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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 304371271
Report Date: 10/06/2021
Date Signed: 10/06/2021 10:09:25 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
08/20/2021 and conducted by Evaluator Carmen Odom
COMPLAINT CONTROL NUMBER: 06-CC-20210820144531
FACILITY NAME:SUNFLOWER PRESCHOOL & AFTER SCHOOL CENTER INC.FACILITY NUMBER:
304371271
ADMINISTRATOR:LA, KATHYFACILITY TYPE:
850
ADDRESS:12741 MAIN STREETTELEPHONE:
(714) 591-5056
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:90CENSUS: 38DATE:
10/06/2021
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Vicki Nguyen - DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff caused injury to child in care
Staff handled child in care in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Odom conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 8/23/2021. Upon arrival LPA met with Director Vicki Nguyen to deliver complaint findings. At 8:30 am Director guided LPA on a tour of the facility. LPA observed a total of 38 children and 7 staff; 10 preschool children in the Little Star Room (3 year old) with 1 Staff, 5 preschool children in Little Angel Room (2 year old) with 2 Staff, 5 preschool children in Grasshopper Room (3 year old) with 1 Staff, 3 preschool children in Bumble Bee’s room (3 year old) with 1 staff, 15 preschool children Lady Bug Room (4 year old) with 2 staff.

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.

Continue to page 2
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
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 8
Control Number 06-CC-20210820144531
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: SUNFLOWER PRESCHOOL & AFTER SCHOOL CENTER INC.
FACILITY NUMBER: 304371271
VISIT DATE: 10/06/2021
NARRATIVE
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The Department received a complaint on 8/20/2021 alleging Staff #2 (S2) caused injury to child in care and S2 handled Child #4 (C4) in care in a rough manner. The complainant party (CP) stated, on multiple occasions C4 would return home with bruises and injury marks on their body. CP provided images of C4 injuries. On 7/22/21, CP discussed with S2 about the red marks on the right-side cheek and chin of C4s face. S2 stated they did not observe C4 cry or fall and is not sure what happened. S2 stated C4 might have got hurt with a toy. On 7/22/21, CP requested to see video recording at the facility. CP reported they observed S2 grab and hold with one hand C4’s chin for a few seconds.

During the investigation LPA Odom interviewed complaining party, director, 2 staff members, 4 children and 6 parents. LPA reviewed the children’s roster, personnel records, police report, CPS report, staff meeting agenda, images and attempted to obtain video recording of 7/22/21, however, the video was no longer available.

During an interview on 9/9/21, Director (S1) stated, on 7/22/21 CP requested to see video recording of the childcare classroom. S1 stated, on two different dates CP reviewed the recording. S1 stated, CP reported observing S2 grab C4 chin to wipe C4’s nose, and in another occasion, it was observed that S2 grabbed C4’s chin to get C4’s attention, because C4 was misbehaving. S1, S2 and CP had a conference to discuss the incident, CP request C4 to be moved to a different classroom, and C4 returned to care the following day.

LPA interviewed 2 staff members on 9/9/21. S2 stated to get a child’s attention they will grab the child’s face with their hands with open palms and look at them to get eye contact with the child. S2 stated there are times when a child is very active, and they will only use one hand to grab their face. S2 stated, on 7/22/21 C4 had a runny nose throughout the day and they would grab C4’s face to whip the nose. Later that night CP sent a message asking about red marks that were on C4 face. S2 explained to CP that C4 had a runny nose, and they had wiped C4’s nose a few times, however, S2 stated they were not aware red marks were left on C4. Staff #3 (S3) stated, C4 was moved my classroom but, not sure the reason the child was moved to a different classroom.

LPA attempted to interview 4 children; children did not qualify for interviews.
Continue to page 3
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 06-CC-20210820144531
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: SUNFLOWER PRESCHOOL & AFTER SCHOOL CENTER INC.
FACILITY NUMBER: 304371271
VISIT DATE: 10/06/2021
NARRATIVE
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LPAs attempted to interview 8 parents, however only 6 parents were interviewed on 10/4/21. Five out six parents did not have concerns with the childcare facility, and they were happy with the childcare center. Parent #1 (P1) stated, there has been a couple occasions when their child had bite marks on their arm from the childcare, but S2 did communicate the incident.

In the course of the investigation it was discovered that S1 did not report incident to licensing office within 24 hours. LPA asked S1 the reason why the incident was not reported, S1 stated, I was not sure I was supposed to report the incident, I am new as a director of the facility.

Based on LPA facility inspection, observation, interviews conducted with complainant party, director, staff members, and records reviewed it has been determined that C4’s personal rights were violated at the childcare. Therefore, the preponderance of evidence standard has been met, the allegation: Staff caused injury to child in care and Staff handled child in care in a rough manner is found to be Substantiated. California Code of Regulations, Title 22, 101223(a)(3) Personal Rights and 101212(d)(1) Reporting Requirements is being cited on the attached LIC 9099D.

This report cites a Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months.
Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Exit interview was conducted with Director Vicki Nguyen. Notice of Site Visit was posted during the visit, failure to post will result in civil penalties of $100. Appeal rights were provided and explained.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
LIC9099 (FAS) - (06/04)
Page: 7 of 8
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
08/20/2021 and conducted by Evaluator Carmen Odom
PUBLIC
COMPLAINT CONTROL NUMBER: 06-CC-20210820144531

FACILITY NAME:SUNFLOWER PRESCHOOL & AFTER SCHOOL CENTER INC.FACILITY NUMBER:
304371271
ADMINISTRATOR:LA, KATHYFACILITY TYPE:
850
ADDRESS:12741 MAIN STREETTELEPHONE:
(714) 591-5056
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:90CENSUS: 38DATE:
10/06/2021
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Vicki Nguyen - DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff hit child in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Odom conducted an unannounced complaint investigation. This is a continuation of the investigation initiated on 8/23/2021. Upon arrival LPA met with Director Vicki Nguyen to deliver complaint findings. At 8:30 am Director guided LPA on a tour of the facility. LPA observed a total of 38 children and 7 staff; 10 preschool children in the Little Star Room (3 year old) with 1 Staff, 5 preschool children in Little Angel Room (2 year old) with 2 Staff, 5 preschool children in Grasshopper Room (3 year old) with 1 Staff, 3 preschool children in Bumble Bee’s room (3 year old) with 1 staff, 15 preschool children Lady Bug Room (4 year old) with 2 staff.

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.

Continue to page 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 06-CC-20210820144531
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: SUNFLOWER PRESCHOOL & AFTER SCHOOL CENTER INC.
FACILITY NUMBER: 304371271
VISIT DATE: 10/06/2021
NARRATIVE
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Page 2

The Department received a complaint on 8/20/2021 alleging Staff #2 (S2) hit Child #4 (C4) while the child was in care. The complainant party (CP) stated, on multiple occasions C4 would return home with bruises and injury marks on body. On 7/22/21, CP requested to see video recording at the facility. CP reported they observed S2 hit C4 on the buttocks.

During the investigation LPA Odom interviewed complaining party, director, 2 staff members, 4 children and 6 parents. LPA reviewed the children’s roster, personnel records, police report, CPS report, staff meeting agenda, images and attempted to obtain video recording of 7/22/21, however, the video was no longer available.

During an interview on 9/9/2021, Director (S1) stated, on 7/22/21 CP requested to see video recording of the childcare classroom. S1 stated, on two different CP reviewed the recording. S1 stated, CP reported observing S2 hitting C4 on the buttocks. S1, S2 and CP had a conference to discuss the incident, CP request C4 to be moved to a different classroom, and C4 returned to care the following day.

LPA interviewed 2 staff members on 9/9/21. S2 stated, if a child is misbehaving, they are given time out for 1 to 2 minutes and then speak with the child. S2 stated they don’t hit children at the childcare and denied hitting C4. Staff #3 (S3) stated, if a child is misbehaving, they are given a 1-minute thinking time and speak with the child right away. I will grab a child’s attention with puppets and music. S3 stated the staff do not yell or hit the children. S3 denied witnessing S2 hit C4.

LPA attempted to interview 4 children; children did not qualify for interviews.

LPAs attempted to interview 8 parents, however only 6 parents were interviewed on 10/4/21. Five out six parents did not have concerns with the childcare facility, and they were happy with the childcare center. Parent #1 (P1) stated, there has been a couple occasions when their child had bite marks on their arm from the childcare, but S2 did communicate the incident

Continue to page 3.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 06-CC-20210820144531
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: SUNFLOWER PRESCHOOL & AFTER SCHOOL CENTER INC.
FACILITY NUMBER: 304371271
VISIT DATE: 10/06/2021
NARRATIVE
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Based on LPA’s facility inspection, observations, interviews conducted with complainant party, director, 2 staff members, 6 parents and records reviewed it was determined there was insufficient evidence to confirm that staff hit C4 in the buttocks while in care. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted with Director, Vicki Nguyen. Notice of Site Visit was posted during the visit. Director 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. Director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager to the address listed above.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 8
Control Number 06-CC-20210820144531
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: SUNFLOWER PRESCHOOL & AFTER SCHOOL CENTER INC.
FACILITY NUMBER: 304371271
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/06/2021
Section Cited
CCR
101223(a)(3)
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101223(a)(3) Personal Rights
(a)The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or... This requirement is not met as evidenced by:
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Director stated, we will have staff training on personal rights and the right way to handle a child when not listening. LPA provided CCL e-learning modules to review #14 personal rights. Director will provide a written statement of POC by 10/6/21. DIrector is interested in being referred for TSP services.
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Based on interviews with complainant party, staff and images provided C4 sustained red marks on right side cheek and chin by S2 grabbing C4’s chin with S2 hand. This poses an immediate Health and Safety risk to the children in care.
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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: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
LIC9099 (FAS) - (06/04)
Page: 6 of 8
Control Number 06-CC-20210820144531
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: SUNFLOWER PRESCHOOL & AFTER SCHOOL CENTER INC.
FACILITY NUMBER: 304371271
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/06/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/06/2021
Section Cited
CCR
101212(d)(1)
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101212(d)(1) Reporting Requirements
(d)Up... (d)(1)... a report shall be made... by telephone... next working day and during its normal business hours...a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days... This requirement is not met as evidence by:
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Director wrote up the unusual incident report on 8/23/21 and gave the original report to LPA Odom on day of visit.
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Based on interview with director, director failed to report incident to licensing office within 24 hours. This poses a potential Health and Safety risk to the children in care.
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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: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen OdomTELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
LIC9099 (FAS) - (06/04)
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