191501923-1-7-2020-33-CC-CGUA-BMCPM9-20200303102558

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191501923
Report Date: 01/07/2020
Date Signed: 01/07/2020 03:40:39 PM

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
11/20/2019 and conducted by Evaluator Seung Lee

COMPLAINT CONTROL NUMBER: 33-CC-20191120162004

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: 33	DATE:	01/07/2020
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Sister Mary Aloysius		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff failed to report incidents to authorized representative.
Daycare child had unexplained injuries.
Child punished inappropriately.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Sister Mary Aloysius.

During the investigation, LPA reviewed records, conducted interviews, and made observations in regards to the above allegations.

The complaint alleges that Child#1 sustained injuries at the facility which was not reported to the child's authorized representative and that the facility had no explanation for the injuries. The complaint also alleges that Child#1 was disciplined at the facility inappropriately. The facility denied these allegations. During interviews facility staff stated that while Child#1 was disciplined, the methods were not inappropriate and did not violate the personal rights of the child. The facility staff stated that whenever a child, including Child#1, was injured a report was created and given to the parents. During a file review for Child#1, LPA Lee did observe copies of past ouch reports in the file.

Report Continues.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020

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 4

Control Number 33-CC-20191120162004

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: 01/07/2020

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Since Child#1 no longer attends the facility, LPA Lee was not able to conduct an interview with the child in regards the allegations. The facility staff stated in interviews that Child#1 was aggressive towards other children and in general while being cared for at the classroom. Since there are past copies of ouch reports in Child#1's file it is possible that Child#1 sustained an injury that was not observed by staff members or a mark appeared on Child#1 after the initial check done by staff members. The past reports in the file of Child#1, does indicate the facility's willingness to document and notify parents of injuries sustained at the facility. However, it is possible that an injury was missed due to not being observed. It is possible that a staff member of classroom in ratio does not notice an injury of a child or an injury that was initially observed to have no marks develop it a few hours later.

The facility staff did state that Child#1 was put in time outs in the classroom and had to be sent to the Director's office if he or she did not comply with the Teacher of the classroom. According to the facility staff interviewed, although Child#1 was disciplined frequently the method was appropriate and did not violate Child#1's personal rights. The complaint did not specify when the inappropriate form of discipline on Child#1 was observed and by whom.

Based on the evidence collected during the investigation, the allegations that staff failed to report incidents to authorized representative, child had unexplained injuries, and child was punished inappropriately may be valid. However, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegations are found to be unsubstantiated.

Exit Interview conducted with Director Sister Mary Aloysius. Appeal rights discussed and explained.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain this posting for 30 days will result in a civil penalty of $100.00 dollars.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 01/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 4