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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198004738
Report Date: 03/12/2024
Date Signed: 03/12/2024 11:16:54 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 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
01/16/2024 and conducted by Evaluator Mary Silva
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240116150004
FACILITY NAME:PUEBLO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198004738
ADMINISTRATOR:KYM ALLENFACILITY TYPE:
850
ADDRESS:1444 E. HOLT AVE., ROOM 3TELEPHONE:
(909) 994-3796
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:32CENSUS: 12DATE:
03/12/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator Laura BorjaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff wake up children during nap time.
INVESTIGATION FINDINGS:
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On 03/12/2024 Licensing Program Analyst (LPA) Mary Silva conducted a subsequent complaint inspection to conclude the investigation regarding the above complaint allegation. The purpose of the inspection was explained. LPA met with Administrator Laura Borja, and Child Development Facilities Licensing Planner Kym Allen, who guided LPA on a tour of the facility. There was a total of 12 children present and two staff.

Complainant alleged that staff wake up children during nap time.

During this investigation, Licensing staff conducted interviews with Child Development Facilities Licensing Planner, two staff, parents/guardians of children enrolled and two daycare children. A copy of the facility roster, personnel report, and designation of responsibility form were obtained.

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
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-20240116150004
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PUEBLO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198004738
VISIT DATE: 03/12/2024
NARRATIVE
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During the course of interviews conducted, a disclosure was made that corroborates with the above complaint allegation. On occasion, staff wake up children when a guardian/parent requests for early pick up. Staff calls the children’s name and removes the blanket to ensure they are awake when guardian/parent arrive. This is a violation of a child’s personal rights while in care.

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 given and must remain posted for 30 days. Appeal Rights provided.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Appeal rights were provided.

Exit interview conducted and report was reviewed with the Administrator Laura Borja.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20240116150004
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PUEBLO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198004738
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/26/2024
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights
The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by:
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Per administrator a faculty meeting will be conducted to review the policy and procedures of nap time routines. A copy of the agenda, sign in sheet, and written procedures will be submitted to LPA by POC due date via email.
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Based on interviews conducted, the facility did not comply with the section cited above as evidenced by disclosures made during department interviews, which poses a potential risk of the health, safety, and personal rights of children in care.
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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: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
LIC9099 (FAS) - (06/04)
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