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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304370764
Report Date: 08/24/2021
Date Signed: 08/24/2021 02:37:13 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
06/30/2021 and conducted by Evaluator Ryan Joseph Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210630165113
FACILITY NAME:KRISTIN'S KIDDIELANDFACILITY NUMBER:
304370764
ADMINISTRATOR:SIMMONS, KRISTINFACILITY TYPE:
850
ADDRESS:27101 ALISO CREEK RD #150,152,TELEPHONE:
(949) 903-5437
CITY:ALISO VIEJOSTATE: CAZIP CODE:
92656
CAPACITY:30CENSUS: DATE:
08/24/2021
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Kristin Simmons - DirectorTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Child was inappropriately touched while in care.
Staff did not properly clean daycare child.
INVESTIGATION FINDINGS:
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On 08/24/21 Licensing Program Analysts (LPA) Ryan Chan conducted an unannounced complaint investigation to deliver the findings to the allegations stated above. LPA met with director Kristin Simmons There were a total of 18 preschool children with 2 staff plus the director at the facility.

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

On 06/30/21 the Orange County Child Care Office received a complaint with allegations that a child was touched inappropriately on 06/09/21 where a string of hair was wrapped around the child’s private part and the hair looked to be tied in a knot, the second allegation is staff did not properly clean daycare child on 06/29/21, reporting party (RP) stating child had “crusty poop” on the child’s rear end.
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Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021
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-20210630165113
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: KRISTIN'S KIDDIELAND
FACILITY NUMBER: 304370764
VISIT DATE: 08/24/2021
NARRATIVE
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During the course of the investigation LPA interviewed 4 staff and 7 parents on 07/02/21 and 08/12/21. LPA also reviewed children’s roster, staff roster, sign-in / sign-out sheets for staff and children, obtained copies of subject child’s file from this facility, and obtained Orange County Child Protective Services (CPS) report. LPA made attempts to interview the RP via phone, LPA did not receive a call back. LPA called subject child’s parents; LPA did not receive a call back. Children were not interviewed due to being non-verbal due to age.

There was no CPS report for the allegation dated 06/29/21 regarding “crusty poop” on subject child’s rear end. There was a CPS report for the allegation on 06/09/21, the disposition on the report states “info only”, CPS did not investigate the allegation.

Based on records reviewed, the subject child was dropped off to this childcare facility on 06/08/21 at 8:30am by subject child’s mom, child was fine, no swelling on child’s private parts. Subject child was picked up by the subject child’s dad on 06/08/21 at approximately 4:00pm from this childcare facility. The subject child was in the father’s care when the discovery was made the following day 06/09/21 at 8am where a string of hair was discovered wrapped around subject child’s private part. Subject child was taken in to be seen at a hospital by a specialist on 06/09/21. Records reviewed state the color of the hair did not match that of the director’s but did match the color of hair for one staff and of the subject child’s mom.

LPA interviewed director and 3 staff who stated diapers are changed in the morning before children’s first snack around 10am, then after lunch (lunch is around 12:00pm until when children finish their food), then again after nap (nap is between 1:00pm-3:00pm depending on when children wake up), and if the child is at the facility late diapers are changed again around 4pm. All 4 staff stated they check in between those intervals stated and will change diapers if needed. All 4 staff describe the process of cleaning a child with using as much baby wipes as possible until the child is thoroughly cleaned. LPA interviewed director who stated subject was last at the facility on 06/29/21, sign-in/sign-out sheet confirmed this information and indicate subject child was picked up at approximately 4:50pm by Adult #1, A1 (See Confidential Names List dated 08/24/21). Director states she received a call from A1 at approximately 7:41pm (3 hours after pick up) 06/29/21, A1 was asking about diaper changing. Director informed A1 that subject child’s diaper was changed before subject child was picked up. Director asked A1 if this is the first time this had happened, A1 responded yes. Director asked “are you guys okay with everything at Kiddieland?”, A1 responded yes.
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SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 06-CC-20210630165113
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: KRISTIN'S KIDDIELAND
FACILITY NUMBER: 304370764
VISIT DATE: 08/24/2021
NARRATIVE
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No other concerns were brought up by A1 per Director. Director states at approximately 4:10pm she personally walked subject child to her staff S1 (See Confidential Names List dated 08/24/21) to change subject child’s diaper. S1 confirmed the information but approximates the time between 3:30pm-3:45pm. All 4 staff interviewed state they would have known by smell if subject child had poop in the child’s diaper as staff walk children out to their parents during pick up. All 4 staff add that children’s diapers are checked before leaving the facility.

LPA interviewed 7 parents who stated they were satisfied with the care provided by the staff at this facility, parents did not bring up any concerns. Parents state their children are happy and like coming to this facility. Parents state they would recommend this facility to other parents. In addition, LPA received 8 emails from parents of children who are cared for or were cared for at this facility describing how satisfied they were with the care provided by staff at this facility.

Based on interviews conducted and records reviewed there is not enough evidence to support the allegations. According to staff interviewed child’s last diaper change at this facility was between 3:30pm – 4:10pm, child was picked up at 4:50pm and A1 called director at 7:41pm, approximately 3 hours later. There is a 4 hour time frame between 3:30pm to 7:41pm where the child was either with staff at this facility or home. Regarding the second allegation which happened 06/09/21, director was unaware because no concerns were brought up by either of the subject child’s parents or by A1. Parents of subject child continued to take subject child to this facility after 06/09/21 until subject child’s last day on 06/29/21.

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.

An exit interview was completed with director. The report was reviewed and discussed. Appeal Rights (LIC 9058) were discussed and a copy of the Appeal Rights was provided, their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

A Notice of Site Visit was provided. The director was informed that the “Notice of Site Visit” must be posted for 30 consecutive days on or adjacent to the door. Failure to post will result in Civil Penalties of $100.00.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Ryan Joseph ChanTELEPHONE: (714) 287-0708
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3