304371179-1-20-2023-06-CC-THOO-CNFL59-20230126072646

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371179
Report Date: 01/20/2023
Date Signed: 01/20/2023 03:26:52 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
11/01/2022 and conducted by Evaluator Stacy Torrence

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20221101102804

FACILITY NAME:	CALVARY CHAPEL OF YORBA LINDA		FACILITY NUMBER:	304371179
ADMINISTRATOR:	MYERS, BRENDA		FACILITY TYPE:	850
ADDRESS:	18821 YORBA LINDA BLVD.		TELEPHONE:	(714) 777-7131
CITY:	YORBA LINDA	STATE: CA	ZIP CODE:	92886
CAPACITY:	115	CENSUS: 65	DATE:	01/20/2023
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Brenda Myers, Director		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff restrained a daycare child to nap

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 01/20/2022, 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 Brenda Myers. During today’s visit, there were 65 children with 13 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 11/01/2022, Licensing office received a complaint alleging the following: Staff restrained a daycare child to nap.

Reporting Party (RP) reported the following: staff pushed down on a child’s lower back during nap for not wanting to take a nap.

During the course of the investigation, LPA Torrence interviewed seven staff members, four children, Subject Child (SC), and four parents.

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: 01/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023

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 2

Control Number 06-CC-20221101102804

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: CALVARY CHAPEL OF YORBA LINDA	FACILITY NUMBER: 304371179
	VISIT DATE: 01/20/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

During the staff interview, all staff members denied witnessing any staff member restrained any child during nap time. Director disclosed a parent accused S2 was holding a child down during naptime. Director discussed the parent’s concern with S2 and S2 stated on 10/24/2022 SC did not want to nap and started to kick. S2 had the hands up to block the SC from kicking into S2’s face. S2 then rubbed SC’s tummy so SC can fall asleep. Staff 2 (S2) stated the following: on 10/24/2022, during naptime around 12:45am, SC was asking for a book. S2 did not have a book, so SC started to kick and tried to get out of bed. S2 held the hands up to block S2’s face from being kicked. This incident happened for about 10 minutes and SC fell asleep after S2 rubbed SC’s tummy. S2 denied restraining any child during naptime. S5 stated on 10/24/2022 at around 1:30pm, S5 witnessing S2 was rubbing SC’s back and SC was knocked out asleep. S5 also disclosed SC only wanted S2 and S3 at naptime or SC would look for them. S6 stated witnessing S2 was patting SC’s back while SC was trying to through a fit. S7 disclosed the following: On 10/24/2022, S7 was in the nap room and witnessed S2 was asking SC to stop kicking. S2 also told SC that S2 would have to put the hands over SC’s feet to block SC from hitting S2. At no time, S7 witnessed S2 was holding SC down with S2 hands.

There was no disclosure made by the four qualified children and the Subject Child.

Four interviewed parents had no issues or concerns.

Based on the information gathered from LPA’s interview, there is insufficient information to corroborate the allegation of Staff restrained a daycare child to nap. 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: 01/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2