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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304270969
Report Date: 03/15/2022
Date Signed: 03/15/2022 10:37:24 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
02/10/2022 and conducted by Evaluator Stacy Torrence
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20220210104548
FACILITY NAME:MARTIN HEAD STARTFACILITY NUMBER:
304270969
ADMINISTRATOR:AMY QUEZADAFACILITY TYPE:
850
ADDRESS:1008 WEST RUSSELLTELEPHONE:
(714) 427-1290
CITY:SANTA ANASTATE: CAZIP CODE:
92707
CAPACITY:60CENSUS: 23DATE:
03/15/2022
UNANNOUNCEDTIME BEGAN:
09:54 AM
MET WITH:Traci Sallade, Education ManagerTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Staff hit day care child while in care.
INVESTIGATION FINDINGS:
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On 03/15/2022, Licensing Program Analyst (LPA) Stacy Torrence conducted an in-person inspection to deliver the findings regarding the above complaint allegation. LPA Torrence met with Education Manager Traci Sallade. There was a total of 23 preschool children present, with six staff supervising. A review of staff criminal clearance 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.

On 02/10/2022, Licensing office received a complaint alleging the following: staff hit day care child while in care. Reporting Party (RP) reported Subject child’s sibling informed the parent that a teacher slapped Subject child on the face.


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022
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 2
Control Number 06-CC-20220210104548
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: MARTIN HEAD START
FACILITY NUMBER: 304270969
VISIT DATE: 03/15/2022
NARRATIVE
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On 02/09/2022, the case was referred to the Orange County Social Services Agency Children and Family Services which did not meet the requirements to be investigated by their agency, so it was determined to be an informational referral only.

During the course of the investigation, LPA Torrence interviewed three staff members. Staff #1 stated when the above complaint was filed against the facility, the facility conducted their own investigation into the allegation and determined the teacher was not at fault of any type of abuse towards the child. All three Interviewed staff denied hitting any children or witnessing any other staff hitting the children in care.

During the course of the investigation, LPA Torrence interviewed five children. All five Interviewed children denied any teachers hitting them. LPA Torrence was unable to interview subject child and subject child’s sibling as location of children is unknown.

During the course of the investigation, LPA Torrence conducted phone interviews with five parents. Interviewed parents had no issues or concerns with the daycare. LPA Torrence was unable to interview subject child’s parent.

Based on the information gathered from LPAs' interviews and reviewing records, there was insufficient evidence to corroborate the allegation. 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; therefore, the allegation is unsubstantiated.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.
SUPERVISOR'S NAME: Thuy HoTELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy TorrenceTELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2