191501923-5-3-2019-33-CC-CGUA-BC2SBJ-20190510134357

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191501923
Report Date: 05/03/2019
Date Signed: 05/03/2019 10:40:45 AM

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
02/06/2019 and conducted by Evaluator Ariel Almazan

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20190206172140

FACILITY NAME:	HAYDEN CHILD CARE CENTER		FACILITY NUMBER:	191501923
ADMINISTRATOR:	SR. CELINE BANUELLOS		FACILITY TYPE:	850
ADDRESS:	819 BUENA VISTA ST.		TELEPHONE:	(626) 359-9592
CITY:	DUARTE	STATE: CA	ZIP CODE:	91010
CAPACITY:	60	CENSUS: 42	DATE:	05/03/2019
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Sister Celine		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Facility is operating out of ratio.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ariel Cazares conducted an unannounced complaint inspection on this date. Upon arrival LPA toured the facility and observed a total of 42 children and 6 staff in the classrooms.
LPA met with Director Sister Celine and discussed the above allegation.

LPA conducted an investigation into the above allegation. LPA conducted interviews with staff and reviewed staff files. LPA obtained a copy of the facility's roster.

Per complainant's initial report, one of the facility's classrooms was observed with 15-20 children and one staff member. The classroom was described as the toddler/potty training classroom with children from 2-3 years of age. LPA was unable to interview complainant to obtain additional information. LPA was able to determine that this classroom is referred to as the Chicks classroom.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

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-20190206172140

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: HAYDEN CHILD CARE CENTER	FACILITY NUMBER: 191501923
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/03/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/03/2019 Section Cited CCR 101216.3(a)	1 2 3 4 5 6 7	Teacher-Child Ratio There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. This requirement has not been met as evidenced by LPA's investigation into the	1 2 3 4 5 6 7	Per Director, will talk with staff about the occurrences. Director will submit any memo provided to staff to LPA by POC due date of 5/8/19.
	8 9 10 11 12 13 14	complaint allegation revealing disclosures of staff in the facility being out of ratio. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20190206172140

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: HAYDEN CHILD CARE CENTER	FACILITY NUMBER: 191501923
	VISIT DATE: 05/03/2019

NARRATIVE

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LPA conducted interviews with facility staff members from all the classrooms. There were two disclosures made of staff being out of ratio where a staff member is alone with more than 12 children. One disclosure was described as the staff member being alone with more than 12 children when the assistant staff walks out of the classroom to grab an item located outside of the classroom. Another disclosure came from a staff member who described that during naptime there can be around 22 children alone with the staff member which the staff is still in compliance with of teacher-child ratio. Yet, the staff member described that when children begin to wake up, the assistant staff will not arrive on time, leaving the staff member alone with 22 children waking up.

Based on LPA’s interviews which were conducted and complainant's reported observation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Section 101216.3, are being cited on the attached LIC 9099D.

Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

Exit interview conducted and a copy of this report was left with Sister Celine. A copy of the appeal rights were provided and explained.

A "Notice of Site Visit" and copy of the report was issued. Notice of Site Visit must remain posted for 30 days. Failure to do so will result in a $100.00 civil penalty

This report must remain on file for three (3) years. This report must be posted for 30 days in clear view, at the entrance of the Hayden Child Care Center. The report can not be covered/concealed.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel Almazan	TELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

LIC9099 (FAS) - (06/04)

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