191290371-10-25-2022-33-CC-ACHO-CKMMX4-20221028095917

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191290371
Report Date: 10/25/2022
Date Signed: 10/25/2022 09:51:02 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/02/2022 and conducted by Evaluator Jennifer Hua

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20220902105000

FACILITY NAME:	JEFFERSON CHILDRENS CENTER		FACILITY NUMBER:	191290371
ADMINISTRATOR:	REE HUDSON		FACILITY TYPE:	850
ADDRESS:	391 NORTH SIERRA BONITA		TELEPHONE:	(626) 796-8845
CITY:	PASADENA	STATE: CA	ZIP CODE:	91106
CAPACITY:	70	CENSUS: 29	DATE:	10/25/2022
		UNANNOUNCED	TIME BEGAN:	09:16 AM
MET WITH:	Kerem Martinez		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff inappropriately restrained daycare child while in care

INVESTIGATION FINDINGS:

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This complaint inspection was conducted by Licensing Program Analyst (LPA) Jennifer Hua who met with lead teacher Kerem Martinez for the purpose of providing the finding for the above pending allegation. A Covid-19 risk assessment was conducted. LPA was let in the facility by staff.

During the course, of the investigation, interviews were conducted with site supervisor, day-care staff, children and reporting party (RP).

Pasadena Police Department also interviewed RPs, child in question and site supervisor.

RP alleged that, Child 1 (C1) reported that on multiple occasions when C1 wouldn’t take a nap, a staff member would sit on top of C1’s body so C1 couldn’t get up.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022

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 33-CC-20220902105000

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JEFFERSON CHILDRENS CENTER	FACILITY NUMBER: 191290371
	VISIT DATE: 10/25/2022

NARRATIVE

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Staff 1(S1) stated that, on the day in question, during nap time, C1 started to yell and spit on his bed. C1 also started running around in the classroom. According to S1, C1 was stepping on other children, at this point the cots were already set up. Child was asked several times to follow directions. Staff was concern about C1’s safety, as well as the safety of other children. Child eventually, got on a cot, but child was still yelling and throwing things. C1 would not calm down so S1 told C1 that she was going to help C1 be safe. S1 states that she sat next to C1 and put her arm over the cot and child was under the staff’s arm to keep child in place. S1 states that this was done to prevent C1 from running off. Staff talked to child throughout that time. Child eventually calmed down and staff left for lunch.

S2 stated that he did not see any staff sit on a child during nap time. S2 stated that on the day in question, he observed C1 on the cot and observed S1 put their arm over the cot and child is under the staff’s arm. Child was between the S1’s arm and the cot. This would quiet child down, because child likes to yell.

S3 stated that she has never observed any staff sit on child’s body during nap time.

LPA also interviewed children attending. C2 stated that, she does not know what staff does when someone does not want to take a nap. C3 stated that staff will switch the bed when someone does not want to take a nap.

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20220902105000

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JEFFERSON CHILDRENS CENTER	FACILITY NUMBER: 191290371
	VISIT DATE: 10/25/2022

NARRATIVE

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LPA obtained a copy of an interview conducted with C1 by Pasadena PD. According to the report, C1 did not paint a clear picture as to how S1 sat on him. When asked if S1’s arms, legs, or body was on top of him and he said no she was just laying down.

Pasadena Police Department determined that there was not any evidence of child abuse. It appeared that child in question may have behavioral issues and is uncontrollable at school to where staff needs to intervene to protect the safety of child, other children, and staff.

Based on the above, 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.

An exit interview conducted with lead teacher Kerem Martinez. Copy of report provided and Notice of Site Visit provided and shall be posted for 30 days in an area accessible for review

SUPERVISOR'S NAME: Ana Chico	TELEPHONE: (323) 981-3374
LICENSING EVALUATOR NAME: Jennifer Hua	TELEPHONE: (323) 981-3375
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2022

LIC9099 (FAS) - (06/04)

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