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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191594388
Report Date: 11/05/2019
Date Signed: 11/05/2019 11:50:01 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
09/24/2019 and conducted by Evaluator Ariel Almazan
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190924111004
FACILITY NAME:FIRST CHRISTIAN CHURCH INFANT CENTERFACILITY NUMBER:
191594388
ADMINISTRATOR:CRISTINA GOMEZFACILITY TYPE:
830
ADDRESS:1751 N. PARK AVE.TELEPHONE:
(909) 629-3636
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:24CENSUS: 10DATE:
11/05/2019
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Cristina GomezTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Personal Rights: Staff hit daycare child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ariel Cazares conducted a complaint inspection to the facility. LPA met with Director Cristina Gomez. There were 10 infant children and 3 staff outside during the tour. No children in classrooms were observed.

LPA conducted and concluded an investigation into the above allegation. LPA conducted interviews with the complainant and facility staff. Per complainant, they have knowledge that Staff #1 was witnessed by another staff to have slapped a child's hand. Complainant did not witness the alleged incident.

Based on the interviews, LPA confirmed that the alleged incident was reported to the Department when it occurred. Staff #1 was terminated according to the Director. Per interview with Director, Staff #1 did not admit to slapping the child's hand. Per interview with Staff #2, they observed Staff #1 slap the child's hand while at a table during feeding time because the child bites. Staff #2 confronted Staff #1 who did not admit to slapping the child's hand.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019
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 2
Control Number 33-CC-20190924111004
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: FIRST CHRISTIAN CHURCH INFANT CENTER
FACILITY NUMBER: 191594388
VISIT DATE: 11/05/2019
NARRATIVE
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A written statement obtained from Staff #1 when the incident occurred does not reveal Staff #1 admitted to slapping the child. Instead the staff notes they were moving the child's hand away to prevent the child from continuously pinching and biting Staff #1.

Due to conflicting statements and information obtained, LPA could not determine if the alleged incident and violation occurred. LPA attempted contacts with Staff #1, who did not respond.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted with Director Cristina Gomez and a copy of this report and appeal rights were provided.

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.

SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2