191594914-8-9-2019-54-CC-BVON-BGELYG-20190927091018

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191594914
Report Date: 08/09/2019
Date Signed: 08/09/2019 11:01:42 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 CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/22/2019 and conducted by Evaluator Armando J Lucero

COMPLAINT CONTROL NUMBER: 54-CC-20190722163951

FACILITY NAME:	CERRITOS COLLEGE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	191594914
ADMINISTRATOR:	DEBRA WARD		FACILITY TYPE:	850
ADDRESS:	11110 ALONDRA BLVD		TELEPHONE:	(562) 860-2451
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	125	CENSUS: 56	DATE:	08/09/2019
		UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Debra Ward, Director		TIME COMPLETED:	11:20 AM

ALLEGATION(S):

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Lack of supervision resulting in injuries
Day care child's authorized representative not notified of incidents

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analysts (LPAs) A. Lucero and D. Chambers regarding the allegations above. LPAs met with Director Debra Ward who guided LPAs on a tour of the indoors and outdoors of the facility.

Complaint alleges lack of supervision resulting in injuries and day-care child's authorized representative not notified of incidents. More specifically, complaint alleges that child #1 sustained a bite mark on their upper left thigh near the buttocks by another child in care on July 17, 2019.

LPA obtained a Discharge Form from complainant via email which stated that there was abrasion, but did not specifically state bite marks. Complainant stated that the injuries sustained by Child #1 were noticed when child was about to receive their bath at home by their representative.

Report Continues on Next Page

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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 54-CC-20190722163951

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CERRITOS COLLEGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191594914
	VISIT DATE: 08/09/2019

NARRATIVE

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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.

Exit interview conducted with the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights (LIC 9058 01/16) was provided. The Licensee’s signature on this report acknowledges receipt of rights.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20190722163951

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CERRITOS COLLEGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191594914
	VISIT DATE: 08/09/2019

NARRATIVE

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LPA interviewed Director and staff. It was stated during interviews that no one observed alleged incident happen, nor did child #1 notify staff of alleged incident. LPA obtained the Changing Log and determined that on July 17, 2019, child #1 was changed by staff #1 at 12:21pm and was picked up by their representative at 2:13pm. It was stated during interviews that nap time is from 12:30pm to 2:30pm and when child was picked up on the date of alleged incident, the child's representative changed child #1's Pull-Up and did not notify staff of the abrasion. LPA determined that if child #1 would have been changed after nap time by facility staff, there would have been documentation from staff #2 as staff #2 was in charge of Changing Duties after nap time. LPA obtained a copy of sign-in/out sheet.

It was also stated during interviews with staff that staff use gloves to change children. LPA obtained a Pull-Up that child #1 would have worn. LPA also obtained detailed documentation of child #1 with over ten entries that consist of child's daily activities with photos included. LPA also obtained copies of previous ouch reports and emails from Director to child's representative regarding the alleged incident.

The reporting party and the facility provided statements that conflict with one another in regards to Child #1 sustaining injuries from another child due to the lack of supervision. Due to the location of the alleged bite mark at the child's upper left thigh near the buttocks, the Discharge Form stating that there was an abrasion but not clearly stating a bite mark, and the possibility that the abrasion is an impression from Velcro from the child's Pull-Up, and child's representative not noticing the alleged mark when child was picked up and changed that day by child's representative, LPA is unable to determine if the child sustained a bite mark or that the incident occurred at the facility.

During interviews, staff were able to recall incidents involving child #1 and were able to provide documentation. A staff member providing adequate visual supervision does not mean that he or she would be able to prevent every single child-on-child interaction resulting in injury. There is also a lack of evidence to support that the facility was negligent in informing child's representative of the alleged incident as it was not observed by the facility staff.

Although the above 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 at this time the above allegation are Unsubstantiated.

Report Continues on Next Page

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC9099 (FAS) - (06/04)

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