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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 376700122
Report Date: 04/28/2022
Date Signed: 04/28/2022 10:51:55 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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2022 and conducted by Evaluator Anastasia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220304153437
FACILITY NAME:CHILDREN'S PARADISE-SHADOWRIDGEFACILITY NUMBER:
376700122
ADMINISTRATOR:CHRISTINA JENKINSFACILITY TYPE:
850
ADDRESS:145 N, MELROSE DR. STE 100TELEPHONE:
(760) 724-5600
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:126CENSUS: 80DATE:
04/28/2022
UNANNOUNCEDTIME BEGAN:
09:42 AM
MET WITH:Shaima CormierTIME COMPLETED:
11:01 AM
ALLEGATION(S):
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Day care child engaged in inappropriate behavior with another day care child
Lack of supervision resulted in child hitting & biting another child
INVESTIGATION FINDINGS:
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On April 28, 2022 at 9:42 AM, Licensing Program Analyst’s (LPA’s) Anastasia Flores and Cindy Hamilton met with Site Director, Shaima Cormier to deliver the findings on the above allegations. On March 9, 2022 at 10:51 AM, LPA Flores conducted an inspection of the facility and no immediate health or safety concerns were noted. Copies of child one (C1), child two (C2) unusual incident reports, staff contact information and photos of facility playground were obtained. LPA conducted interviews with seven out of ten staff members. LPA’s attempt to contact three staff was unsuccessful.

On March 4, 2022 this office received allegations that Child #2 (C2) engaged in inappropriate behavior with child #1 (C1) while in care. Confidential interviews disclosed that C1 and C2 were engaged in inappropriate behaviors while in the tunnel located by the sandbox area of the preschool playground. Interview with Site Director (SD) and Child Development Director (S9), admitted to C1, C2 being found engaged in inappropriate behaviors.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
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 10-CC-20220304153437
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S PARADISE-SHADOWRIDGE
FACILITY NUMBER: 376700122
VISIT DATE: 04/28/2022
NARRATIVE
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Confidential interviews disclosed that around the time of 2/14/22 , 2/15/22, C2 had shown private parts to C1 on at least one other occasion and C2’s teacher was witnessed verbally telling C2, “oh no, we don’t do that here.” Confidential interviews revealed the incident was reported to front office and the lead teacher. Interview with staff revealed that staff came looking for C1 and staff on the playground told staff they did not know where C1 was. Staff found C1 in the tunnel with C2 with their pants down. Confidential interviews revealed that the playground supervision is being revised so this kind of behavior does not happen again. In addition, interview with staff disclosed that C2’s previous behaviors revealed that C2 required additional supervision. Interview with S2, S3 denied that C2 has displayed inappropriate or harmful kind of behaviors before and stated that C2 has been really good lately.
Another allegation was reported that due to lack of supervision the children were able to engage in harmful behaviors. Confidential interviews revealed that C1 has been bitten and hit by C2 on at least one other occasion. Other confidential interviews revealed that C2 urinated in the sand table on one of the last days of being enrolled at the facility. Interviews with multiple staff, disclosed the positions of the teachers on the playground when C1, C2 were found 03/02/22, would normally be to have a teacher in the sandbox area, however there was no confirmation that was what occurred that day. Interviews with several staff, revealed there were three staff sitting at the benches, one staff by the swings, two other staff talking on the right side of the benches and one staff talking with a parent at the door. Other confidential interviews disclosed that the staff were talking about an incident that previously occurred not related to this incident on 03/02/22.
Based on confidential interviews and record review the preponderance of evidence standard has been met, therefore. the above allegations that Child #2 (C2) engaged in inappropriate behavior with child #1 (C1) while in care and lack of supervision resulted in children engaging in harmful behaviors is substantiated. The facility is being cited for Title 22, division 12, chapter 1, article 06, continuing requirements; section 101223 Personal Rights and 101229 responsibility for providing care and supervision. Which poses a potential risk to children in care.

An exit interview was conducted, A copy of this report, appeal rights and Notice of Site Visit were provided to SHaima Cormier.

The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 10-CC-20220304153437
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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CHILDREN'S PARADISE-SHADOWRIDGE
FACILITY NUMBER: 376700122
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
04/29/2022
Section Cited
CCR
101223(a)
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101223(a)The licensee shall ensure that each child is accorded the following personal rights: This was not met as evidence by…
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LPA Flores observed and was informed the tunnels are no longer open and have been sealed to prevent access by children. This will prevent children from being in an unobservable area during outside playtime.
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Based on confidential interviews and record review, Child #2 engaged in inappropriate behaviors in the preschool playground tunnel. This poses an immediate health and safety concern for the children in care.

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Request Denied
Type B
05/05/2022
Section Cited
CCR
101229(a)(1)
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101229(a)(1)The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This was not met as evidenced by …
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LPA Flores was informed the staff are currently having trainings on care and supervison of the children. Ms.Cormier will email LPA Flores a copy of the sign in sheet for the most recent and upcoming trainings the staff have completed.
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Based on confidential interviews, child #1, child #2 were out of visual observation resulting in inappropriate behaviors between the two children. This poses a potential threat 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: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC9099 (FAS) - (06/04)
Page: 3 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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2022 and conducted by Evaluator Anastasia Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220304153437

FACILITY NAME:CHILDREN'S PARADISE-SHADOWRIDGEFACILITY NUMBER:
376700122
ADMINISTRATOR:CHRISTINA JENKINSFACILITY TYPE:
850
ADDRESS:145 N, MELROSE DR. STE 100TELEPHONE:
(760) 724-5600
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY:126CENSUS: 80DATE:
04/28/2022
UNANNOUNCEDTIME BEGAN:
09:42 AM
MET WITH:Shaima CormierTIME COMPLETED:
11:01 AM
ALLEGATION(S):
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Day care child’s diapering needs are not being met

INVESTIGATION FINDINGS:
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On April 28, 2022 at 9:42 AM, Licensing Program Analyst’s (LPA’s) Anastasia Flores and Cindy Hamilton met with Site Director, Shaima Cormier to deliver the findings on the above allegations. On March 9, 2022 at 10:51 AM, LPA Flores conducted an inspection of the facility and no immediate health or safety concerns were noted. Copies of child one (C1), child two (C2) unusual incident reports, staff contact information and photos of facility playground were obtained. LPA conducted interviews with seven out of ten staff members. LPA’s attempt to contact three staff was unsuccessful.
On March 4, 2022 this agency received allegation that child #1’s(C1) diapering needs are not being met. Confidential interviews disclosed that on at least two more occasions, C1 was sent home with a wet diaper as if C1 had not been changed for hours. Other interviews revealed that C1 is picked up by biological parent during nap time resulting in C1’s diaper being wet on at least two occasions. Interview with staff revealed that C1 is in a transitional classroom that potty trains the children. Interview with staff denied C1 being sent home on numerous occasions with a wet diaper. Other confidential interviews disclosed that diapers are changed in the classrooms as needed.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 10-CC-20220304153437
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CHILDREN'S PARADISE-SHADOWRIDGE
FACILITY NUMBER: 376700122
VISIT DATE: 04/28/2022
NARRATIVE
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Interview with staff revealed that C1’s biological parent asked for C1 to be placed in a diaper at naptime.
Based on conflicting interviews, the allegations that a child was left in a soiled diaper on more than one occasion, may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated.

A copy of this report, appeal rights and Notice of Site Visit were provided to licensee.
The Notice of Site Visit was posted by the licensee prior to LPA leaving the facility and the licensee was reminded this notice must be posted for 30 days.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Anastasia Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5