191598906-8-19-2021-33-CC-CGAN-C732M2-20210920173025

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191598906
Report Date: 08/19/2021
Date Signed: 08/19/2021 10:02:40 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
06/30/2021 and conducted by Evaluator Nolan Tcheng

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20210630082054

FACILITY NAME:	GOOD SHEPHERD CHILDREN'S CENTER, THE		FACILITY NUMBER:	191598906
ADMINISTRATOR:	BROWN, LINDA		FACILITY TYPE:	830
ADDRESS:	400 W. DUARTE RD		TELEPHONE:	(626) 447-1249
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91007
CAPACITY:	12	CENSUS: 6	DATE:	08/19/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Cindy Ostry - Office Manager		TIME COMPLETED:	10:09 AM

ALLEGATION(S):

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Staff handles children roughly
Personal Rights: staff did not treat child with dignity
Staff yelled at child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced in person inspection to deliver complaint findings for the above allegations. Upon arrival at 9am, LPA was met by Office Manager Cindy Ostry, to whom the purpose of the inspection was provided. LPA was provided a tour of the facility at 9:07am. Director Linda Brown arrived at 9:40am.

Census was taken. There were 6 children present and 4 staff at the time of inspection.

Throughout the course of the investigation, interviews were conducted with Complainant, five staff, two adults, and seven parents. Documentation in the form of the Child Care Facility Roster, Personnel Polices, Infant/Toddler Parent Handbook and current class roster were obtained.

REPORT CONTINUES PAGE 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021

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 33-CC-20210630082054

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: GOOD SHEPHERD CHILDREN'S CENTER, THE	FACILITY NUMBER: 191598906
	VISIT DATE: 08/19/2021

NARRATIVE

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Information from complainant indicates that staff member at facility roughly handled a child. Complainant states staff member did not treat child with dignity and yelled at child in care.

Director states that no incidents pertaining to the allegations were observed on the day noted in the complaint.

Children were unable to be interviewed during course of investigation as they are nonverbal age.

Parents interviewed made no disclosures of the above allegations.

Staff interviewed did not observe any incidents pertaining to the above allegations.

Interviews with adults connected to the complaint made no disclosures.

Based upon the evidence as presented above, this agency has investigated the allegations above and has determined that the allegations are Unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies are being cited for the allegations listed above

Exit interview was conducted with Director Linda brown, at 9:50am including, but not limited to Provider Rights, Appeal Procedures and Agency’s Consultative Role.

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.

END OF REPORT PAGE 2 of 2

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021

LIC9099 (FAS) - (06/04)

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