304371425-12-17-2020-06-CC-JHAN-BWJ2N6-20201221163213

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 304371425
Report Date: 12/17/2020
Date Signed: 12/17/2020 11:51:42 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
09/02/2020 and conducted by Evaluator Carmen Odom

PUBLIC

COMPLAINT CONTROL NUMBER: 06-CC-20200902130409

FACILITY NAME:	GREAT ADVENTURES LEARNING CENTER INC.		FACILITY NUMBER:	304371425
ADMINISTRATOR:	JENSEN, SHARON A.		FACILITY TYPE:	830
ADDRESS:	7945 ALDRICH DRIVE		TELEPHONE:	(714) 847-0844
CITY:	HUNTINGTON BEACH	STATE: CA	ZIP CODE:	92647
CAPACITY:	8	CENSUS: 4	DATE:	12/17/2020
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Director - Sharon Jenson		TIME COMPLETED:	11:50 AM

ALLEGATION(S):

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Facility staff handled infant in a rough manner.

INVESTIGATION FINDINGS:

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Tele- Inspection Case Management Visit due to COVID-19 State of Emergency

Licensing Program Analyst (LPA) Odom conducted an unannounced tele-visit complaint inspection for the purpose of delivering complaint findings for the complaint investigation that was conducted by Investigations Branch, Investigator H. Quintanar. This is a continuation on the investigation initiated on 09/02/2020. Director Sharon Jensen took LPA on a tele-visit tour of the facility. There were 4 infants present with 1 staff member upon arrival.

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.

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Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2020

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-20200902130409

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: GREAT ADVENTURES LEARNING CENTER INC.	FACILITY NUMBER: 304371425
	VISIT DATE: 12/17/2020

NARRATIVE

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Complainant alleged that facility staff handled infant in a rough manner. Staff #1 (S1), director Sharon Jensen self-reported on 8/31/20 that Staff #2 (S2) was arrested on 8/28/20 for aggressively shaking a child (C1). On 8/28/20, Parent #1 (P1) was picking up children from childcare, when P1 heard C1 crying. P1 moved the curtain from the bathroom to look into the infant classroom. P1 observed S2 holding C1 in the air and shaking child. S1 stated facility surveillance video captured the incident of S2 aggressively shaking the child. S1 terminated S2 employment on 8/28/20. Staff #3 (S3), assistant director stated, the video surveillance footage of the incident was reviewed and S2 was observed shaking C1 violently. C1 was taken to the hospital for observation.

During the course of the investigation, Investigator obtained Huntington Beach Police Department (HBPD) police report. Adult#1(A1), HBPD detective, and Adult#2 (A2), HBPD Officer viewed surveillance video and described S2 picking up C1 and violently shaking child back and forth causing child’s head jerk back and forth. HBPD interviewed S2. S2 stating she picked up the child and shook C1 to make her happy and smile. S2 admitted she realized now that what she did was wrong and felt bad about it.

Based on the investigation conducted by this agency, interviews were conducted with director, staff, adult, and current parents of children in care, in addition, children’s roster, HBPD reports, medical records, video surveillance footage recording of facility, body camera, and pictures were reviewed. It was determined S2 held and shook C1 violently. The preponderance of evidence standard has been met, therefore the allegations: Facility staff handled infant in a rough manner is Substantiated. California Code of Regulations, (Title 22, Division 12 & Chapter number 1, Article 6) 101223(a)(3) Personal Rights is being cited on the attached LIC 9099D.

LPAs informed licensee that due to the severity of the violation cited on 12/17/20, issuance of Enhanced Civil Penalties is under review and is pending approval by Program Administrator of the Community Care Licensing Division. LPAs explained, the Department assesses a civil penalty when it determines that a violation of licensing statute or regulation resulted in physical abuse of or serious (bodily) injury or death to, an individual in care.

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SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2020

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20200902130409

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: GREAT ADVENTURES LEARNING CENTER INC.	FACILITY NUMBER: 304371425
	VISIT DATE: 12/17/2020

NARRATIVE

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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, Report was read, and Appeal Rights were explained to Director Sharon Jensen via Tele-Inspection. A copy of the report along with Appeal Rights will be email to Director with a Read Receipt requested to acknowledge report was received. Director was asked to respond to email by copying and pasting “I have read and received the Report and Appeal Rights, I acknowledge receipt.”

End of report.

SUPERVISOR'S NAME: Judy Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2020

LIC9099 (FAS) - (06/04)

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Control Number 06-CC-20200902130409

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: GREAT ADVENTURES LEARNING CENTER INC.	FACILITY NUMBER: 304371425
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/17/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 12/17/2020 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223 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 other actions of a punative... functioning. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director terminated staff immediately on 8/28/2020. Director stated, on 11/11/20, all staff received Shaken Baby Syndrome training to reiterate how to handle an infant when holding the child and never shake an infant. Director will send copy of 11/11/20 training sing in sheet by 12/17/20.
	8 9 10 11 12 13 14	Based on observation and interviews conducted it was determined facility staff handled infant in a rough manner. The licensee failed to ensure children in care are never to be shaken or handled rough in any manner. This poses an immediate safety risk to children care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 Hanson	TELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Carmen Odom	TELEPHONE: (714) 703-2819
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2020

LIC9099 (FAS) - (06/04)

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