192006561-6-28-2024-33-CC-BVON-D9WPU7-20241010113701

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 192006561
Report Date: 06/28/2024
Date Signed: 06/28/2024 01:21:52 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
06/26/2024 and conducted by Evaluator Staicy Perry

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20240626162500

FACILITY NAME:	ALISO PICO PRESCHOOL		FACILITY NUMBER:	192006561
ADMINISTRATOR:	CLAUDIA ARREOLA		FACILITY TYPE:	850
ADDRESS:	1505 E. 1ST STREET		TELEPHONE:	(323) 269-6921
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90033
CAPACITY:	37	CENSUS: 20	DATE:	06/28/2024
		UNANNOUNCED	TIME BEGAN:	08:17 AM
MET WITH:	Carolina Ramon, Site Supervisor.		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights
Supervision

INVESTIGATION FINDINGS:

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

An unannounced inspection was conducted by Licensing Program Analysts (LPA) Staicy Perry on June 28,2024. A COVID risk assessment was conducted. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 06/26/2024. LPA met with Site Supervisor Carolina Ramon to whom the purpose of the inspection was announced. Census was taken and LPA Perry observed 20 children and 6 staff present.

Throughout the course of the investigation, interviews were conducted with staff and reporting party. LPA also reviewed and obtained copies of the facility roster, ouch report, personnel report and parent handbook and other documentation.

Per initial complaint report, the complainant reported that Staff did not ensure adequate care and supervision was provided and child sustained an injury while in care. Per complainant, C#1 had a child

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 33-CC-20240626162500

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALISO PICO PRESCHOOL	FACILITY NUMBER: 192006561
	VISIT DATE: 06/28/2024

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

bite on his left cheek. The RP stated that C#1's cheek was bleeding from where the bite mark happened. The RP stated that the incident occurred at 10:00AM at the facility. The RP stated that they do not pay attention to the children and don't know why. Per interview with R.P. it was stated that C#1 was not bleeding but bite mark on check had the teeth indentations and was red like if there was trapped blood and also bruising. R.P. stated that “I don't feel comfortable that my child is not being taken care of properly and observed properly. The teachers didn't see what happened.”.

LPA conducted interviews with staff # 1- 5. Regarding allegation #1 and #2: Staff #1-5 stated that they did not observe the incident occur. S#3 stated that they were near where the incident happened but was assisting another child in another area. S#4 stated that they were near the table but their back was towards C#1. S#5 stated that they were in the diaper changing area changing diapers. Staff disclosed that there were 10 children with 3 teachers during the time of the incident. Per S#1 who was in classroom B, all S#1 heard was C#1 crying then saw S#3 come to the kitchen to grab ice or an ice pack and then S#3 went back to Classroom A. Per S#2, they were not in the classroom at the time of the incident. All staff corroborated that they did not see the incident occur.

LPA Perry observed where each teacher was positioned when the incident occurred and was evident that no teacher saw what happened. LPA did observe that diaper changing area is inside the restroom which has walls and does not allow visual of the classroom.

This agency has investigated the complaint alleging, Staff did not ensure adequate care and supervision was provided and day-care child sustained unexplained injuries while in care. Based upon the evidence as presented above, the allegation has been determined to be substantiated. Based on interviews and disclosures made during the department investigation, the preponderance of evidence and the standard has been met, therefore, the above allegations are found to be substantiated. California Code of Regulations (Title 22 Division & Chapter), are being cited on the attached deficiencies page LIC 9099-D.

A Notice of Site Visit was provided and must be posted for 30 days. Appeal rights were provided and explained to Site Supervisor, Carolina Ramon. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with Site Supervisor, Carolina Ramon.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 33-CC-20240626162500

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: ALISO PICO PRESCHOOL	FACILITY NUMBER: 192006561
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/28/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 07/12/2024 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified	1 2 3 4 5 6 7	Licensee shall provide additional training (Section 101229 Responsibility for Providing Care and Supervision) to all staff. Director will have teachers watch https://ccld.childcarevideos.org/child-care-center-operators/supervising-children-in-
	8 9 10 11 12 13 14	in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidence by: Per interviews with Staff C#1 had a bite mark on cheek and didn't observe the incident happen. Though no child received medical attention, a lack of supervision occurred.	8 9 10 11 12 13 14	child-care-centers/ videos and provide a summary of what they learned and provide proof to LPA by POC date. Per site sup;ervisor a meeting will be held to discuss supervision in the classroom and desgnating areas where teachers should be positioned to have 100% supervision in the classroom at all times and will provide attandance sheet and training overview to LPA by POC date.
Type B 07/12/2024 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223 Personal Rights states (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment to meet his/her needs. This requirement was not met as evidenced by	1 2 3 4 5 6 7	Per Site Supervisor, she will have a staff meeting to discuss child’s personal rights and will watch personal rights video on https://ccld.childcarevideos.org/ Site Supervisor and staff will write a declaration with plans implemented for this not to happen again. Declarations will be submitted to LPA via email by POC date.
	8 9 10 11 12 13 14	Based on information obtained and interviews conducted, C#1 was injured while in care and staff did not see what happened which poses an potential risk to the health and safety of the children.	8 9 10 11 12 13 14	along with summaries of what they learned. Site Supervisor will hola a meeting to go over childrens personal rights.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024

LIC9099 (FAS) - (06/04)

Page: 5 of 5