300600915-9-20-2019-06-CC-RLOZ-BGDRYT-20190926132650

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300600915
Report Date: 09/20/2019
Date Signed: 09/20/2019 09:33:06 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
05/02/2019 and conducted by Evaluator Thuy Ho

COMPLAINT CONTROL NUMBER: 06-CC-20190502142721

FACILITY NAME:	ST. OLAF CHILDCARE CENTER		FACILITY NUMBER:	300600915
ADMINISTRATOR:	KAREN WISHART		FACILITY TYPE:	850
ADDRESS:	12432 NINTH STREET		TELEPHONE:	(714) 530-8930
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92840
CAPACITY:	84	CENSUS: 16	DATE:	09/20/2019
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Director Karen Wishart		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Daycare child’s Personal Rights were violated by Staff.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ho conducted a follow up investigation regarding a complaint of a personal rights allegation which was initiated on 5/30/19. Upon arrival, LPA met with Office Manager Leslie Palm. Director arrived at 9:05am to greet LPA. LPA observed 7 preschool children with 1 staff member in Orange room, 2 preschool children with 1 staff member in Purple room, and 7 preschool children with 3 staff members in Red room. A review of staff records on this date indicated that all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions.
During today’s inspection, LPA provided the complaint finding to the director.

The Department received a complaint alleging a day care child was inappropriately touched by a staff member during naptime either by a male or female staff. The complaint was referred to the Investigative Branch and Investigator J. Vargas completed this referral as an assignment to obtain police report. Documentations, including child files and facility documents were reviewed by LPA Ho.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Thuy Ho	TELEPHONE: (714) 296-6577
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

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-20190502142721

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: ST. OLAF CHILDCARE CENTER	FACILITY NUMBER: 300600915
	VISIT DATE: 09/20/2019

NARRATIVE

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During the forensic interview, victim child was unable to provide details on how her personal rights were violated and statements were inconsistent by subject child. There were no witnesses to corroborate the personal rights violation. On 5/30/19, LPA Ho conducted interviews with three daycare children and three facility staff members who denied violating children’s personal rights, it could not be determined if there was a personal rights violation of day care child.

Based on information gathered, interviews conducted with staff and children, there were inconsistent statements received during the investigation, therefore, the personal rights allegation is determined to be unsubstantiated meaning 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.

The Notice of Site Visit was posted. 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. Appeal Rights explained. A copy of their appeal rights (LIC 9058) was given and signatures on this form acknowledges receipt of these rights. All appeals must be in writing and received by the licensing office within 15 business days. The first level appeal is to regional manager; address is above on the report. Exit interview was conducted.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Thuy Ho	TELEPHONE: (714) 296-6577
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

LIC9099 (FAS) - (06/04)

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