198020030-8-25-2021-33-CC-CGAN-C6QT5P-20210910142553

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198020030
Report Date: 08/25/2021
Date Signed: 08/25/2021 09:41:11 AM

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
07/07/2021 and conducted by Evaluator Nolan Tcheng

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20210707084009

FACILITY NAME:	ARCADIA PLAYSCHOOL		FACILITY NUMBER:	198020030
ADMINISTRATOR:	DAVID VAN IWAARDEN		FACILITY TYPE:	850
ADDRESS:	615 LIVE OAK AVE		TELEPHONE:	(626) 771-3131
CITY:	ARCADIA	STATE: CA	ZIP CODE:	91006
CAPACITY:	65	CENSUS: 20	DATE:	08/25/2021
		UNANNOUNCED	TIME BEGAN:	08:16 AM
MET WITH:	Ranum Magellan - Owner		TIME COMPLETED:	09:40 AM

ALLEGATION(S):

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Staff do not hydrate toddlers when they play outside

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced in person inspection to deliver complaint findings for the above allegations. Upon arrival at 8:16am, LPA was met by Owner Ranum Magellan, to whom the purpose of the inspection was provided. LPA was provided a tour of the facility at 8:20am. Director David Van Iwaarden arrived at 9:00am.

Census was taken. There were 2 Staff and 8 Children in Toddler Room, 1 Staff and 4 children in 2s Room, 1 Staff and 4 Children in 3s Room, 1 Staff and 4 Children in 4s Room.

Throughout the course of the investigation, interviews were conducted with Complainant, seven staff, seven children, and seven parents. Documentation in the form of Class Rosters, Admissions Agreement, Permission Forms, Class Schedules, Parent Handbook, Staff Timesheets, and Children Sign in and out sheets were obtained. Photos were taken during inspection.
REPORT CONTINUES PAGE 1 of 2

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

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-20210707084009

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: ARCADIA PLAYSCHOOL	FACILITY NUMBER: 198020030
	VISIT DATE: 08/25/2021

NARRATIVE

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Information from complainant indicates that children are not hydrated enough when they are playing outside in hot weather. Complainant states that the children are too young to know when to go and drink water.

Director states staff have children take breaks and sit down to drink water.

Children were unable to be interviewed during course of investigation as they are nonverbal age.

Parents interviewed made no disclosures of the above allegations.

Staff interviewed state that children are able to get water on their own outside. Children get reminded by staff to drink water.

Interviews with adults related to allegations made no disclosures.

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

Exit interview was conducted with Director David Van Iwaarden, at 9:20am, including, but not limited to Provider Rights, Appeal Procedures and Agency’s Consultative Role.

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.

END OF REPORT PAGE 2 of 2

SUPERVISOR'S NAME: Christina Gabelman	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Nolan Tcheng	TELEPHONE: (323) 240-6201
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

LIC9099 (FAS) - (06/04)

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