304313112-2-21-2023-06-CC-RLOZ-CPCW3K-20230224155604

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304313112
Report Date: 02/21/2023
Date Signed: 02/21/2023 03:52:03 PM

Unsubstantiated

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
11/30/2022 and conducted by Evaluator Nguyen K Tran

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20221130122503

FACILITY NAME:	VO, THU TRUNG		FACILITY NUMBER:	304313112
ADMINISTRATOR:	VO, THU TRUNG		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(657) 237-5044
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92840
CAPACITY:	14	CENSUS: 7	DATE:	02/21/2023
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Thu Vo, Licensee		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Adult hit a child in care.

INVESTIGATION FINDINGS:

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On 02/21/2023, Licensing Program Analyst (LPA) Tran conducted an in-person investigation to deliver the finding regarding the above complaint allegation. LPA Tran met with Licensee Thu Vo. A toured the facility was conducted, and a census was taken. Observed at the time of the visit was a total of 7 children and Licensee.

A review of the Facility Personnel Report Summary on indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 11/30/2022, the office received a complaint alleging, Adult #1 hit a day care child while in care. When Authorized Representative picked up subject child, Adult #1 stated child had fallen. Authorized Representative was informed Adult #1 had hit the child and was not truthful with Authorized Representative. A police report was filed with the Garden Grove Police Department.
(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: 02/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023

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 3

Control Number 06-CC-20221130122503

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: VO, THU TRUNG	FACILITY NUMBER: 304313112
	VISIT DATE: 02/21/2023

NARRATIVE

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(Page 2 of Report)

During the investigation, LPA interviewed four adults on 12/01/2022 and on 12/05/22, five parents on 01/17/23, one child (C6) on 01/18/2023 and one child (C7) on 02/01/2023. LPA also reviewed Garden Grove Police investigation report.

During a confidential interview on 12/01/2022, it was reported subject child did not fall as reported by facility representative, instead, subject child was hit by Adult #1 due to child not napping, resulting in a bruise on the lip area.

During interviews conducted on 12/05/2022, all three interviewed adults, including Adult #1, denied having witnessed any child being hit by another adult at the day care. Adult #3 and Adult #4 denied knowing of any injuries occurred to the children in care as they denied any involvement in providing care for the children. Adult #1 reported subject child fell and sustained a bruise on the lip and Adult #1 informed parent of the incident.

All interviewed parents on 01/17/2023, gave positive feedback about quality of care at the facility and did not have any concern related to the allegation.

LPA attempted to interview seven children in care, two children qualified for the interview. Out of the two interviewed children, C6 and C7, C6 denied being hit by any adult at the facility but said C6 witnessed C7 being hit by Adult #1. When interviewed, C7 denied of being hit by any adult in the facility.

During record review, the Garden Grove Police Department's investigation report showed Unfounded findings.

Based on the interviews conducted with four adults on 12/01/2023 and 12/05/22, five parents on 01/17/23, one child on 01/18/2023, one child on 02/01/2023, and record review of Garden Grove PD's investigation report, there is insufficient evidence to corroborate the allegation that Adult #1 hit a child in care. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove Adult #1 hit a child in care did or did not occur, therefore the allegation that Adult #1 hit a child in care is UNSUBSTANTIATED.
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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: 02/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 06-CC-20221130122503

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: VO, THU TRUNG	FACILITY NUMBER: 304313112
	VISIT DATE: 02/21/2023

NARRATIVE

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(Page 3 of Report)

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) and their signature on this form acknowledges receipt of these rights.” This report LIC 9099 was provided to the Licensee Thu Vo. 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: 02/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023

LIC9099 (FAS) - (06/04)

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