<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 300605324
Report Date: 09/08/2022
Date Signed: 09/08/2022 04:51:53 PM

Unsubstantiated


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
07/07/2022 and conducted by Evaluator Pat Rivas
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220707171634
FACILITY NAME:CHILDS-PACEFACILITY NUMBER:
300605324
ADMINISTRATOR:LEVERE, JOHNFACILITY TYPE:
840
ADDRESS:1860 ANAHEIM AVETELEPHONE:
(714) 557-7777
CITY:COSTA MESASTATE: CAZIP CODE:
92626
CAPACITY:35CENSUS: 18DATE:
09/08/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:John LeVere, Executive DirectorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide appropriate supervision to children in care
Staff did not tend to child’s injury
executive director intimidates children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts P Rivas an R Castanon conducted an unannounced complaint visit to interview children and render findings for the above allegations.

A complaint was received in the Regional Office on 07/07/02 alleging that staff did not provide appropriate supervision to children in care as the children were taken on a hike where poison ivy and snakes could be found. The information was provided by a passerby who identified themselves as a volunteer but did not have any identification showing credentials. Furthermore the passerby was on a bicyle riding along the bicycle path. It was further alleged that Child1 (c1) had sustained an injury via a fall and that staff1(s1) had advised not to provide first aid. It was further alleged that Executive Director intimidated children by calling them names and loud tone.
The investigation consisted of review of facility records, interviews with staff and children. LPA was unable to interview independent witness as calls were not returned.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 06-CC-20220707171634
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: CHILDS-PACE
FACILITY NUMBER: 300605324
VISIT DATE: 09/08/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2
In reference to the allegation that staff did not provide appropriate supervision to children in care. It was found that on July 07, 2022 a trip was taken to Oneal Park Hike. But they were unable to get to the park and had an impromptu hike. 21 children and 3 staff attended the hike. 2 more staff joined after hike. On way to location bus had to park along side of road. Children were allowed to choose to go with Executive Director LeVere via wood path or continue via bike path. .Executive Director reports that a bicyclist who identified
themselves as a volunteer advised them there was poison ivy in the wooded area and he should not take children. Executive Director reports he has 15-20 years’ experience as a scout, including scout master and has taken children into this type of terrain every year for over 20 years. States only about 3-4 children chose to stay with one teacher and go through bike path. Director further reports no children were hurt with poison ivy or poison oak. LPA interviewed 5 children, 3 of 5 chose to go with Director and stated it was a fun or an adventure. Two of 5 children stated they stayed with the other teacher and went through bike path. One of the two children stated they would have gone with Ex Director instead.
LPA could not corroborate allegation that staff did not provide appropriate supervision to children in care. Therefore, the allegation is unsubstantiated.

In reference to the allegation that staff did not tend to children’s injury. It was found that child #1 fell but first aid was applied. Staff #1 denied stating to let child cry. Staff #1 Stated that s/he told the other staff not to apply medication as there was no doctor’s order. LPA was unable to interview child1, (C1) not in program. LPA interviewed 5 children. 3 of 5 stated C1 fell when s/he ran and staff did help him. 2 of 5 children did not recall C1 being hurt. Executive Director reports C1 had a couple of scratches, did not deny C1 first aid but since there is no Doctor’s order did not apply medication. LPA could not corroborate allegation that staff did not tend to children’s Injury. Therefore, the allegation is unsubstantiated.

In reference to the allegation that Executive Director intimidates children the following was found: Executive Director denies allegation. Staff deny hearing executive director intimidate children, yell or call children names. 5 of 5 children interviewed indicated their favorite staff is Executive Director. 5 of 5 children interviewed indicated executive director does not intimidate them. 4 of 5 children indicated Executive Director does give children nicknames such as Stewart (for Stewart Little). LPA could not corroborate the allegation that Executive Director intimidates children. Therefore, the allegation is unsubstantiated.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20220707171634
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: CHILDS-PACE
FACILITY NUMBER: 300605324
VISIT DATE: 09/08/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegations are unsubstantiated.

An exit interview was conducted with Executive Director Levere. Appeal Rights were explained. The Director was provided a copy of 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 Regional Office within 15 business days. First level appeals should be sent to the Regional Manager to the address listed.

The Notice of Site Visit was given and discussed it must be posted as required by H & S Code Sec. 1596.817. Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00.

SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3