136608088-11-17-2022-20-CC-JGAY-CM4VW5-20221214154719

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 136608088
Report Date: 11/17/2022
Date Signed: 11/17/2022 12:23:28 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/13/2022 and conducted by Evaluator Diana Sanchez

PUBLIC

COMPLAINT CONTROL NUMBER: 20-CC-20220913125934

FACILITY NAME:	KNOWLEDGE TREE PRESCHOOL & CHILDCARE CENTER		FACILITY NUMBER:	136608088
ADMINISTRATOR:	THERESA PONCE MORALES		FACILITY TYPE:	850
ADDRESS:	497 WEST WALL ROAD, SUITE A		TELEPHONE:	(760) 592-4810
CITY:	IMPERIAL	STATE: CA	ZIP CODE:	92251
CAPACITY:	45	CENSUS: 10	DATE:	11/17/2022
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Tina Perez, Lead Teacher		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff caused injuries to a daycare child while being restrained

INVESTIGATION FINDINGS:

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On November 17, 2022, at 11:30 AM, Licensing Program Analyst (LPA), Diana Sanchez made an unannounced complaint inspection to deliver the complaint investigation findings for the above allegation. LPA met with Lead Teacher Tina Perez and made her aware of the reason for today’s inspection. Current census is 10.

During the course of the investigation, facility staff, children, daycare parents, and representatives from outside agencies were interviewed. Daycare child (C1)’s facility file and medical records were reviewed.

It was alleged that on 08/31/2022, staff caused injuries to C1 while being restrained. According to facility staff, C1 had a tantrum, where C1 was colliding with classroom furniture and threw himself on the floor, hitting his head (multiple times). Facility director admitted to holding C1 on her lap to prevent C1 from causing self-inflicted injuries.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

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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Control Number 20-CC-20220913125934

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: KNOWLEDGE TREE PRESCHOOL & CHILDCARE CENTER	FACILITY NUMBER: 136608088
	VISIT DATE: 11/17/2022

NARRATIVE

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Although facility director admitted to holding C1 on her lap, she denied the allegation, stating she was attempting to prevent C1 from causing serious injury. Other staff interviewed corroborated the director’s statements. Children and parents interviewed did not disclose any concerns or issues with the facility or staff. There were no other witnesses to corroborate the allegation.

Although an incident occurred at the facility where C1 sustained injuries (abrasions and contusions), LPA was unable to determine whether or not the injuries were self-inflicted during a tantrum or while child was being restrained. 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.

Exit interview conducted and report was reviewed with Lead Teacher Tina Perez. A copy of this report, along with Appeal Rights (LIC9058 03/22), were provided. A notice of site visit was given and must remain posted for 30 days. LPA observed that the notice of site visit was posted during the inspection. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Jason Garay	TELEPHONE: (619) 767-2250
LICENSING EVALUATOR NAME: Diana Sanchez	TELEPHONE: (619) 767- 2210
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

LIC9099 (FAS) - (06/04)

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