198017907-8-23-2021-33-CC-CGUA-C68TVX-20210825150438

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198017907
Report Date: 08/23/2021
Date Signed: 08/23/2021 03:13:13 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
05/25/2021 and conducted by Evaluator Seung Lee

COMPLAINT CONTROL NUMBER: 33-CC-20210525125341

FACILITY NAME:	INFANT CENTER OF LA VERNE UNITED METHODIST CHURCH		FACILITY NUMBER:	198017907
ADMINISTRATOR:	NIEVES, VALERIE		FACILITY TYPE:	830
ADDRESS:	3205 D STREET		TELEPHONE:	(909) 596-5369
CITY:	LA VERNE	STATE: CA	ZIP CODE:	91750
CAPACITY:	12	CENSUS: 8	DATE:	08/23/2021
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Valerie Nieves		TIME COMPLETED:	12:44 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not properly address an outbreak while children are in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Seung Lee conducted an unannounced complaint inspection. Upon arrival LPA Lee met with Director Valerie Nieves.

During the course of this investigation, LPA conducted interviews, reviewed documents, and made observations in regards to the above allegation.

The complaint alleges that the facility had an outbreak of diarrhea and did not take proper action to address it by notifying parents of children in care. The Director denied these allegations and made no disclosure. The DIrector stated that there was no outbreak of diarrhea at the facility since there was only one child that was sent home due to having symptoms in the last 3 to 5 months. The Director stated that if two children had been observed with the same symptoms, the facility would have notified the parents as well as take additional steps to properly address an outbreak.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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-20210525125341

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: INFANT CENTER OF LA VERNE UNITED METHODIST CHURCH	FACILITY NUMBER: 198017907
	VISIT DATE: 08/23/2021

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During interviews, staff members of the facility did not provide any information that supported the allegation. The staff members interviewed stated that the infant center did not have an outbreak of any kind in the last 3 to 5 months.

Based on the evidence collected the allegation that Staff did not properly address an outbreak while children are in care may be valid. However, there is not enough preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore at this time the above allegations are found to be unsubstantiated.

The notice of site inspection must remain posted for a period of 30 days during hours operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Director Valerie Nieves. Appeal rights discussed and explained.

SUPERVISOR'S NAME: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 2