304371122-2-16-2023-06-CC-THOO-CPFPP5-20230227102859

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371122
Report Date: 02/16/2023
Date Signed: 02/16/2023 03:38:48 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
12/12/2022 and conducted by Evaluator Stacy Torrence

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20221212103325

FACILITY NAME:	HILLSBOROUGH PRIVATE SCHOOL		FACILITY NUMBER:	304371122
ADMINISTRATOR:	MERCADO, CARRIE		FACILITY TYPE:	830
ADDRESS:	191 OLD SPRINGS ROAD		TELEPHONE:	(714) 998-6031
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92808
CAPACITY:	33	CENSUS: 11	DATE:	02/16/2023
		UNANNOUNCED	TIME BEGAN:	02:54 PM
MET WITH:	Carrie Mercado, Director		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff did not prevent day care child from sustaining injuries while in care

INVESTIGATION FINDINGS:

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On 02/16/2023, Licensing Program Analyst (LPA) Stacy Torrence conducted an in-person inspection to deliver the findings regarding the above complaint allegations. LPA Torrence met with Director Carrie Mercado. There was a total of 11 infants with 5 staff supervising. 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 12/12/2022, Licensing office received a complaint alleging the following: Staff did not prevent day care child from sustaining injuries while in care. Reporting Party (RP) reported the following: child had bite marks on left arm and sustained other injuries, which left bruises on child.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Thuy Ho	TELEPHONE: (714) 287-8515
LICENSING EVALUATOR NAME: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023

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-20221212103325

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: HILLSBOROUGH PRIVATE SCHOOL	FACILITY NUMBER: 304371122
	VISIT DATE: 02/16/2023

NARRATIVE

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During the course of the investigation, LPA Torrence interviewed three staff members and three parents. LPA was unable to interview any children due to being nonverbal.

During the staff interviews, all staff denied noticing bite marks on subject child. Staff #1 (S1) stated there’s no biting incidents reported to S1. S2 stated recalling a child who had an ear infection and was falling constantly. S2 stated this child was a quiet kid, who would play alone and would just fall. S2 stated did not remember child getting hurt when child fell. S3 stated there were a lot of children with ear infections last year. S3 stated never noticing the children falling but just being fussy and holding their ears.

01/11/2023 LPA reviewed all incident ouch reports from last year and did not discover any incident reports for subject child.

The four interviewed parents had no issues or concerns with the daycare.

Based on LPA’s observation, interviews, and records review, there is insufficient information to corroborate the allegation of Staff did not prevent day care child from sustaining injuries while in care. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation 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: Stacy Torrence	TELEPHONE: (714) 300-3599
LICENSING EVALUATOR SIGNATURE:	DATE: 02/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023

LIC9099 (FAS) - (06/04)

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