304312497-12-2-2021-06-CC-THOO-C9FPVW-20211206103950

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304312497
Report Date: 12/02/2021
Date Signed: 12/02/2021 08:51:49 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
09/30/2021 and conducted by Evaluator Nguyen K Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210930110236

FACILITY NAME:	ARREOLA, CINDY		FACILITY NUMBER:	304312497
ADMINISTRATOR:	ARREOLA, CINDY		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 203-4495
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92886
CAPACITY:	14	CENSUS: 7	DATE:	12/02/2021
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Cindy Arreola, Licensee		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

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Child sustained injury while in care.

INVESTIGATION FINDINGS:

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On 12/02/2021, Licensing Program Analyst (LPA) Tran conducted an in-person inspection to deliver the findings regarding the above complaint allegation. LPA Tran met with Licensee Cindy Arreola. The Covid-19 Emergency Response questionnaires were asked prior entering the facility. A tour of the facility was conducted, and a census was taken. Observed at the time of the visit was a total of 4 preschool, 3 infants and 2 staff. 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 09/30/2021, the office received a complaint alleging a child sustained injury while in care. Reporting Party (RP) reported that child #1 (C1) sustained scratches on the middle of the forehead after being at daycare.

(Continue next page)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Nguyen K Tran	TELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021

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-20210930110236

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: ARREOLA, CINDY	FACILITY NUMBER: 304312497
	VISIT DATE: 12/02/2021

NARRATIVE

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(Page 2 of Report)
During to course of investigation, LPA interviewed 2 staff members and 7 parents. LPA attempted to interview 3 children and they were not qualified for an interview. The other children were too young and non-verbal.

During the staff interview, Staff #1 (S1) disclosed on 9/24/2021, C1’s parent called to pick up C1 during nap time. S1 woke C1 up to change diaper and placed C1 back in C1’s playpen while all other children were asleep in separated playpens and cots. When C1’s parent arrived to pick up C1, S1 stepped a few steps away to the garage, which is next to the childcare room where the children were sleeping, to take C1’s car seat. As S1 came back and was putting C1 in the car seat, S1 noticed the scratches on C1’s forehead and face which were not there before. S1 brought C1 to the parent and informed parent that C1 had just woken up and might have scratched own forehead. S1 also reported that C1’s parent acknowledged that C1’s fingernails were long and needed to be cut. S1 stated S1 did not witness C1 or anyone else scratched C1’s forehead.

S2 reported that on 9/24/2021, S2 was taking a break during the children’s naptime, so S2 did not witness C1 or any one scratch C1’s forehead. S2 also reported that S2 did not observe any scratch on C1’s forehead throughout the day.

Both interviewed staff confirmed that there are always 2 staff members providing supervision to the children except at naptime when staff member is taking turn to have a break. Both staff also confirmed that they would provide first aid if there is an injury and would inform the parents.

On 09/30/2021, LPA Tran received pictures of C1 with the scratches on C1’s face and C1’s fingernails. These pictures were taken right after the incident. In the pictures, C1’s fingernails appeared to be long. On 10/20/2021, during the inspection, LPA Tran observed the playpen was secured and it was not possible for another child to reach inside the playpen to scratch any child. On this day, LPA Tran also inspected the area in the garage where S1 kept the car seat and it was in very close proximity from the playpen. It would take S1 a few seconds to step to the garage to take the car seat and still maintain supervision to the childcare area.

During parent interviews, all interviewed parents shared no concern about the daycare. Indeed, they are very happy with the service at the daycare.

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SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Nguyen K Tran	TELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20210930110236

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: ARREOLA, CINDY	FACILITY NUMBER: 304312497
	VISIT DATE: 12/02/2021

NARRATIVE

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(Page 3 of Report)

Based on the information gathered from LPAs' interviews, observation, and reviewing records, there is 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 child sustained injury while in care did or did not occur; therefore, the allegation is UNSUBSTANTIATED.

Exit interview was conducted. The Notice of Site Visit was posted. Facility representative was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalty of $100. “The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.” This report LIC 9099 was provided to the licensee. First level appeal is to Regional Manager, address is above on the report.

(End of Report)

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Nguyen K Tran	TELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:	DATE: 12/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021

LIC9099 (FAS) - (06/04)

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