198019478-5-31-2019-33-CC-CGUA-BF4QDV-20190816120520

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198019478
Report Date: 05/31/2019
Date Signed: 05/31/2019 12:10:28 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
04/30/2019 and conducted by Evaluator Cynthia Reyes

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20190430084758

FACILITY NAME:	PUENTE AVE PRESCHOOL INFANT CARE CENTER		FACILITY NUMBER:	198019478
ADMINISTRATOR:	KIMBERLY NGUYEN		FACILITY TYPE:	830
ADDRESS:	14032 DILLERDALE AVE		TELEPHONE:	(626) 338-3464
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91746
CAPACITY:	30	CENSUS: 10	DATE:	05/31/2019
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Kimberly Nguyen		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Personal Rights
Staff spanked infant in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Reyes conducted an unannounced follow up complaint investigation to present the findings for the above allegation. LPA Met with teacher Lucy and Director, Kimberly, arrived shortly after and guided LPA on a tour of the facility.

During the course of the investigation, all parties invovled were interviewed, except for the child who is non verbal. Documentation were reviewed and received and Declarations from staff were obtained. A video of the time of the Incident was also viewed and a copy obtained. There is not enough evidence to indicate that facility staff spanked an infant in care. The Sheriff department was also contacted as they came out to the facility, however they did not make a report or give the Director any report or incident number of any crime or any incident occurring. All staff stated the child involved is not part of the class room the teacher is in, that the complainant stated who spanked the child. LPA viewed the video and did not see any staff spank a child. The complainant gave a specific time of the Incident and that specific time was viewed. A staff member from the foothill family services was also interviewed and stated the Sheriff told her and the Director that the case was closed and there was no crime.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

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-20190430084758

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: PUENTE AVE PRESCHOOL INFANT CARE CENTER	FACILITY NUMBER: 198019478
	VISIT DATE: 05/31/2019

NARRATIVE

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Although the allegation 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 at this time the above allegation is unsubstantiated

The notice of site visit was posted where the parent/guardian of children enter and exit the facility. This notice shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted with the Director, during which appeal rights were explained. A copy of the appeal rights (LIC 9058 01/16) were provided. The Director signature on this report acknowledges receipt of her rights.

SUPERVISOR'S NAME: Claudia Guangorena	TELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia Reyes	TELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:	DATE: 05/31/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2019

LIC9099 (FAS) - (06/04)

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