198018884-12-12-2019-54-CC-BVON-BK9BQJ-20191227001646

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198018884
Report Date: 12/12/2019
Date Signed: 12/12/2019 12:11:08 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 CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/25/2019 and conducted by Evaluator Susann Sanchez

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190925114042

FACILITY NAME:	KIDZ LEARNING KINGDOM		FACILITY NUMBER:	198018884
ADMINISTRATOR:	RIVAS, CARINA		FACILITY TYPE:	830
ADDRESS:	3588 LONG BEACH BLVD.		TELEPHONE:	(562) 989-8228
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90807
CAPACITY:	24	CENSUS: 3	DATE:	12/12/2019
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Carina Rivas, Owner/ Director		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff failed to provide proper eating accommodations for daycare children.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced complaint inspection for the purpose of delivering the findings and interviewing staff for the above allegation. LPA met with Owner/ Director Carina Rivas who guided the LPA on a tour of the facility. During the time of the inspection, there was a total three infants with one staff member. Two more staff members arrived 30 mintues later.

During the course of the investigation, LPA Sanchez conducted interviews with the Owner/Director, day-care staff, and parents. Pictures were taken of the facility. Children present were not available for interview, due to them being non-verbal.

Complainant alleged she/he observe an infant eating on the floor and other children were taking food from there plate. LPA observed on 10/04/19, an infant/ toddler eating in the preschool area. Infant/toddler was sitting in an adult chair and using an adult table.

***** Report continues on the next page******

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

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 5

Control Number 54-CC-20190925114042

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KIDZ LEARNING KINGDOM	FACILITY NUMBER: 198018884
	VISIT DATE: 12/12/2019

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

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, under Personal Rights 101223(a)(2).

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. Exit interview was conducted with Carina Rivas , Director, including, but not limited to Provider Rights, Appeal Procedures. Appeal Rights were given and explained.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 54-CC-20190925114042

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KIDZ LEARNING KINGDOM	FACILITY NUMBER: 198018884
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/12/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/26/2019 Section Cited CCR 102423(a)	1 2 3 4 5 6 7	Personal Rights: Each child shall be accorded safe, healthful and comfortable accommodations, furnishing and equipment. The requirement is not met as evidenced by LPA observed infant/ toddler eating in an adult chair. This poses a potential risk to the health and safety of children in care .	1 2 3 4 5 6 7	Per director children will eat in proper table with a proper chair. Children will not eat on the floor. Issues will be address during staff meeting.
	8 9 10 11 12 13 14		8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 5

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 CENTER DR 200B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/25/2019 and conducted by Evaluator Susann Sanchez

COMPLAINT CONTROL NUMBER: 54-CC-20190925114042

FACILITY NAME:	KIDZ LEARNING KINGDOM		FACILITY NUMBER:	198018884
ADMINISTRATOR:	RIVAS, CARINA		FACILITY TYPE:	830
ADDRESS:	3588 LONG BEACH BLVD.		TELEPHONE:	(562) 989-8228
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90807
CAPACITY:	24	CENSUS: 3	DATE:	12/12/2019
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Carina Rivas, Owner/ Director		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Daycare child eloped from the facility.
Staff failed to adhere to safe sleep practices.
Staff failed to provide comfortable accommodations for the children in care.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Susann Sanchez conducted an unannounced complaint inspection for the purpose of delivering the findings and interview staff for the above allegations. LPA met with Owner/ Director Carina Rivas who guided the LPA on a tour of the facility. During the time of the inspection, there was a total three infants with one staff member. Two more staff members arrived 30 minutes later.

During the course of the investigation, LPA Sanchez conducted interviews with the Owner/Director, day-care staff, and parents. Children present were not available for interview, due to them being non-verbal.

Allegation #1, Complainant alleged she/he thinks a child might have left the facility, due to socks being dirty and a thorn found on the child. Based on statements made by parents, staff interviewed, LPA's observations, complainant uncertainty, the LPA is unable to determine whether the allegation actually occurred.

***** Report continues on the next page******

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 54-CC-20190925114042

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KIDZ LEARNING KINGDOM	FACILITY NUMBER: 198018884
	VISIT DATE: 12/12/2019

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

Allegation #2: Complainant alleged she/he observed staff failed to use safe sleep practices. Complainant is stating she observe children being cover from head to toe during nap time with a blanket. During the course of the investigation LPA never observed any blankets in the cribs. Based on statements made by parents and staff, LPA is unable to determine whether the allegation actually occurred.

Allegation #3: Complainant alleged she/he observed staff failed to provide comfortable accommodations for the children in care. Complainant stated that one time she/ he felt the room where children nap was to hot and that children's clothes were damped. Complainant stated that the AC did not work. On 10/04/2019, LPA observed the AC to be working. It was 80 degrees outside and LPA felt comfortable inside. LPA also observed emergency fans. All staff and parents interviewed made no disclosures.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

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. Exit interview was conducted with Carina Rivas, Director, including, but not limited to Provider Rights, Appeal Procedures. Appeal Rights were given and explained.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann Sanchez	TELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019

LIC9099 (FAS) - (06/04)

Page: 5 of 5