198018436-9-5-2023-33-CC-BVON-CVLQZF-20230912123639

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198018436
Report Date: 09/05/2023
Date Signed: 09/05/2023 12:25:04 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
06/13/2023 and conducted by Evaluator Roxana Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230613091655

FACILITY NAME:	RENTERIA FAMILY CHILD CARE		FACILITY NUMBER:	198018436
ADMINISTRATOR:	RENTERIA, LUDIVINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 804-9678
CITY:	EL MONTE	STATE: CA	ZIP CODE:	91732
CAPACITY:	14	CENSUS: 3	DATE:	09/05/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Licensee Luduvina Renteria		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Child sustained unexplained injury while in care

INVESTIGATION FINDINGS:

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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 9/5/2023. A COVID risk assessment was conducted upon entry. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 06/13/2023. LPA met with Licensee Luduvina Renteria to whom the purpose of the inspection was announced. Census was taken.

Throughout the course of the investigation, interviews were conducted with staff, children, and parents. LPA also reviewed and obtained copies of the children’s roster and other documents.

An interview was conducted with the complainant to obtain further details regarding the allegations made. Per the initial complaint report, the complainant reported that after picking up their child (child # 1) from daycare, they noticed that Child # 1 had some discomfort when using the left arm. Per the complainant, as the discomfort was increasing, they took the child to urgent care.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana Lopez	TELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023

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-20230613091655

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: RENTERIA FAMILY CHILD CARE	FACILITY NUMBER: 198018436
	VISIT DATE: 09/05/2023

NARRATIVE

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The complainant was informed that the child’s left elbow was dislocated, medical records indicate a nursemaid elbow injury. Per the complainant, they checked in with the daycare provided as no information was given during pick up besides the child having a tough day. LPA was unable to interview child # 1.

Regarding allegation # 1 child sustained an unexplained injury while in care- LPA conducted interviews with the complainant, parents, children, and staff.

LPA conducted interviews with staff # 1 and 2. Staff corroborated that on the day of the incident child # 1 had a therapy session, they noticed child got upset but did not see anything out of the ordinary. Per Staff # 1 and # 2 after therapy child # 1 joined children for playtime and lunch without any issues and was not observed to have any discomfort in the arm. Staff # 1 disclosed that Child # 1 did wake up from a nap very upset and took the child a while to calm down. Per Staff # 1 after nap child # 1 was fine throughout the rest of the day and was eating when picked up.

LPA conducted interviews with parents and children. Parents’ statements corroborated that they are happy with the care that their child receives and do not have any concerns about staff or supervision. Children’s statements corroborated that they like their teachers. No disclosures were made regarding child # 1. LPA was unable to interview the Therapist as they were not available for interview.

This agency has investigated the complaint alleging the child sustained unexplained injury while in care. Based on the evidence presented above, the allegation has 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.

Exit interview conducted and report was reviewed with Licensee Ludivina Renteria

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Roxana Lopez	TELEPHONE: (323) 854-5073
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2023

LIC9099 (FAS) - (06/04)

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