Shannon Spencer, Regional Director to discuss the investigative findings of the allegation listed above. On August 5, 2024, at 12 noon, LPA conducted a tour, took census of the CCC and gathered evidence relevant to the investigation. During the investigation, LPA made observations and conducted confidential interviews with five staff (S1-S5).
On August 5, 2024, a complaint was received alleging that due to a lack of staff supervision, an infant sustained an injury while in care. Three of three interviews with staff present during the incident, corroborated that C1 was crawling and while holding a toy, lost balance and fell forward bumping their head on the floor. CCC notified parent through a private app, however there was a lapse in calling the parent. Interviews and record review also confirmed CCC staff were in ratio on the date of the incident with three staff and six children.
Based on interviews and record review, LPA is unable to corroborate the allegation that lack of staff supervision resulted in infant sustaining injury while in care This allegation may have occurred; however, it is not supported, or proven by evidence. Therefore, the above allegation is unsubstantiated.
An exit interview was conducted, a copy of this report, and appeal rights, along with a Notice of Site Visit was handed to Shannon Spencer. Notice of Site Visit must remain posted for 30 consecutive days in a prominent place, visible to families and caregivers.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: William M Chancellor Jr.
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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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