304370798-8-28-2019-06-CC-RLOZ-BFY48C-20190912185230

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370798
Report Date: 08/28/2019
Date Signed: 08/28/2019 10:32:22 AM

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
07/18/2019 and conducted by Evaluator Stacy Torrence

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20190718140419

FACILITY NAME:	CC'S LEARNING CENTER		FACILITY NUMBER:	304370798
ADMINISTRATOR:	MOTE, MICHELLE		FACILITY TYPE:	830
ADDRESS:	300 EAST IMPERIAL HIGHWAY		TELEPHONE:	(714) 671-6970
CITY:	BREA	STATE: CA	ZIP CODE:	92821
CAPACITY:	8	CENSUS: 6	DATE:	08/28/2019
		UNANNOUNCED	TIME BEGAN:	08:44 AM
MET WITH:	Mary Brooking, Assistant Director		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Infant sustained unexplained injury while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Torrence conducted an unannounced complaint inspection on 08/28/2019 to follow up on the complaint investigation that was conducted on 07/26/2019. LPA met with Mary Brooking, Assistant Director who guided analyst on a tour of the Early Childhood Setting indoors and outdoors. There were six infants present with two staff supervising. Director Michelle Mote arrived at the facility 9:20 a.m. During today’s investigation the facility was operating within its licensed capacity and within compliance of staffing ratios. 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.
Allegation: infant sustained unexplained injuries while in care. Complainant reported the child sustained injuries on three different days (07/11/2019, 07/16/2019, and 07/17/2019). Per Complainant, most of the children are walking, crawling, and even running and her child is barely learning how to crawl. Complainant was concerned about the type of flooring the classroom had, so she brought a baby blanket for her child to crawl on while in care. The director, assistant director, and three staff members reported the parent requested the staff to restrict the child to the area of the floor that was covered with the blanket.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

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-20190718140419

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: CC'S LEARNING CENTER	FACILITY NUMBER: 304370798
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/28/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/28/2019 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223(a)(2) Personal Rights.The licensee shall ensure that each child is accorded the following personal rights:To be accorded safe, healthful and comfortable accommodations.. The requirement is not met as evidence by interviews, review of ouch reports, and observation of the classroom floor, it was determined that	1 2 3 4 5 6 7	During today's inspection, LPA observed carpet on approximately 90% of the floor in the infant classroom. Per Director, the carpet was placed on the floor a weeks after the LPA's initial inspection on 07/26/2019. As of this day, the dificiency is corrected.
	8 9 10 11 12 13 14	Based on interviews, review of the ouch reports and observation of the classroom floor, it was determined that children are sustaining injuries while in care. This poses an immediate risk to the safety of children in care. An immediate $500.00 civil penalty is being assessed due to a violation which result in an injury. This civil penalty is assessed 100.00 per day until corrected.	8 9 10 11 12 13 14
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 06-CC-20190718140419

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: CC'S LEARNING CENTER	FACILITY NUMBER: 304370798
	VISIT DATE: 08/28/2019

NARRATIVE

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Page 2-9099-C

The staff stated the child is currently learning how to crawl and would sometimes slip on the blanket resulting in the child bumping her forehead on the above dates. During the inspection on 07/26/2019, LPA obtained copies of emails between the parent and the facility. Within the emails, there were no disclosure or discussion regarding the 07/11/2019 injury.
The emails only discussed the July 16^th and July 17^th injuries. The parents and the director agreed to postpone enrollment until the child masters her crawling and walking skills. Two parents were also interviewed. One parent stated she had no injury or supervision concerns about the facility. The other parent expressed her concern about the flooring, as her son bumped his head on the floor while trying to crawl. No children were interviewed due to their ages. During today’s inspection, LPA observed green carpet in the infant’s classroom that covers approximately 90% of floor. Per Director Michelle Mote, the carpet was placed on the floor a week after LPA’s initial complaint inspection on 07/26/2019. According to the Assistant Director, the facility want to accommodate the parents.
Based on the interviews, review of the ouch reports, and an observation of the flooring, the preponderance of evidence standard has been met; therefore, the 101223(a)(2) Personal Rights allegation is found to be substantiated. California Code of Regulations, Title 22, Division 12 & Chapter 1, is being cited on the attached LIC 9099D. An immediate civil penalty of 500.00 was assessed today for Personal Rights and 100.00 per day until corrected.
If the facility receives a Type A violation, the licensee shall post and provide copies of the report to parents/guardians of the children in care at the facility by the next business day and shall provide to the parents/guardians of children newly enrolled at the facility during the next 12 months. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days and provide a copy to current and enrolling parents. The licensee is to keep Acknowledgement Receipt (LIC 9224) signed by parents in each child’s file. In addition, the licensee shall immediately post upon receipt the Proof of Correction for 30 consecutive days.
Exit interview was conducted. The report was reviewed and discussed. The facility representative was provided a copy of their appeal rights (LIC 9058 12/15) and they were discussed. The 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 $100.00. The “Notice of Site Visit” must be posted on or adjacent to the door. Failure to post Type A reports for 30 days will result in a Civil Penalty of $100.00.

SUPERVISOR'S NAME: Rina Lopez	TELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2019

LIC9099 (FAS) - (06/04)

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