198019065-11-14-2022-33-CC-CGUA-CLESPQ-20221122130331

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019065
Report Date: 11/14/2022
Date Signed: 11/14/2022 04:11:02 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
10/05/2022 and conducted by Evaluator Seung Lee

COMPLAINT CONTROL NUMBER: 33-CC-20221005132759

FACILITY NAME:	BLOOMING FLOWERS CHILD CARE CENTER		FACILITY NUMBER:	198019065
ADMINISTRATOR:	THOMAS, JAZMYNE		FACILITY TYPE:	850
ADDRESS:	680 E. ARROW HIGHWAY		TELEPHONE:	(909) 399-0003
CITY:	POMONA	STATE: CA	ZIP CODE:	91767
CAPACITY:	60	CENSUS: 11	DATE:	11/14/2022
		UNANNOUNCED	TIME BEGAN:	12:01 PM
MET WITH:	Anntoinette Jordan		TIME COMPLETED:	02:25 PM

ALLEGATION(S):

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Staff did not ensure day care child attended school.
Staff do not pick up day care child from school in a timely manner.

INVESTIGATION FINDINGS:

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

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

The complaint alleges that Child#1 was not taken to his elementary school from the facility and that Child#1 was picked up late by the facility from his elementary school. The Director stated that she does recall the incident where Child#1 was accidently not taken to school. The Director stated that there was a mix up with the start time for Child#1 by a staff member who was suppose to take the child to school in the morning. The Director stated the parent was notified of the mix up in the morning and the child did not end going to school that day. The complaint also mentions that Child#1 was picked up late in the afternoon by the facility.

Substantiated

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: 11/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022

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-20221005132759

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: BLOOMING FLOWERS CHILD CARE CENTER	FACILITY NUMBER: 198019065
	VISIT DATE: 11/14/2022

NARRATIVE

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During an interview, the Director was asked by LPA Lee if Child#1's elementary school ever notified the parent/guardian of Child#1 that the child was not picked up despite a certain amount of time passing. The Director stated that she does recall the mother being called by Child#1's elementary school and then calling the school wondering what had happened. The Director stated that there was a mix up regarding Child#1's pick up time and that schedule has been revised so that Child#1 was picked up on time afterwards.

During the file review for Child#1, LPA Lee observed that the facility did not have any type of specific documentation regarding the transportation service that was provided for the children. The facility parent handbook and admission agreement does mention transportation services as an option for parents, but there was no additional documents that provided details what type of service is available and who would be providing the actual transportation. During an interview, the Director stated that the transportation is coordinated between her and the other staff members of the facility. During the investigation the Director did provide a list of staff members who do provide transportation, and examples of pick up and drop of schedule for staff members to follow during a normal business day.The facility was advised to amend their admission agreement so the transportation section of the agreement can provide more specific information reader about the service it self.

Based on the information obtained during the investigation, the preponderance of evidence standard has been met, therefore the allegation that facility is commingling children has been substantiated. California Code of Regulations,(Title 22, Division 12 & Chapter Number 6), is being cited on the attached LIC 9099D.

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

Exit interview conducted with Director Anntoinette Jordan. 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: 11/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20221005132759

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: BLOOMING FLOWERS CHILD CARE CENTER	FACILITY NUMBER: 198019065
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/14/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 11/21/2022 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	The licensee shall ensure that each child is accorded the following personal rights:To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by the fact that the facility agreed to provide transportation for Child#1, but the child was not taken to his school	1 2 3 4 5 6 7	The facility agreed to amend their admission agreement so that the transporation service provided by the facility is more specific, and transparent regarding the specific arrangements made with a parent of a child who wishes to be provided with these type of services.
	8 9 10 11 12 13 14	on one occasion, and was picked up late by the facility per the Director. This is a potential risk to children in care.	8 9 10 11 12 13 14
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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: Guangorena Claudia	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Seung Lee	TELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022

LIC9099 (FAS) - (06/04)

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