198015694-9-4-2019-33-CC-CGUA-BGLTNU-20191003145319

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198015694
Report Date: 09/04/2019
Date Signed: 09/04/2019 04:21:24 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
08/26/2019 and conducted by Evaluator Cynthia Reyes

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20190826090748

FACILITY NAME:	CHERRY BLOSSOM CHILD CARE & PRESCHOOL		FACILITY NUMBER:	198015694
ADMINISTRATOR:	LYNN MARROQUIN		FACILITY TYPE:	850
ADDRESS:	906 S. GRAND AVENUE		TELEPHONE:	(626) 335-5500
CITY:	GLENDORA	STATE: CA	ZIP CODE:	91740
CAPACITY:	55	CENSUS: 24	DATE:	09/04/2019
		UNANNOUNCED	TIME BEGAN:	02:31 PM
MET WITH:	Martha Alvarez		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Facility failed to abide by admission agreement

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPAs) Cynthia Reyes and Alicia Bailey, conducted an unannounced complaint inspection on this date. LPA met with Assistant Director Martha Alvarez who guided LPAs on a tour of the facility. Director Lynn Marroquin arrived later and complaint was discussed.

Based on LPA Interviews conducted and documents reviewed and received and Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur, therefore, the allegation is unsubstantiated for the Facility failed to abide by admission agreement. In the admission agreement nothing is documented that the facility or the parent is to give a 2 week notice regarding dis-enrolling a child for any reason. Also their is nothing in the admission agreement regarding reasons for refunds of tuition. Per Interviews it was stating that the director was notified of the child's issues with potty training and eating and per the Director she stated she was only notified of the child needing potty training.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

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-20190826090748

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: CHERRY BLOSSOM CHILD CARE & PRESCHOOL	FACILITY NUMBER: 198015694
	VISIT DATE: 09/04/2019

NARRATIVE

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Director stated she never denied or dis-enrolled the child from attending the day care and had requested the family to attend the day care and observe the first few days of child being in care and never got a response from the family. E-mails were provided as proof that the director invited the family to observe their child. Per interview it was stated that the director verbally dis-enrolled the child.

Exit interview was conducted with Director Lynn Marroquin. The Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms. Consultation was conducted regarding the admission agreement.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 09/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2019

LIC9099 (FAS) - (06/04)

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