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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370749
Report Date: 03/07/2023
Date Signed: 03/13/2023 02:57:46 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
01/06/2023 and conducted by Evaluator Nguyen K Tran
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20230106084824
FACILITY NAME:SERRANO HEIGHTS ACADEMYFACILITY NUMBER:
304370749
ADMINISTRATOR:CHA, HANNAFACILITY TYPE:
830
ADDRESS:6513 EAST SERRANO AVENUETELEPHONE:
(714) 637-4963
CITY:ANAHEIM HILLSSTATE: CAZIP CODE:
92807
CAPACITY:38CENSUS: 14DATE:
03/07/2023
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Vik Gursahani, OwnerTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Floors are in disrepair.
Facility is not abiding by one teacher to four infant ratio at all times.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nguyen Tran conducted an unannounced complaint visit to deliver the complaint findings. LPA met with owner, Vik Gursahani. Census was taken in individual classrooms. The overall census observed was 4 staff and 14 infants. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 01/06/2023 a complaint was filed with the Licensing office alledging floors are in disrepair, and facility is not abiding by one teacher to four infant ratio at all times.

During the investigation, LPA observed the morning routine on 01/10/2023 between 7:00am-8:30am, inspected classrooms and interviewed all involved parties including 10 staff at the facility.

(Continue next page)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Nguyen K TranTELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
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 5
Control Number 06-CC-20230106084824
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: SERRANO HEIGHTS ACADEMY
FACILITY NUMBER: 304370749
VISIT DATE: 03/07/2023
NARRATIVE
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(Page 2 of Report)

During observation on 01/10/2023, LPA observed a total of 1 infant and 1 staff at 7am. At 7:15am, another infant arrived. At 7:30am, 2 other infants arrived and another staff arrived to the classroom. The facility met staff to child ratio.

During inspection of the facility, LPA saw a crack on the floor in room #2 of the facility and the the crack was covered by a large tape which appeared to be safe and not a hazard for the children in care. LPA Tran also inspected the carpet areas in the classrooms and the carpet areas appeared to be clean and sanitary.

During the interviews, 10 out of 10 interviewed staff at the facility on 01/10/23 and on 01/19/23, denied of staff being out of ratio. All interviewed staff stated they are always having enough staff to child ratio and communicate to Director and owner to ask for assistance should they need to take a break. All interviewed staff gave consistent answer about providing supervision by communicating within the team to ensure one staff will cover the supervision of the children on the floor, when other staff are involving in different activities with other children. Facility owner stated the facility carpet cleaning was scheduled twice a year in June and in December and as needed.

During record review, LPA reviewed the facility staff's schedule and children's sign/in sheets within the month of December 2022, there were 2 staff scheduled daily from 6:30am, 2 staff scheduled from 7:30am and 2 staff scheduled at 8am to received the children in the morning; and there were no more than 2 infants arrived before 7am and no more than 6 infants arrived before 7:30am. LPA also reviewed a receipt of carpet cleaning completed on 12/09/2022.

Based on LPA's observation on 01/10/2023, interviews with 10 staff on 01/10/2023 and on 01/19/2023 and record review of staff's schedule and children's sign in/out sheets in December 2022 and receipt of carpet cleaning on 12/09/2022, there is insufficient evidence to corroborate the allegations that floors are in disrepair and facility is not abiding by one teacher to four infant ratio at all times. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged floors are in disrepair and facility is not abiding by one teacher to four infant ratio at all times did or did not occur, therefore the allegations are UNSUBSTANTIATED. (Continue next page)
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Nguyen K TranTELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 06-CC-20230106084824
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: SERRANO HEIGHTS ACADEMY
FACILITY NUMBER: 304370749
VISIT DATE: 03/07/2023
NARRATIVE
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(Page 3 of Report)

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058) was provided. First level appeal is to Regional Manager, address is above on the report.

(End of Report)
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 795-0859
LICENSING EVALUATOR NAME: Nguyen K TranTELEPHONE: (714) 658-6048
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 5