198006365-12-12-2019-33-CC-CGUA-BKP32S-20200109165224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198006365
Report Date: 12/12/2019
Date Signed: 12/12/2019 05:28:25 PM

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
06/11/2019 and conducted by Evaluator Betty Bell

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20190611113310

FACILITY NAME:	ST STEPHENS PRESCHOOL ACADEMY		FACILITY NUMBER:	198006365
ADMINISTRATOR:	PAM GOYTIA		FACILITY TYPE:	830
ADDRESS:	1718 N. WALNUT		TELEPHONE:	(626) 918-9476
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	24	CENSUS: 5	DATE:	12/12/2019
		UNANNOUNCED	TIME BEGAN:	04:40 PM
MET WITH:	Director Maria Villegas		TIME COMPLETED:	05:40 PM

ALLEGATION(S):

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Daycare child sustained unexplained injuries.

INVESTIGATION FINDINGS:

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An unannounced follow-up inspection was conducted on this date by Licensing Program Analyst (LPA) Emiko Bell. Upon arrival, LPA was greeted and let into the facility by Director Maria Villegas to whom the reason for the inspection was announced and who then guided LPA on a tour of the infant classrooms.

Census: In the Infant room, there was 2 staff with five infants; and there was no one in the "Toddler" room. Staff-child ratio was met. (Facility does not have a Toddler component, they refer to the infants who walk as "toddlers.")

Throughout the course of the investigation, interviews were conducted with eight staff, three former staff, two adults and the Reporting Party. Documentation in the form of the Child Abuse Hotline Referral, and the Sherriff’s Suspected Child Abuse Report was obtained.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

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-20190611113310

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: ST STEPHENS PRESCHOOL ACADEMY	FACILITY NUMBER: 198006365
	VISIT DATE: 12/12/2019

NARRATIVE

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-Pertaining to the allegation that “Daycare child sustained unexplained injuries”:

This allegation refers to Friday, June 1, when Infant #1 was taken to the hospital for suspected physical and sexual abuse due to a hair having been found in the infant’s diaper, redness on the child’s buttocks and a semi-circular bite mark/bruise which was healing on the infant’s upper right thigh. The physical and sexual abuse was alleged to have occurred at the daycare. Sexual abuse was ruled out by a medical examination.

The daycare was not notified of the bite mark/bruise until Monday, June 3. One of the parents of Infant #1 claimed to have notified the Center about the bite mark/bruise the prior Thursday after it was discovered the prior Wednesday, but there is no record as to who at the Center was notified. When Center staff observed the bruise, it was described as being pea shaped and about the size of a nickel. Interviews conducted with Center staff revealed that no one had heard the infant cry out during the prior week and no bite mark/bruise was documented as having been observed during diaper changes. The Sheriff conducted an investigation and ruled out that any criminal activity had been conducted at the daycare.

The infant is described as “clumsy” and it was admitted that both parents have other infants in their residences, at least one of whom was teething during the time of the occurrence. Furthermore, one of the parents disclosed that they have playground equipment at their residence from which the child may have fallen or gotten bruises.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20190611113310

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: ST STEPHENS PRESCHOOL ACADEMY	FACILITY NUMBER: 198006365
	VISIT DATE: 12/12/2019

NARRATIVE

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As no disclosures were made by staff, and other possible explanations were provided as to how the infant may have sustained the bite mark/bruise, as well as the fact that the infant is still enrolled in the daycare, the allegation is found to be Unsubstantiated.

This agency has investigated the complaint alleging that there was a violation of Title 22, Division 12, Chapter 1, Article 6, Section 101223 (a) (3), "Personal Rights." Based upon the evidence as presented above, it has been determined that the complaint was Unsubstantiated (formerly Inconclusive). A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies are being cited.

Upon receipt, Director Maria Villegas posted the Notice of Site Visit. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in the issuance of a citation and the assessment of a $100 civil penalty.

An exit interview has been conducted with, and a copy of this report has been signed by and provided to Director Maria Villegas. Appeal Rights have been provided and explained to Director Maria Villegas.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3391
LICENSING EVALUATOR NAME: Betty Bell	TELEPHONE: (323) 981-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

LIC9099 (FAS) - (06/04)

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