300610744-4-19-2023-06-CC-RLOZ-CR7VQD-20230424163810

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300610744
Report Date: 04/19/2023
Date Signed: 04/19/2023 03:35:25 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
02/22/2023 and conducted by Evaluator Pat Rivas

COMPLAINT CONTROL NUMBER: 06-CC-20230222130421

FACILITY NAME:	GREEN, DONNA		FACILITY NUMBER:	300610744
ADMINISTRATOR:	GREEN, DONNA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 814-2225
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92808
CAPACITY:	12	CENSUS: 8	DATE:	04/19/2023
		UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Donna Green, licensee		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Licensee uses inappropriate form of discipline towards daycare children

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) P Rivas conducted a follow up complaint visit to interview children and to render findings to the above allegation.
Upon arrival there were #9 children (two of which were infants) and licensee and her assistant were present providing care and supervision.

Facility Personnel Report Summary on this date indicates all adults , or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

The complaint investigation consisted of records review, interviews with licensee, 3 children and 4 out of 10 parents contacted.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

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 4

Control Number 06-CC-20230222130421

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: GREEN, DONNA	FACILITY NUMBER: 300610744
	VISIT DATE: 04/19/2023

NARRATIVE

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The Regional Office received a complaint on 02/22/2023 alleging that the Licensee uses inappropriate form of discipline towards day-care children. Complainant specifically, said that Ms. Green said, “ I use my bathroom as a crying room. If they want to cry, they can go in there and shut the door and cry as loud as they want and as long as they want but when they're done they can come out. When they start crying I say, do you wanna go to the crying room and they usually stop right up.”

On 02/24/23 an Initial site visit was conducted, LPA attempted to interview six toddlers that were present. However, due to children’s ages LPA was unable to qualify any of the six children present. LPA attempted to interview ten parents but only three returned call. Three out of three parents interviewed did not have any concerns with the care of their children and did not divulge any information regarding disciplining of children. One out of 10 parents was interviewed in person who stated, she had no concerns with facility, it is like a home, and she does not mind the discipline. On 02/24/23 interview with Licensee, Ms. Green stated that she did have the older(school age) children go to the bathroom and cry. Ms. Green admitted that she did make a post on Facebook stating she has told children who are having a tantrum that they can go to the bathroom to yell and scream and can come out when they are done. On 04/19/23 LPA interviewed 3 school age children present during visit. One out of the three stated, s/he was not made to go into the bathroom to cry, "I didn't listen. I ran away." Two out of three children interviewed stated if a someone is throwing a tantrum they go into the crying room. two out of three children interviewed indicated even the toddlers go into the crying room. Two out of three children interviewed stated that Ms. Green made them go into the crying room by holding their hand, or wrist and children could not leave until they stopped crying. Two out of three children interviewed indicated they feel safe in the home.

On 02/24/23 LPA observed four toddlers and two infants. The toddlers were playing, jumping, even when Ms. Green brought it to their attention that they should not run the children did not cower or seem afraid. Based on LPAs observation, interview with school age children the citation will be deemed as a B deficiency.

Based on LPAs review of records, interviews with Licensee and parents. which were conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 12 and Chapter 1 is being cited on the attached LIC 9099D.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 06-CC-20230222130421

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: GREEN, DONNA	FACILITY NUMBER: 300610744
	VISIT DATE: 04/19/2023

NARRATIVE

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An exit interview was conducted with Licensee, Donna Green. 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 Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 06-CC-20230222130421

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: GREEN, DONNA	FACILITY NUMBER: 300610744
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/19/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 04/24/2023 Section Cited CCR 102423 (a)(4)	1 2 3 4 5 6 7	Personal Rights Each child... shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including, but not limited	1 2 3 4 5 6 7	Licensee will review personal rights and stop using bathroom as "crying room" If they cry they sit next to me and when done can go play with their friends. email to be sent to LPA, patricia.rivas@dss.ca.gov
	8 9 10 11 12 13 14	to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning. This requirement was not met as evidenced by interview with licensee who stated she did have children go into bathroom to cry and scream. Interview with three children who indicated children are made to go into the "crying room" This poses a potential health, safety or personal rights risk to 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: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2023

LIC9099 (FAS) - (06/04)

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