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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015881
Report Date: 06/08/2023
Date Signed: 06/08/2023 12:36:04 PM

Substantiated


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
04/05/2023 and conducted by Evaluator Roxana Lopez
COMPLAINT CONTROL NUMBER: 33-CC-20230405153534
FACILITY NAME:EL MONTE CITY SCHOOL DISTRICT-WILKERSON SCHOOL HSFACILITY NUMBER:
198015881
ADMINISTRATOR:AUDELIA MACIASFACILITY TYPE:
850
ADDRESS:2700 DOREEN AVENUETELEPHONE:
(626) 453-3700
CITY:EL MONTESTATE: CAZIP CODE:
91733
CAPACITY:22CENSUS: 11DATE:
06/08/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director Queta Moralws TIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Child sustained injuries by another day care child
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 6/8/2023. A risk assessment was conducted appropriate PPE was used. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 04/05/2023. LPA met with Lead Teacher, Debbie Escota to whom the purpose of the inspection was announced. Census was taken. Child Development Queta Morales arrived around 9:45 am.

Per the initial complaint report, the Reporting Party (RP) reported that Child # 1 has sustained injuries from different children. Per RP they spoke to teachers, site supervisor, and principal regarding their concerns- RP states that they were informed that Supervision will continue but that they did not have additional staff to support the classroom, when asked to volunteer they were told no. Additionally, when RP checked in with teachers regarding injuries- teachers were not always aware of what happened to Child # 1.

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Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 6
Control Number 33-CC-20230405153534
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: EL MONTE CITY SCHOOL DISTRICT-WILKERSON SCHOOL HS
FACILITY NUMBER: 198015881
VISIT DATE: 06/08/2023
NARRATIVE
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Regarding allegation: Child sustain injuries by another daycare child: LPA conducted interviews with 3 Staff. Staff #1 and 2 corroborated that Child # 1 did sustain injuries from other children. Per Staff # 1 child was injured by another child between 5- 7 times. Staff # 1-3 corroborated that there’s more than one child with referrals in the classroom and that extra support is given as it is available. Per Staff # 1, the class overall needs constant reminders on rules, safety, and supervision by teachers. Staff # 1 stated that extra support was given continually in the month of December and currently, they have extra support on Mondays and as it is available on other days. Staff #1- 3 corroborated that they do not have extra support to do one on one shadowing and that extra support would be beneficial for the class. Per Director, the support available includes Child Development Supervisor Support, Mental Health Specialist Support, and Meetings with Teachers and Parents. Through this support, strategies are implemented to use in the classroom. Additionally, staff corroborated that they have informed parents with concerns that extra support is given as it is available.

Pictures and documentation provided shows that Child # 1 was injured by another child 5 different times between the months of October- March.

LPA observed the classroom on 4/17/2023 and on 6/8/2023. During observations on 4/17/2023 LPA observed 3 staff present with 11 children. When all 3 staff were present in the classroom all children were engaged and class was running smoothly. During interview with staff # 2 who was supporting classroom- LPA heard children were crying and having disagreements with other children. LPA asked staff # 2 if they were able to distinguish who was upset- Per Staff # 2 children upset were the children who she was providing extra support to.

Observations on 6/8/2023 included 2 teachers with 11 children. LPA observations corroborated with Staff # 1 disclosure of class overall needing constant reminder. LPA observed staff # 1 and staff # 2 on this date- constantly addressing different situations where children were upset and needing extra support in regulating their emotions or using their words. Additionally, LPA observed that Director who was not included in the ratio had to step into the classroom to provide extra support- as the teachers in ratio were addressing other situation.
------------------------------------------------------------- pg 2 of 3 ---------------------------------------------------------
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 33-CC-20230405153534
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: EL MONTE CITY SCHOOL DISTRICT-WILKERSON SCHOOL HS
FACILITY NUMBER: 198015881
VISIT DATE: 06/08/2023
NARRATIVE
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LPA confirmed with Director that they were not in ratio and what the plan would be for extra support on the days that they are not present and extra support is not scheduled. Director stated that the Lead PM Teacher is available for extra support in the classrooms, if teacher’s need support, they can request support from PM Lead Teacher.

During parent interviews: Parent # 1 disclosed that they dis-enrolled their child from the facility because their child kept getting hurt by other children and when they voiced their concern they were not being heard. Per Parent # 1, the staff members they spoke with were not able to give them a plan on how the situation would be handled and they did not feel their child was safe in the facility.

This agency has investigated the complaint alleging child sustained injuries from another daycare child. Based on LPA’s observations, interviews that were conducted, and records reviews, the preponderance of the evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. The following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the facility representative Carol Gregory.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 33-CC-20230405153534
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: EL MONTE CITY SCHOOL DISTRICT-WILKERSON SCHOOL HS
FACILITY NUMBER: 198015881
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/15/2023
Section Cited
CCR
101226.3(a)
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Observation of the Child 101226.3 (a) The behavior and health of the children shall be continually observed throughout the period of attendance. This requirement was not me as evidenced by
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Per Director, they will write a decleration on how facility will be provided with extra support. A staff meeting will be conducted regarding Licensing visit and observations. Meeting notes, sign in sheet and decleration will be provided to LPA by POC due date of 6/15/2023.
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Staff did not comply by not providing adequate supervision to provide a safe environment for the child. Pictures, doctor notes, and interviews from staff & parents support that children are being injured by other children Staff interviews confirm that the facility does not have
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enough staffing to provide additional support to continually observe children’s behaviors in the classroom. LPA observation of the classroom showed that extra support is needed in the classroom for the children that need extra support to regulate their emotions and or use their words.
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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.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 6
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
04/05/2023 and conducted by Evaluator Roxana Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230405153534

FACILITY NAME:EL MONTE CITY SCHOOL DISTRICT-WILKERSON SCHOOL HSFACILITY NUMBER:
198015881
ADMINISTRATOR:AUDELIA MACIASFACILITY TYPE:
850
ADDRESS:2700 DOREEN AVENUETELEPHONE:
(626) 453-3700
CITY:EL MONTESTATE: CAZIP CODE:
91733
CAPACITY:22CENSUS: 11DATE:
06/08/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Director Queta Moralws TIME COMPLETED:
12:50 PM
ALLEGATION(S):
1
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3
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Facility failed to notify parent of child injuries
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 6/8/2023. A risk assessment was conducted appropriate PPE was used. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 04/05/2023. LPA met with Lead Teacher, Debbie Escota to whom the purpose of the inspection was announced. Census was taken. Child Development Supervisor Queta Morales arrived at 9:45 am

Throughout the course of the investigation, interviews were conducted with staff and parents. LPA also reviewed and obtained copies of the roster, photos, doctor notes, incident reports, and other documentation.

Per the initial complaint report, the Reporting Party (RP) reported that they checked in with teachers regarding injuries and teachers were not always aware of what happened to Child # 1.
------------------------------------------pg.1 of 1 ---------------------------------------------------------------------------------
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 33-CC-20230405153534
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: EL MONTE CITY SCHOOL DISTRICT-WILKERSON SCHOOL HS
FACILITY NUMBER: 198015881
VISIT DATE: 06/08/2023
NARRATIVE
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Regarding the allegation facility failed to notify the parent of child injuries- Staff # 1 -3 corroborated that any injuries or incidents are reported to parents via an incident report, if the injury is above the neck parents are contacted via phone. Staff # 2 & 3 corroborated that there have been times that an incident report is not written due to them not being aware of an incident or injury because they didn’t observe it and or the child did not mention getting hurt.

LPA conducted interviews with parents. Parents’ statements corroborated that they are happy with the care their child receives and that they have received incident reports when there has been an incident or injury with their child.

This agency has investigated the complaint alleging the facility failed to notify parents of child injuries Based upon the evidence as presented above, the allegations have been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with facility representative Carol Gregory

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana LopezTELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 6