198016424-11-2-2022-33-CC-CGAN-CLVP7H-20221207100358

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198016424
Report Date: 11/02/2022
Date Signed: 11/02/2022 05:10:08 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
10/24/2022 and conducted by Evaluator Cynthia Reyes

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20221024091151

FACILITY NAME:	KIDDIE ACADEMY OF GLENDORA		FACILITY NUMBER:	198016424
ADMINISTRATOR:	BETH HOLMES		FACILITY TYPE:	840
ADDRESS:	1339 SOUTH GRAND AVENUE		TELEPHONE:	(626) 691-0242
CITY:	GLENDORA	STATE: CA	ZIP CODE:	91740
CAPACITY:	27	CENSUS: 0	DATE:	11/02/2022
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Katherine Bergiman		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility’s transportation vehicle is in disrepair.
Facility is in disrepair.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced site inspection to investigate the complaint allegations listed above. Upon arrival licensing staff met with Assistant Director, Katherine Bergiman, who took LPA on a tour of the facility. Supervisor Heather Jenkins arrived shortly after. No school age children are present at this time.

The allegation states that the Facility’s transportation vehicles are in disrepair, as well as the school age component. Reporting Party (RP) alleges that the bus/vans tags have expiered, they have broken mirrows, the air conditioning does not work and they are dirty. RP also reported that in the school age playground area there are nails coming out of the turf that could hurt a child.

LPA conducted interviews and observations of the school age component. LPA observed that the 3 van/bus have expiered tags dated September 2022. The white van with the logo also has a broken seat belt. Per interviews and observation the vans have been cleaned and detailed.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 11/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022

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-20221024091151

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: KIDDIE ACADEMY OF GLENDORA	FACILITY NUMBER: 198016424
	VISIT DATE: 11/02/2022

NARRATIVE

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Per interviews and observation the vans have been cleaned and detailed (Text messages from detailer was shown). The Blue van/bus has a broken side mirror to see the rear of the vehicle.

As for the school age outdoor play yard, LPA observed during the walk through with the Assistant Director Katherine, the black tarp below the wood chips is protruding in several areas of the yard and LPA also observed nails protruding from the green fake grass area, and the wood surrounding it is warping. LPA observed the yard to have trash and the trash can is over flowing and it was stated that the yard has not been cleaned for a week now. Per interviews it was stated that the owner has been aware of the nails since July/August and that the children were told not to use the green fake grass area because of the nails. It was also stated that yellow caution tape was around it, however LPA did not observe any at this time. LPA also observed the door leading to the outside play area from the school age class room is broken at the top that helps hold the door open.

Based on the available information and LPA observations, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, (Title 22, Division 12 & Chapter Number 1), are being cited on the attached LIC 9099D.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted with Site Supervisor, Heather Jenkins. Appeal Rights explained and provided.

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 11/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20221024091151

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: KIDDIE ACADEMY OF GLENDORA	FACILITY NUMBER: 198016424
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/02/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/04/2022 Section Cited CCR 101225(c)	1 2 3 4 5 6 7	Transportation: Motor vehicles used to transport children shall be maintained in a safe operating condition. The requirement is not met as evidenced by LPA observed two of the van/bus that are used to transport children, the registration has expired as of September 2022. The blue van/bus has a	1 2 3 4 5 6 7	Supervisor states the tags will be placed on the van/bus and the mirror fixed by tomorrow morning and proof will be submitted.
	8 9 10 11 12 13 14	broken side mirrow. This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14
Type B 11/23/2022 Section Cited CCR 101238(a)	1 2 3 4 5 6 7	Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. The requirement is not met as evidenced by LPA observed in the outdoor play yard black tarp below the wood chips	1 2 3 4 5 6 7	Supervisor states will have the yard cleaned and fixed by the POC date. Supervisor states will submit a letter with the details of how she will have part of the yard closed while being fixed and how the ratio will be met outside by using a staggered schedule during the correction period.
	8 9 10 11 12 13 14	is protruding in several areas of the yard and nails protruding from the green fake grass area and the wood surrounding it is warping. Yard has trash and the trash can is over flowing This poses a potential risk to the health and safety of children in care.	8 9 10 11 12 13 14

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: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 11/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022

LIC9099 (FAS) - (06/04)

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