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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197418641
Report Date: 10/14/2021
Date Signed: 10/14/2021 09:50:56 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/29/2021 and conducted by Evaluator Adrian Risher
PUBLIC
COMPLAINT CONTROL NUMBER: 30-CC-20210729132023
FACILITY NAME:VALOR CHRISTIAN ACADEMY - INFANT CAREFACILITY NUMBER:
197418641
ADMINISTRATOR:CAMPBELL, VALERIEFACILITY TYPE:
830
ADDRESS:525 EARLE LANETELEPHONE:
(310) 798-5181
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY:24CENSUS: 13DATE:
10/14/2021
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Michette Sutherland, Assistant DirectorTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Lack of Supervision:Child sustained multiple injuries while in care
Reporting Requirements:Staff did not notify child's authorized representative of injury
Facility has an outbreak
INVESTIGATION FINDINGS:
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On 10/14/2021 at 8:30am, Licensing Program Analyst (LPA) Adrian Risher, conducted a subsequent complaint inspection to deliver the findings regarding the above-mentioned allegations. Upon arrival, LPA met with Michette Sutherland, Assistant Director. LPA explained the purpose of the inspection. LPA observed 6 infants with 2 staff and 7 toddlers with 2 staff.

Information reported to the department that a child in care sustained several injuries while in the day-care. Reporting party disclosed they were not notified by staff of one particular serious injury. Reporting party stated they were informed about the injury when their child was picked up. Reporting party further stated that there was an outbreak of hand, foot & mouth during their child’s last week in care.
Substantiated
Estimated Days of Completion: 70
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021
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 3
Control Number 30-CC-20210729132023
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: VALOR CHRISTIAN ACADEMY - INFANT CARE
FACILITY NUMBER: 197418641
VISIT DATE: 10/14/2021
NARRATIVE
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On 08/03/2021, LPA Risher conducted a 10-day visit. During the inspection, LPA interviewed staff and director. LPA received copies of incident reports, email sent to parents regarding the outbreak, and facility roster. Based on the evidence obtained throughout the investigation it has been determined that child# 1 did get injured multiple times while in care. Child #1’s parents requested a meeting with the Director and Principal to discuss what the facility was planning to do moving forward, however the facility did not adhere to proper care and supervision to lessen the injuries to the child.

During the investigation, the facility provided copies of the incident reports in Child#1’s file. Child in care did sustain several injuries while in care and the facility supplied injury reports, however the facility did not notify the parents when a more serious injury occurred at the facility. It has been determined that staff waited until Child#1’s parents arrived to pick child up to notify parents of the injury.

Director provided a copy of the email that was sent to the parents at the beginning of July 2021. Parents were notified that a child showed symptoms of hand, food and mouth disease. While an outbreak did occur, it was confirmed parents were notified but Community Care Licensing (CCL) was not.

Based on the investigation which included interviews with relevant parties and observations by the LPA, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 12, Chapter 1, Article 06, Sections 101229 & 101223 is being cited on the attached LIC 9099D page. A Technical Assistance will be issued under section 101212 for Reporting Requirements

Assistant Director was notified that the facility will be placed on increased monitoring.

Exit interview was conducted and a copy of the report was provided. Appeal rights were reviewed and provided. A plan of correction was discussed and provided to the Assitant Director. Assistant Director was advised that each parent or child representative must sign the LIC 9224 Acknowledgement of Receipt of Licensing Report and return by the close of the business day or upon the next day the child returns to the facility or upon a newly enrolled child within the next 12 months and place the LIC 9224 in each child's file.

SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 30-CC-20210729132023
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VALOR CHRISTIAN ACADEMY - INFANT CARE
FACILITY NUMBER: 197418641
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/14/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/12/2021
Section Cited
CCR
101229(a)
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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.

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Director will conduct monthly in-service training on care & supervision for 12 months & agenda/discussion sent to CCL each month. LPA will provide video links on Care & Supervision & Personal Rights. The facility will establish a policy/plan of action on care & supervision. Amendment of the handbook policy on
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This requirement was not met as evidenced by: Child #1 sustained multiple injuries while in care. It was determined that proper care and supervision was not provided. This poses an immediate risk to the health & safety of the children in care.
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Care & Sup. & reporting requirements. Facility will report to parents & CCL on biters/aggressors & a plan on shadowing. Staff will be required to take additional training on Care & Sup. & biting concerns. Information on the additional training will be provided. Review videos by 10/21/2021 & complete the additional corrections by 11/12/21.
Type A
11/12/2021
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(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.
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Director will conduct monthly in-service training on care & supervision for 12 months & agenda/discussion sent to CCL each month. LPA will provide video links on Care & Supervision & Personal Rights. The facility will establish a policy/plan of action on care & supervision. Amendment of the handbook policy on
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This requirement was not as evidenced by: Child #1 sustained multiple injuries while in care. It was determined that safe and comfortable accomodations were not provided to Child#1. This poses an immediate risk to the health & safety of the children in care.
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Care & Sup. & reporting requirements. Facility will report to parents & CCL on biters/aggressors & a plan on shadowing. Staff will be required to take additional training on Care & Sup. & biting concerns. Information on the additional training will be provided. Review videos by 10/21/2021 & complete the additional corrections by 11/12/21.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Adrian RisherTELEPHONE: (424) 301-3050
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3