304313602-12-6-2021-06-CC-THOO-C9SRZS-20211217122823

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304313602
Report Date: 12/06/2021
Date Signed: 12/06/2021 03:31:49 PM

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
09/20/2021 and conducted by Evaluator Pat Rivas

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20210920145927

FACILITY NAME:	COTA, YOLANDA		FACILITY NUMBER:	304313602
ADMINISTRATOR:	COTA, YOLANDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(714) 341-1648
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90621
CAPACITY:	14	CENSUS: 5	DATE:	12/06/2021
		UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Yolanda Cota, Licensee		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Adult in home hit day care child
Licensee locked day care child in bathroom
Licensee is transporting day care children with no car seats

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)P Rivas conducted an unannounced complaint visit in order to render findings on the above allegations.The Covid-19 Emergency Response questionnaire was reviewed and answered by the licensee before entering the facility. LPA toured the facility and took census. There were a total of 5 Toddlers. 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.
Due to computer issues, LPA left facility at 10:00am and returned at 3:15pm.

The investigation consisted of review of facility records, review of facility, interviews with staff, families, children.

In reference to the allegation that an adult in the home hit a day care child. Interviews with licensee and daughter/Yolanda Piceno indicated they are the only staff working and present when children are in care.

Unsubstantiated

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: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

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-20210920145927

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: COTA, YOLANDA	FACILITY NUMBER: 304313602
	VISIT DATE: 12/06/2021

NARRATIVE

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Both licensee and assistant deny hitting a child. LIcensee, Yolanda Cota reports she had never been told that a child was hit by an adult in care. Interviews with families of children enrolled in day care indicate they have no issues or concerns with staff , furthermore they indicated they had not seen any other adult in the facility when they have visited the day care.
In reference to the allegation that licensee locked day care child in bathroom. Licensee denies locking any children as a form of punishment. Licensee reports if children misbehave they are spoken to and if it is a continuous behavior they speak to the parents. Licensee denies locking children in the bathroom. She reports not keys are used to unlock bathroom door. Interviews with families indicate there are no issues or concerns with care being provided. LPA viewed bathroom door knob and noted that the door can be unlocked from the inside as it is a twist lock. From the outside the door knob has a child proof cover. Licensee demonstrated how she unlocks the door from the outside, using a metal two inch long bar.

In reference to the allegation that Licensee is transporting day care children with no car seats. LPA viewed car and car seats used for transporting children. LPA viewed one infant car seat, viewed one car seat by the door and two booster seats, in garage. Ms. Cota reports her daughter does the transportation while she cares for the other children in care. Ms. Piceno indicated she does not need to transport more than two(2) children requiring booster seats or car seats at one time. Ms. Piceno indicated she has never stopped to give anyone a ride, she only transports children that are in their care to and from school. Ms. Piceno stated currently Child#8 is picked up M,T,W, F at 2:30 and Thursday at 12:30. Children#12 &13 are picked up Wed at 1:30pm and Thurs & Fri. and 1:50. Ms. Piceno states she finishes transporting each child before she goes to another pick up. Interviews with families indicate there are no issues or concerns.

LPA was unable to corroborate the above allegations. Although the allegation (s) 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.

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 penalties of $100. Appeal Rights explained. A copy of their appeal rights (LIC 9058) was given and signatures on this form acknowledges receipt of these rights. All appeals must be in writing and received by the licensing office within 15 business days. The first level appeal is to regional manager; address is above on the report. Exit interview was conducted.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat Rivas	TELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021

LIC9099 (FAS) - (06/04)

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