300600222-10-30-2019-06-CC-PMAA-BJ6S69-20191122123532

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300600222
Report Date: 10/30/2019
Date Signed: 10/30/2019 11:25:30 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/12/2019 and conducted by Evaluator Jung Mi Han

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20190912132447

FACILITY NAME:	FOOTHILLS PRESCHOOL		FACILITY NUMBER:	300600222
ADMINISTRATOR:	CAREY, MARGARET		FACILITY TYPE:	850
ADDRESS:	19211 DODGE AVENUE		TELEPHONE:	(714) 573-7723
CITY:	SANTA ANA	STATE: CA	ZIP CODE:	92705
CAPACITY:	60	CENSUS: 44	DATE:	10/30/2019
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Margaret Carey		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Lack of supervision resulting in an inappropriate interactions between daycare children

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jungmi Han conducted an unannounced complaint visit to deliver the complaint results. On 9/12/19 a complaint was filed with the Licensing office. LPA met with Director Marci Carey. Census was taken in individual classrooms. The overall census observed was 6 preschool staff and 44 preschool children. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 9/18/2019, there were 20 children present with 3 staff at the playground upon arrival at 8:35AM. LPA observed each staff has their own zone to supervise children.

On 9/18/2019, LPA Han interviewed five staff including director, seven children, review records including children’s file, and staff’s file.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi Han	TELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2019

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 06-CC-20190912132447

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: FOOTHILLS PRESCHOOL	FACILITY NUMBER: 300600222
	VISIT DATE: 10/30/2019

NARRATIVE

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During the interview, director stated she mailed unusual incident report to licensing office since she received a complaint email from child#9’s parents on 9/10/2019 about lack of supervision resulting in an inappropriate interaction between daycare children in February 2019. LPA Han received unusual incident report that has been mailed to licensing office on 9/11/2019. The unusual incident report included email threads between child#9’s parents and director on 2/12/2019, 9/10/2019, 9/11/2019, 9/12/2019, and 9/13/2019 regarding inappropriate interaction between daycare children incident.

During investigation of the allegation of lack of supervision resulting in an inappropriate interaction between daycare children in February 2019, five out of seven staff who interviewed stated they heard about the complaint from the director on 9/10/2019. All five staff stated director asked questions about this allegation last week.

Staff#3 stated she did not remember any incident involving child#8 and child#9, involving in a physical altercation. Staff#3 stated she was not child#8 and child#9’s classroom teacher. Staff#3 stated her classroom children joined with child#8 and child#9’s classroom children during lunch and outdoor play time. Staff#3 stated child#8 and child#9 were good friends and they always played together during outdoor play time. In February 2019, staff#3 stated she was standing in front of outdoor restroom to helped children who need to go to restroom. Staff stated child#8 and child#9 were playing in front of children’s restroom. Staff#3 observed child#8 and child#9 were playing tag. Child#8 fell on top of child#9 while they were running. Staff#3 observed the incident and stated it was usual incident for children. Staff#3 stated she did not see any inappropriate behavior between the children, during the incident.

Staff#1 stated she was a teacher for both child#8 and child#9 between 9/2018 and 6/2019. In February 2019, staff#1 and director met with child#9’s parent in the director’s office for 2-3 minutes. Both staff#1 and director couldn’t remember the date. Staff#1 stated child#9’s parent wanted to talk about what child#9 had disclose. Child#9’s parent couldn’t disclose when it happened, where it happened, and how it happened, about the incident in question. Staff#1 stated she could not recall any inappropriate incidents or interactions between child#8 and child#9. All five staff stated they did not see any inappropriate behavior between child#8 and child#9. All children interviewed at the facility disclosed no daycare children touched inappropriately.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi Han	TELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2019

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20190912132447

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: FOOTHILLS PRESCHOOL	FACILITY NUMBER: 300600222
	VISIT DATE: 10/30/2019

NARRATIVE

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On 9/24/2019, LPA Han attempted to interview child#9 by phone. LPA Han requested a permission from parent to interview child, although LPA explained the reason for the interview, parent did not grant permission for the interview. Parent stated all information has been submitted when parent filed complaint.

Based on the information gathered from the interviews, lack of supervision resulting in an inappropriate interaction between daycare children, LPA was unable to determine that facility was not compliance with supervision. LPA interviewed five staff and seven children, and all did not make any disclosures.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged Personal Rights: staff intimidated a child, therefore the allegations are unsubstantiated.

An exit interview was completed. The report was reviewed and discussed. Appeal Rights and deficiencies were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Licensing office within 15 business days. Any proposed changes to the physical plant, including telephone number, shall be immediately reported to the Department.
The facility representative was informed that the “Notice of Site Visit” must be posted for 30 consecutive days. Failure to post will result in Civil Penalties of $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door.

SUPERVISOR'S NAME: Patricia Magana	TELEPHONE: (714) 703-2821
LICENSING EVALUATOR NAME: Jung Mi Han	TELEPHONE: (714) 309-7211
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2019

LIC9099 (FAS) - (06/04)

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