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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198015976
Report Date: 09/28/2021
Date Signed: 09/28/2021 12:47:29 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
09/20/2021 and conducted by Evaluator Lissete Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20210920102508
FACILITY NAME:CLAREMONT ABC FOR ME PRESCHOOLFACILITY NUMBER:
198015976
ADMINISTRATOR:ADETAYO ABONFACILITY TYPE:
850
ADDRESS:1700 DANBURY RD.TELEPHONE:
(909) 730-7181
CITY:CLAREMONTSTATE: CAZIP CODE:
91711
CAPACITY:37CENSUS: 31DATE:
09/28/2021
UNANNOUNCEDTIME BEGAN:
09:01 AM
MET WITH:Adetayo Abon, DirectorTIME COMPLETED:
01:01 PM
ALLEGATION(S):
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Personal Rights: Children over the age of 2 gathered indoors not wearing face coverings.
INVESTIGATION FINDINGS:
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At 9:01AM on 9/28/2021, an unannounced Complaint Inspection was conducted by Licensing Program Analysts (LPAs) Lissete Gonzalez and Steven Tung. Upon arrival, LPAs met with Director, Adetayo Abon. The purpose for the inspection was announced to the Director. Census was taken.

At 9:21AM, LPAs began tour of the facility with Director, Adetayo Abon. The following staff were present during this inspection: Staff #2 and Staff #3 with 12 preschoolers indoors. LPAs observed Staff #4, Staff #5, and Staff #6 outdoors with 19 preschoolers. During today's inspection, interviews were conducted with witnesses. LPAs obtained a copy of the child care facility roster and reviewed other documentation.

The allegation states, Children over the age of 2 gathered indoors not wearing face coverings. At 9:21 a.m., LPAs observed that 12/12 children gathered indoors were wearing face masks and 2/2 staff were wearing face masks. At 9:25AM LPAs observed that 19/19 children playing outdoors were not
REPORT CONTINUES ON NEXT PAGE: 1 OF 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3383
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021
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 2
Control Number 33-CC-20210920102508
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: CLAREMONT ABC FOR ME PRESCHOOL
FACILITY NUMBER: 198015976
VISIT DATE: 09/28/2021
NARRATIVE
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wearing masks and 3/3 were staff were wearing face masks. LPAs observed the 19 children playing outdoors had their masks labeled and stored in a cart.

During staff interviews it was disclosed the facility’s policy requires children age 2.5 years and above to wear face masks indoors and disposable face masks are provided to all children in care. LPAs observed disposable masks available at the facility for children in care. Interviews conducted with witnesses corroborated the statement that masks are required for children ages 2.5 and older. The facility website, www.abcformepreschool.com, has COVID-19 Prevention and Guidelines that state “Face coverings are mandatory unless the child is under 2.5 years old...” The current California Department of Public Health (DPH) COVID-19 Guidance for Early Childhood Education Providers Requirements and Best Practices dated 8/02/2021 states children ages 24 months and older are required to wear a face mask indoors. Masks may be removed during nap time or when children are eating or drinking. LPAs provided a copy of the guidance to the Director. LPAs also provided a copy of the Face Coverings Q & A from the California Department of Public Health.

Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. A finding of Substantiated means that the allegation has been found to be valid because the preponderance of the evidence standard has been met. A Technical Violation is being issued under 101223(a)(2) Personal Rights section to protect the health and safety of children in care.

Exit interview was conducted with Director, Adetayo Abon. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

END OF REPORT: PAGE 2 OF 2
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3383
LICENSING EVALUATOR NAME: Lissete GonzalezTELEPHONE: (323) 981-3383
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2