198007146-7-23-2019-54-CC-AHEZ-BEVTTD-20190809150034

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198007146
Report Date: 07/23/2019
Date Signed: 07/23/2019 10:36:51 AM

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 CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/02/2019 and conducted by Evaluator Jacqueline Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190502153920

FACILITY NAME:	EDGEWATER PRESCHOOL		FACILITY NUMBER:	198007146
ADMINISTRATOR:	ANDREA GALLAGHER		FACILITY TYPE:	850
ADDRESS:	5270 ATHERTON STREET		TELEPHONE:	(562) 597-5913
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY:	55	CENSUS: 40	DATE:	07/23/2019
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Andrea Gallagher, Director		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Facility staff handled child in a rough manner resulting in minor injury

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jacqueline Martinez conducted a complaint inspection to conclude the investigation is regards to the above allegation. LPA met with Andrea Gallagher, Director during this inspection.

On 05/02/19, a complaint was received that alleged that Staff#1 handled Child#1 in a rough manner resulting in a minor injury. During the course of this investigation, interviews were conducted with Staff members, children, Child #1 and Child #1's parent. Documentation was obtained relevant to the complaint allegation.

Based on LPAs observations and interviews, the facility failed to ensure Child #1's Personal Rights. The preponderance of evidence standard has been met, therefore the above allegation is SUBSTANTIATED. California Code of Regulations, (Title 22, Division Sections 101223(a)(3) (Personal Rights) are being cited on the attached LIC 9099D).

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019

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 54-CC-20190502153920

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: EDGEWATER PRESCHOOL	FACILITY NUMBER: 198007146
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/23/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type A 07/26/2019 Section Cited CCR 101223(a)(3	1 2 3 4 5 6 7	Personal Rights. Each child shall be free from corporal or unusual punishment, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature.	1 2 3 4 5 6 7	Director states that a one on one meeting will be held with Staff. Director will provide proof of the one to one meetings to the Department by due date.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by Child’s #1 clear disclosure that Staff #1 grabbed her wrist because she did not want to take a nap. This poses an immediate Personal Rights health and safety risk to the children in care.	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: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20190502153920

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: EDGEWATER PRESCHOOL	FACILITY NUMBER: 198007146
	VISIT DATE: 07/23/2019

NARRATIVE

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A copy of this report shall be provided to the parent/guardian of all children in care by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgment of receipt (LIC9224) shall be in each child's file. The Plan of Correction letter also needs to be posted for 30 days once it is received.

An exit interview was conducted with Andrea Gallagher, Director. Appeal rights were explained and provided to the licensee during exit interview.

The Licensee’s signature on this report acknowledges receipt of their rights. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019

LIC9099 (FAS) - (06/04)

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