198020436-9-29-2021-33-CC-BVON-C8N4KN-20211110181038

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198020436
Report Date: 09/29/2021
Date Signed: 09/29/2021 10:03:48 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
08/19/2021 and conducted by Evaluator Thelma Razo

COMPLAINT CONTROL NUMBER: 33-CC-20210819082407

FACILITY NAME:	COVINA-VALLEY CHILDREN'S CENTER		FACILITY NUMBER:	198020436
ADMINISTRATOR:	VANESSA BURGUENO		FACILITY TYPE:	850
ADDRESS:	4400 N. ROXBURGH		TELEPHONE:	(626) 472-6330
CITY:	COVINA	STATE: CA	ZIP CODE:	91722
CAPACITY:	140	CENSUS: 45	DATE:	09/29/2021
		UNANNOUNCED	TIME BEGAN:	08:51 AM
MET WITH:	Vanessa Burgueno, Director		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

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Facility staff hit child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Thelma Razo conducted a subsequent complaint visit to complete the investigation on the above allegation. LPA met with staff and stated the purpose of the visit.
On 8/26/2021, LPA held an Initial 10-Day Visit and tour the facility which consists of 8 classrooms and outdoor play area. LPA interviewed 5 staff and School Principal. LPA obtained children's and staff roster and daily activity schedule. On 9/20/2021, LPA interviewed 4 parents over the phone. LPA also obtained a copy of Incident Report from County of Los Angeles Sheriff's Department dated 8/17/2021. LPA interviewed subject child on 9/24/2021 and 4 children today, 9/29/2021.

Various interviews have revealed that a child alleged of being hit by a staff on 8/16/2021 and 8/17/2021. The day care center conducted an internal investigation and find the allegation unfounded. LPA reviewed the police report obtained and it indicated that the case was closed as no crime. According to the parent, there were no marks or bruising observed for the alleged incidents. LPA interviewed the staff who allegedly hit the child and denied the allegation. There were no disclosures including the subject child or witnesses to validate the allegation that facility staff hit child.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

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-20210819082407

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: COVINA-VALLEY CHILDREN'S CENTER	FACILITY NUMBER: 198020436
	VISIT DATE: 09/29/2021

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 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 facility representative, during which appeal rights were explained. A copy of the Appeal Rights were provided.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Thelma Razo	TELEPHONE: (323) 981-3387
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

LIC9099 (FAS) - (06/04)

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