304371122-2-17-2023-06-CC-THOO-CPFPFU-20230227101717

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371122
Report Date: 02/17/2023
Date Signed: 02/17/2023 04:47:45 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-20221212085819

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: 6	DATE:	02/17/2023
		UNANNOUNCED	TIME BEGAN:	03:55 PM
MET WITH:	Carrie Mercado, Director		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Staff do not provide water for day care children.

INVESTIGATION FINDINGS:

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On 02/17/2023, Licensing Program Analyst (LPA) Stacy Torrence conducted an in-person inspection to deliver the findings regarding the above complaint allegation. LPA Torrence met with Director Carrie Mercado. There was a total of 6 infants with 3 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: daycare child sustained an unexplained injury while in care and staff do not provide water for daycare children.

Reporting Party (RP) reported the child was not provided water for a long period of time.

During the course of the investigation, LPA Torrence interviewed three staff members, four parents, and detective. No children interview conducted due to being non-verbal.

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: 02/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023

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-20221212085819

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: 02/17/2023

NARRATIVE

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Staff do not provide water for daycare children:
Two interviewed staff denied refusing to provide water to the children. Interviewed staff stated there is a Brita Pitcher in the classroom for refill. Interviewed staff stated the children let them know when they want more water, and they provide refills. Interviewed staff reported they have spared cups in the classroom for children who forget their cup. Detective stated witnessing staff feeding and giving subject child something to drink.

During the course of the investigation, LPA Torrence observed a filter water pitcher in the classroom for refills and extra water bottles if children forget theirs. LPA Torrence received pictures from RP depicting subject child, in the classroom, drinking water out of a bottle.

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

Based on LPA’s observation and interviews, there is insufficient evidence to support the above allegation. 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: 02/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023

LIC9099 (FAS) - (06/04)

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