191594688-3-24-2020-33-CC-VCOK-BNNQ2C-20200414114651

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191594688
Report Date: 03/24/2020
Date Signed: 03/24/2020 11:53:14 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
01/24/2020 and conducted by Evaluator Mireya Garcia

COMPLAINT CONTROL NUMBER: 33-CC-20200124102337

FACILITY NAME:	L.A. COUNTY FAIR ASSOC. INFANT CENTER		FACILITY NUMBER:	191594688
ADMINISTRATOR:	HOLLY REYNOLDS		FACILITY TYPE:	830
ADDRESS:	1101 W. MCKINLEY		TELEPHONE:	(909) 623-3899
CITY:	POMONA	STATE: CA	ZIP CODE:	91768
CAPACITY:	62	CENSUS: 10	DATE:	03/24/2020
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Ruby Escamilla, Assistant Director & Alexis Luby-Gordillo, Program Director		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff allow infants in care to sleep on the floor.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Mireya García arrived unannounced at the facility for the purpose of conducting a follow up complaint investigation to deliver findings regarding the allegation listed above. LPA met with Assistant Director, Ruby Escamilla, who guided analyst on a tour. Census was taken.

Based on observations made on 01/31/20, LPAs García and Baluyot observed one (1) infant (approximately 1 year of age) napping on a mat covered with a blanket which was placed on the floor with staff direct supervision.

During today’s visit, LPA Garcia observed total of two (2) infants and eight (8) toddlers in care. Facility staff eleven (11) were observed assisting infants and toddlers with care and supervision.
Napping equipment was observed inside the classrooms on 01/31/20 and on 03/24/20. Number of cribs, mats and cots were observed in quantities to meet the needs of children in care. LPA did not observe boppies as equipment used. Report continues on next page 1 of 2.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2020

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 2

Control Number 33-CC-20200124102337

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: L.A. COUNTY FAIR ASSOC. INFANT CENTER	FACILITY NUMBER: 191594688
	VISIT DATE: 03/24/2020

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

In review of records of the infant room Nap logs dated from 01/02/20-01/31/20, although each entry identifies the number of infants, nap time recorded, staff initials log of the supervision of all children napping that requires all adults to visually supervise all children while sleeping, the logs do not indicate the location of where the infants are napping.

LPA conducted interviews with one (1) floater, three (3) Assistants and (2) Teachers, all staff denied observing or having knowledge of staff allowing infants in care to sleep on the floor or on a boppy.

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.

Exit interview was conducted with Program Director, Alexis Luby-Gordillo, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. A copy of the Appeal Rights (LIC 9058 FAS 01/16) were given and explained. Director’s signature on this form acknowledges receipt of these rights.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
Report ends here Page 2 of 2.

SUPERVISOR'S NAME: Valarie Cook	TELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya Garcia	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 2