<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370647
Report Date: 06/16/2023
Date Signed: 06/16/2023 09:56:20 AM

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
04/26/2023 and conducted by Evaluator Carmen Odom
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230426132245
FACILITY NAME:SANTA ANA COLLEGE CDC RANCHO SANTIAGO COMMUNITYFACILITY NUMBER:
304370647
ADMINISTRATOR:COWAN,J/CASTELLON,MFACILITY TYPE:
850
ADDRESS:1530 WEST 17TH ST. BLDG VTELEPHONE:
(714) 564-6890
CITY:SANTA ANASTATE: CAZIP CODE:
92706
CAPACITY:160CENSUS: 67DATE:
06/16/2023
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Emelda Iniguez - Assistant DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child sustained multiple unexplained injuries while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPA) Odom conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 4/28/2023. Upon arrival LPA met with Assistant Director Emelda Iniguez, to deliver complaint findings. At 9:00am Assistant Director took LPA on a tour of the facility and census was taken. LPA observed a total of 67 children and 17 staff, children were playing. During the inspection it was determined the facility is operating within its licensed capacity and within compliance with staffing ratios. Director Maria Castellon arrived at 9:14am.
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 4/26/2023 alleging Child #1(C1) sustained multiple unexplained injuries while in care. Reporting party (RP) disclosed they were concerned the staff are not properly supervising the children in care due to the multiple injuries C1 sustained while in care.
Continue to page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023
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-20230426132245
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: SANTA ANA COLLEGE CDC RANCHO SANTIAGO COMMUNITY
FACILITY NUMBER: 304370647
VISIT DATE: 06/16/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 2
During the investigation LPA Odom interviewed the reporting party, director, 3 staff members, and 7 parents. LPA reviewed the children’s roster, personnel records, ouch reports, e-mail threads, C1’s daily report on 9/28/22, parent survey, pictures taken. LPA did not interview children; children had limited vocabulary did not qualify for interview.

During an interview on 4/28/2023, Staff #1 (S1) stated on 9/29/22 RP met with S1 regarding a bite mark on C1’s thigh. S1 informed RP that staff did not observe C1 get bitten by another child nor C1 cry from being bitten. S1 stated on 9/29/22 according to the daily report, C1 had 2 diaper changes at 12:00pm and 2:30pm and staff did not observe any bite marks on C1’s thigh. On the day in question C1 was picked up at 3:00pm. According to the records of the incident on 4/20/23 Staff #2 (S2) observed the incident, wrote an ouch report and report was given to RP by the end of the day. The incident on 4/25/23 Staff #5 (S5) observed the incident, wrote an ouch report and report was given to RP by the end of the day. S1 stated they have a 1:4 ratio in their toddler option classes and there are usually 3 staff in the classroom. The facility also hires part-time student assistants that provide additional support throughout the facility. S1 stated if there is a bite incident, staff will place ice pack, write an ouch report, and notify parents. Staff work on strategies to help the child move away from that behavior, especially children with limited language. Staff will shadow and keep the child separate and work with the child on not biting. The facility has resources to refer the child to be evaluated for behavioral issues. The facility has a mental health consultant that works with parents and staff. The facility has an inclusion program that uses emotional support lessons for staff. The facility has a coach who will observe in the classroom and assist staff on how to work with a child that might be having behavioral issues. S1 stated staff are trained in supervision to make sure they don't have their back to the children. Staff will position themselves around the classroom. The facility doesn’t allow cell phone use in the classroom.

LPA Odom interviewed 3 staff members on 4/28/23. S2 stated they observed the incident on 4/20/23, C1 had been playing with a basket of cars most of the day, C1 decided to walk away from the basket of car to play with block, another child decided to play with the basket of cars and C1 saw another child grabbing the basket of cars and ran towards the child attempting to bite the child and the other child scratched C1’s face. S2 immediately separated both children, cared for the injury, and wrote an ouch report.
Continue to page 3
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20230426132245
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: SANTA ANA COLLEGE CDC RANCHO SANTIAGO COMMUNITY
FACILITY NUMBER: 304370647
VISIT DATE: 06/16/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Page 3
S5 reported observing the incident on 4/25/23, during outside playtime C1 was running and bumped into another child causing C1 to fall back and bump their head on the wooden cover. All the staff stated they did not observe any bite marks on C1’s thigh on 9/29/22. All of the staff disclosed they do receive training on supervision and when an incident occurs they write an ouch report to give to the parents by the end of the day and call parents if necessary.

LPA interviewed 7 parents on 5/26/23 and 6/8/23. All the parents interviewed stated they have observed staff always supervising the children in care. Six out of seven parents did not have any concerns about the childcare facility. Parent #1 (P1) stated they are concerned if staff change children’s diapers due to their child having a dirty diaper during pick up. Overall, all the parents are satisfied with the childcare center.

Based on LPA’s facility inspection, observations, interviews conducted with reporting party, director, 3 staff, 7 parents and records reviewed it was determined there was insufficient evidence that Staff were not supervising C1 when child sustained the injuries. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted with Director, Maria Castellon. Notice of Site Visit was posted during the visit. Director 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. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3