300605482-9-29-2021-06-CC-JHAN-C7GNKZ-20211004103247

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300605482
Report Date: 09/29/2021
Date Signed: 09/29/2021 01:38:53 PM

Substantiated

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
09/22/2021 and conducted by Evaluator Cindy Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210922144203

FACILITY NAME:	U.C.IRVINE - INFANT TODDLER		FACILITY NUMBER:	300605482
ADMINISTRATOR:	HOVELAND, TERESA		FACILITY TYPE:	830
ADDRESS:	533 CALIFORNIA		TELEPHONE:	(949) 824-4754
CITY:	IRVINE	STATE: CA	ZIP CODE:	92617
CAPACITY:	72	CENSUS: 13	DATE:	09/29/2021
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Director, Laura Finley-Sandrano		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not isolate an infant who had a fever.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nguyen conducted an unannounced investigate the above allegation. Upon arrival LPA met with Kelsey Turley, Interim Assistant Director and Assistant Director, Denise Vazquez who accompanied LPA on a tour of the facility. Census was taken at approximately 9:20am. LPA observed 13 infant/toddler children and 9 staff members. A review of staff records indicates all facility staff or individuals who require caregiver background checks have received a criminal record clearance or exemption and a child abuse index clearance.

On 9/22/2021 a complaint was filed with the Department alleging that staff did not isolate an infant who had a fever. Complainant alleged that an infant had a fever of 100.5 and the facility decided to keep the infant in the room with other children in care due to having only one teacher with an aid in the classroom.

Continued on Page 2

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
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 06-CC-20210922144203

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: U.C.IRVINE - INFANT TODDLER	FACILITY NUMBER: 300605482
	VISIT DATE: 09/29/2021

NARRATIVE

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Page 9099C

During the investigation LPA conducted a physical plant inspection, interviewed 4 staff members, and obtained facility children’s roster, parents handbook, and Covid-19 screening questionnaires. Staff interviewed stated when children get sick, the office is notified, and will bring the child to the isolation room located in the front building until the parent picks up, however with this situation, we didn’t have enough staff in the classroom to get the child to the isolation room and due to Covid-19, we didn’t want to commingle the staff from other classrooms, however the teacher in the classroom separated child #1 (C1) from the other children in the classroom. Through staff interview, it was determined that C1 was recorded with a temperature of 100.5 degrees Fahrenheit and was not taken to the isolation room, but kept separated in the classroom from the other children in care for 20 minutes until another teacher in the classroom came back from their break.

Based on LPA observation, interviews which were conducted and record reviews of children’s roster, parents handbook, and Covid-19 screening questionnaires, the preponderance of evidence was met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22 101226.2 (a) is being cited on the attached LIC 9099D

Exit interview was conducted with Director, Laura, Finley-Sanbrano. Notice of Site Visit was posted during the visit. Director 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. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
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)

Page: 2 of 3

Control Number 06-CC-20210922144203

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: U.C.IRVINE - INFANT TODDLER	FACILITY NUMBER: 300605482
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/29/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed Type B 10/08/2021 Section Cited CCR 101226.2	1 2 3 4 5 6 7	101226.2 Isolation for Illness (a) A center shall be equipped to isolate and care for any child who becomes ill during the day. This requirement is not met as evidence by:	1 2 3 4 5 6 7	The director stated that she will have a meeting with infant/toddler staff to discuss the facility plan around isolation for children, and submit a staff sign in/out of the meeting, by 10/08/2021.
	8 9 10 11 12 13 14	Based on staff interviews, it was determined that C1 was recorded with a temperature of 100.5 degrees Fahrenheit and was not taken to the isolation room, but kept separated in the classroom from the other children in care for 20 minutes until another teacher in the classroom came back from their break. This poses a potential health and safety to the children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Cindy Nguyen	TELEPHONE: (714) 296-3608
LICENSING EVALUATOR SIGNATURE:	DATE: 09/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2021

LIC9099 (FAS) - (06/04)

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