304370987-3-4-2021-06-CC-JHAN-BYU2N3-20210305163205

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304370987
Report Date: 03/04/2021
Date Signed: 03/04/2021 10:27:48 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
08/04/2020 and conducted by Evaluator Tina Nguyen

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20200804130328

FACILITY NAME:	KIDDIE ACADEMY OF HUNTINGTON BEACH		FACILITY NUMBER:	304370987
ADMINISTRATOR:	CARREON, NICOLE		FACILITY TYPE:	850
ADDRESS:	19342 BEACH BLVD		TELEPHONE:	(714) 968-0078
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92648
CAPACITY:	124	CENSUS: 38	DATE:	03/04/2021
		UNANNOUNCED	TIME BEGAN:	08:20 AM
MET WITH:	School assitant director Amber Lopez		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Lack of supervision resulting in physical altercation between children.

INVESTIGATION FINDINGS:

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On 03/04/2021, Licensing Program Analysts (LPAs) Tina Nguyen and Carmen Odom conducted a in person inspection to deliver the findings regarding the above complaint allegation. LPA Nguyen and LPA Odom met with School assitant director Amber Lopez. The Covid-19 Emergency Response questionnaires were asked. Director Nicole Carreon came after.
A toured the facility was conducted, and a census was taken. Observed at the time of the visit was a total of 38 preschool children and 6 staff. A review of staff criminal clearance 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.
On 08/04/2020, our office received a complaint alleging Lack of supervision resulting in physical altercation between children.
LPA Nguyen conducted a telephone interviews with three staff members and five children. No disclosures were made regarding supervision issues by staffs or children to LPA Nguyen. All interviewed staff members denied lack of supervision resulting in physical altercation between children. (Continue on page 2)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina Nguyen	TELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

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-20200804130328

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: KIDDIE ACADEMY OF HUNTINGTON BEACH	FACILITY NUMBER: 304370987
	VISIT DATE: 03/04/2021

NARRATIVE

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Per staffs, when there is a biting incident, the staff documented what happened, sign the incident report, and notify parents. All interviewed children stated they did not observe or witness any child biting another child. All interviewed children disclosed they like going to this school. LPA Nguyen tried to interview subject child’s parent on three different occasions, however, the parent was not available to talk at the time of the call. Parent stated they would call back, but no return call was ever received by LPA Nguyen. Neither child alleged to be involved in the incident were not available to be interviewed by LPA Nguyen.

LPA Nguyen contacted nine parents by phone and was able to interview three parents. All three interviewed parents stated they like the facility and all staff members are very nice. Interviewed parents also stated they did not have any concern or issue with the facility.

LPA Nguyen ask for the video footage for the incident; the facility representative confirmed that the video is not available since the video record is just available for three days.

Based on the information gathered from LPAs' interviews, there is insufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged lack of supervision resulting in physical altercation between children did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted. The Notice of Site Visit was posted. Appeal Rights was explained. A copy of appeal rights (LIC 9058 1/16) will be provided through email and their signatures on this form acknowledges receipt of these rights. First level appeal is to Regional Manager, address is above on the report.

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Tina Nguyen	TELEPHONE: (714) 292-2922
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2021

LIC9099 (FAS) - (06/04)

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