198018309-1-11-2023-33-CC-CGUA-CNPS5R-20230203123445

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198018309
Report Date: 01/11/2023
Date Signed: 01/11/2023 02:58:47 PM

Unsubstantiated

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
12/05/2022 and conducted by Evaluator Nolan Tcheng

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20221205124052

FACILITY NAME:	SOUTH HILLS ACADEMY		FACILITY NUMBER:	198018309
ADMINISTRATOR:	MICHELLE CLAYTON		FACILITY TYPE:	850
ADDRESS:	1600 E. FRANCISQUITO AVE.		TELEPHONE:	(626) 919-2000
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91791
CAPACITY:	120	CENSUS: 49	DATE:	01/11/2023
		UNANNOUNCED	TIME BEGAN:	01:53 PM
MET WITH:	Michelle Clayton - Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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Licensing Program Anaylst (LPA) Nolan Tcheng conducted an unannounced inspection for the purpose of delivering complaint findings. Upon arrival at 1:53pm, LPA was met by Director Michelle Clayton, to whom the purpose of the inspection was explained. At 2pm, LPA was given a tour of the facility where there were children present at the time of inspection. It was the conclusion of nap time during tour.

Census was taken. Rainbow (2s): 13 children with 2 staff, Angelfish (3s): 15 children with 2 staff, Superheroes (3s): 12 children with 2 staff, Sunshine (4s): 6 children with 2 staff, and Busy Dinosaurs (4s): 13 children with 2 staff.

During the course of investigation, Interviews were conducted with six staff, two children, and four parents. Documentation in the form of Child Care Roster, Class lists, Incident report, staff self reports, LIC624 Unusual Incident Report, and staff signed sheets from staff meeting were obtained.
REPORT CONTINUES PAGE 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

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 2

Control Number 33-CC-20221205124052

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: SOUTH HILLS ACADEMY	FACILITY NUMBER: 198018309
	VISIT DATE: 01/11/2023

NARRATIVE

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Information from the complainant indicates that a child was pushed and hit by a staff member at the facility.

Director disclosed during interview, an incident took place with a child at the facility where they alleged that a staff had hit them. The Human Resources (HR) department for the facility handled an internal investigation for the incident. The HR department addressed the act of "taking a child by the hand" is not the protocol when having a child move from one area to another. Child has been moved to another classroom since the incident took place. HR department did not having regarding "hitting" or "pushing" of a child. There were no disclosures regarding the allegations.

Staff interviews made no disclosures regarding the allegations.

Children interviews made no disclosures regarding the allegations.

Parent interviews made no disclosures regarding the allegations.

This investigation is addressing an incident that took place on 12/01/2022 and was reported to the Department 12/23/2022.

Based upon the evidence as presented above, this agency has investigated the allegation above and has determined that the allegation is Unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies are being cited for the allegations listed above

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.

Exit interview was conducted with Director Michelle Clayton, at 2:56pm. Copy of report provided.

END OF REPORT PAGE 2 of 2

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023

LIC9099 (FAS) - (06/04)

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