191502312-12-17-2019-33-CC-CGUA-BCFQLX-20190523121638

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191502312
Report Date: 01/09/2019
Date Signed: 12/17/2019 11:19:44 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
10/25/2018 and conducted by Evaluator Cynthia Reyes

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20181025084019

FACILITY NAME:	UNITED METHODIST PRESCHOOL		FACILITY NUMBER:	191502312
ADMINISTRATOR:	KIM GARDNER		FACILITY TYPE:	850
ADDRESS:	201 E. BENNETT		TELEPHONE:	(626) 335-4622
CITY:	GLENDORA	STATE: CA	ZIP CODE:	91741
CAPACITY:	60	CENSUS: 54	DATE:	01/09/2019
		UNANNOUNCED	TIME BEGAN:	09:03 AM
MET WITH:	Laurene Herrera		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff member had a physical altercation with another staff member in front of children

INVESTIGATION FINDINGS:

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

Licensing Program Analysts (LPA) Cynthia Reyes conducted a complaint inspection to conclude and present the findings of the investigation in regards to the above allegation. LPA met with Laurene Herrera, Director, who guided LPA on a tour of the facility.

During the course of the investigation, interviews were conducted with staff, Reporting Party, and children. Documentation were reviewed and received and Declarations from staff were obtained. This agency has investigated the complaint alleging that there was a violation of Personal Rights. Based upon the evidence as presented, it has been determined that the complaint was Unsubstantiated (formerly Inconclusive). A finding of Unsubstantiated means that 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.

LPA amended the finding of Substantiated to Unsubstantiated after further review of information obtained. No citation given.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2019

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 3

Control Number 33-CC-20181025084019

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: UNITED METHODIST PRESCHOOL	FACILITY NUMBER: 191502312
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/09/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed Type A 01/09/2019 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	Personal Rights. The licensee shall ensure that each child is accorded the following personal rights. Each child shall be accorded dignity in his/her personal relationships with staff, and other persons. The requirement is met as evidenced by a child personal rights were violated due to the child witnessing one	1 2 3 4 5 6 7	Director stated the facility is unable to locate a Letter of reprimand she signed and will proved the Department with a copy as soon as possible. Director states she will take a class on harassment and communication skills and will send the Department a copy of her agenda and completed class certificate
	8 9 10 11 12 13 14	staff member physically violating another staff members personal rights by putting her arm around the other staff members should/neck and moving her to stand in another area of the play ground. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	as soon as possible.
	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: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20181025084019

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: UNITED METHODIST PRESCHOOL	FACILITY NUMBER: 191502312
	VISIT DATE: 01/09/2019

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

Page 2

Per LPA observation of the video of the play ground, it is showing the Director moving the staff person with her arm around the Teacher, however it is unable to tell if it was by the teachers neck, shoulder or back that the Director moved her. Per Interviews the Director stated she put her arm around the Teachers shoulder and guided her to the other area she needed to be at and per victim Teacher the Director pretended to give her a hug aggressively around her neck and moved her to the other area. Other Interviews conducted determined that the Director grabbed the Teacher by the back like giving her a hug and moved
her. Per Interviews with the Pastor the Director was given a letter of Reprimand and monitored by her as her supervisor. Per the child's words and account of what she observed, was the Director pushing a teacher and pulling the teachers hair with her arm. Their were several children on the play ground when the Incident occurred however the incident was right in front of this one child.

Upon receipt of this report, the licensee shall post any licensing report documenting a type “A” citation or substantiated complaint. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies to the parents of the children in care for up to one year.

Exit interview was conducted with the Director Laurene Herrera. Appeal rights and procedures were explained and provided. Consultation was conducted with the Director Laurene Herrera.

Amended report and, exit interview and consultation was conducted with Director Sara Read on this date of 12/17/2019, as previous Director is no longer at the facility.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 3