197750029-4-3-2020-12-CC-MRAN-BNBPB2-20200403110935

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197750029
Report Date: 01/09/2020
Date Signed: 04/03/2020 11:09:18 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/06/2020 and conducted by Evaluator Victoria Hunt

PUBLIC

COMPLAINT CONTROL NUMBER: 12-CC-20200106121013

FACILITY NAME:	SUNSHINE LEARNING CENTER		FACILITY NUMBER:	197750029
ADMINISTRATOR:	SEAN ADACHI		FACILITY TYPE:	850
ADDRESS:	23720 WILEY CANYON ROAD		TELEPHONE:	(661) 254-6855
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91355
CAPACITY:	148	CENSUS: 84	DATE:	01/09/2020
		UNANNOUNCED	TIME BEGAN:	09:58 AM
MET WITH:	Krista Ribbons		TIME COMPLETED:	12:54 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Other - Staff not maintaining correct sign in/sign out records

INVESTIGATION FINDINGS:

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

**** This is an admendment to the report dated 01/9/20 change language on the report*******
Licensing Program Analysts (LPAs) Victoria Hunt and Monique Ayala arrived at the facility for the purpose of initiating a complaint investigation. LPAs met with Assistant Director, Krista Ribbons and informed the assitant director of the purpose for the visit. LPA toured the facility, took census children and staff, and conducted interviews. A total of 84 preschool children and 15 staff were present and observed at the time of this inspection. The following documents were obtained during today: attendance sign in and out sheets, and children/parent's roster, and other pertinent documents and reports relevant to the investigation.

This investigation consisted of interviews with staff, and during the investigation LPAs observed that, attendance sign in and out sheets that were missing parents signatures. Therefore this complaint is deem substanitated based on the evidence obtained during the course of the investigation.
An exit interview was conducted and appeal rights were provided to assistant director.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020

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 12-CC-20200106121013

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: SUNSHINE LEARNING CENTER	FACILITY NUMBER: 197750029
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/09/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/20/2020 Section Cited CCR 101229.1(b)	1 2 3 4 5 6 7	Sign in and Out The person who brings the child to, and removes the child from, the center shall sign the child in/out.	1 2 3 4 5 6 7	The assistant director will come up with a written procedure regarding the sign in and out sheets. The written plan will be submitted to licensing on or before the plan of correction date of 01/.20/20. Assistant director states that she will hold a meeting with staff regarding the new sign in and out procedures.
	8 9 10 11 12 13 14	This requirement was not met as evidence by: During today's inspection LPAs observed sign in and out sheets that were missing parent signatures.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2020

LIC9099 (FAS) - (06/04)

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