300613949-10-23-2024-06-CC-JHAN-DB925E-20241121160522

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 300613949
Report Date: 10/23/2024
Date Signed: 10/23/2024 04:03:25 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 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
08/16/2024 and conducted by Evaluator Giselle Lucero

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20240816095653

FACILITY NAME:	ABC DEVELOPMENT PRESCHOOL #1		FACILITY NUMBER:	300613949
ADMINISTRATOR:	MARY HEIN		FACILITY TYPE:	840
ADDRESS:	4631 1/2 LA PALMA AVE.		TELEPHONE:	(562) 924-1508
CITY:	LA PALMA	STATE: CA	ZIP CODE:	90623
CAPACITY:	42	CENSUS: 31	DATE:	10/23/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Director Valerie Mora		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Day care child sustained unexplained injuries while in care
Staff caused injury to day care child
Child sustained mosquitos bites at facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Giselle Lucero conducted an unannounced complaint inspection to deliver the findings for the above allegations. This is a continuation of the investigation initiated on 08/26/2024. Upon arrival LPA met with Director Valerie Mora. Director guided LPA on a walkthrough of the facility inside and outside. At 12:30 PM, there were no children in attendance. At 2:35 PM LPA observed a total of 31 school age children with 3 staff arrive at the facility.

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.

The Department received a complaint on 08/16/2024 alleging (1) day care child sustained unexplained injuries while in care, (2) staff caused injury to day care child, and (3) child sustained mosquitos bites at facility.
(continue to page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

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-20240816095653

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ABC DEVELOPMENT PRESCHOOL #1	FACILITY NUMBER: 300613949
	VISIT DATE: 10/23/2024

NARRATIVE

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(page 2)

Reporting Party (RP) disclosed concerns with Child #1 (C1) coming home on multiple dates with unexplained injuries from the facility. RP states on 05/14/2024, C1 was kicked in the face by another child and the child’s face was bruised. RP also disclosed on 07/08/2024, C1 came home with a huge knot on their forehead and only received an ouch report, but no phone call. RP states that on 08/07/2024, C1 had scratches on their neck, arm, and back. RP states that when they asked staff about the injuries, staff stated they didn’t know how those injuries occurred. RP also stated on 08/14/2024, child had black eye and bruise on his nose and was not provided with an ouch report or a phone call. RP states that C1 always comes home with mosquito bites all over their legs and notices other children in care with mosquito bites as well.

During the investigation, LPA Lucero interviewed 6 staff, 4 parents, 3 children, reviewed the facility roster, and obtained a copy of ouch reports and parent handbook.

During staff interviews conducted on 08/26/2024, Staff #1 (S1) disclosed recalling C1 hitting their forehead on a chair in the classroom and recalled another incident were C1 was playing ball with Child #2 (C2) and when C1 went to go retrieve the ball, C2 went to go kick it and accidentally kicked C1 in the face. S1 stated C1’s parent were notified regarding both incidents. S1 stated observing some marks on C1’s neck but no teachers were aware of how C1 obtained the marks. S1 stated it is typical for C1 to disclose to staff or cry when they’ve been injured but no disclosures from C1 were made regarding the marks. S1 stated having no concerns regarding staff supervision. S1 denied being aware of mosquitos at the facility. S1 stated it is possible C1 sustained mosquito bites when they attend the elementary school in the mornings. S1 also stated there are a couple children with mosquito bites, but when S1 asks the teachers, teachers would state their parents would say they went somewhere and they got bit, but it wasn’t from the facility.

Staff #2 (S2) disclosed C1 has had a few incidents at the facility and staff fill out ouch reports. S2 recalls being made aware of an incident where a child was going to kick the back and accidentally kicked C1 because C1 was trying to grab the ball. S2 also recalled C1 having a knot on their forehead but is unsure what happened because C1 was in another class. S2 denied observing any scratches on C1. S2 stated having no concerns regarding staff supervision. S2 also stated there are a few mosquitos outside, but they come from the big field from the elementary school. S2 stated there have been a couple children and staff that they have seen with bites.

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SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 06-CC-20240816095653

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ABC DEVELOPMENT PRESCHOOL #1	FACILITY NUMBER: 300613949
	VISIT DATE: 10/23/2024

NARRATIVE

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(page 3)
Staff #3 (S3) disclosed C1 was running in the classroom and S3 kept telling C1 to stop and C1 ran underneath the chair and hit their forehead on the side of the chair and a big knot formed. S3 stated parents were called, a report was written, and parents came to pick up C1. S3 recalled another time C1 went to go pick up the ball and C2 went to go kick the ball and C2 kicked C1 in the eye and C1 sustained a black eye from it. S3 stated parents were notified of both incidents. S3 denied observing any scratches on C1. S3 stated having no concerns regarding staff supervision. S3 also stated they have seen a mosquito here and there but has not been bit at the facility. S3 stated they have only observed children at the beginning of summer coming back with mosquito bites.

Staff #4 (S4) denied observing C1 with any black eyes, scratches, or bumps on C1’s forehead. S4 also denied observing mosquitos at the facility. S4 stated having no concerns regarding staff supervision. S4 also stated children arrive at the facility with mosquito bites but denies seeing children getting bit at the facility. S4 stated children come with mosquito bites from home.

Staff #5 (S5) disclosed being aware of an incident where C1 was running around and went under the chair and hit their head and sustained a bump on their head. S5 stated parents were notified of the incident. S5 denied being aware or observing C1 with any scratches or black eye. S5 stated having no concerns regarding staff supervision. S5 denied observing mosquitos at the facility but has observed children with mosquito bites, but when S5 asks children, children tell S5 it happened at home.

On 10/23/2024, LPA interviewed Staff #6 (S6) and 3 children.

S6 denied observing C1 with any black eyes, scratches, or bumps on C1’s forehead. S6 stated they have no concerns regarding staff supervision. S6 also denied observing mosquitos at the facility. S6 stated children arrive at the facility with mosquito bites.

LPA Lucero conducted interviews with 3 children. 3 out of 3 children made no disclosures regarding the above allegations.

(continue to page 4)

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 06-CC-20240816095653

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE CO CHILD CARE, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: ABC DEVELOPMENT PRESCHOOL #1	FACILITY NUMBER: 300613949
	VISIT DATE: 10/23/2024

NARRATIVE

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(page 4)
LPA obtained copies of C1’s ouch reports. LPA observed the facility wrote an ouch report dated 07/08/2024, regarding C1 running in the classroom, ran under the chair and sustained a bump on their forehead. LPA observed C1’s legal guardian sign the ouch report. LPA also reviewed several other ouch reports with C1’s legal guardian signature.

LPA interviewed 4 parents. Parents interviewed made no disclosures in regards to the allegation.

Based on the interviews and record review, there is insufficient evidence to corroborate the above allegations that (1) day care child sustained unexplained injuries while in care, (2) staff caused injury to day care child, and (3) child sustained mosquitos bites at facility. Although the allegation(s) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore, the above allegation(s) are found to be UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with the Director Valerie Mora. A notice of site visit was given and must remain posted for 30 days.

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 above.

End of Report.

SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Giselle Lucero
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

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