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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 330910709
Report Date: 11/08/2022
Date Signed: 11/08/2022 09:57:18 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/23/2022 and conducted by Evaluator Lorena Valenzuela
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20220923134349
FACILITY NAME:CVUSD - PALM VIEW HS CENTERFACILITY NUMBER:
330910709
ADMINISTRATOR:NANCY MACIASFACILITY TYPE:
850
ADDRESS:1390 7TH STREETTELEPHONE:
(760) 848-1644
CITY:COACHELLASTATE: CAZIP CODE:
92236
CAPACITY:44CENSUS: 14DATE:
11/08/2022
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Martha Cisneros, Licensing SpecialistTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Staff did not allow day care child to use the bathroom
INVESTIGATION FINDINGS:
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On November 8, 2022, at 8:15 AM, Licensing Program Analyst (LPA) Lorena Valenzuela conducted an unannounced inspection at CVUSD- Palm View HS Center and met with Martha Cisneros, Licensing Specialist. The purpose of the inspection was to deliver the findings on the above stated allegation. The investigation included an inspection of the facility and review of documents on 09/27/2022. In addition, LPA Valenzuela interviewed two teachers, one teacher aide, Director, one child and an interview with a relevant party.
On September 23, 2022, Community Care Licensing (CCL) received information that staff did not allow day care child to use the bathroom. It was reported a Teacher aide #1 (TA1) did not let Child #1 (C1) use the restroom due to teacher aide being occupied with another child in care. In addition, it was reported C1 peed on themself because of this, within five minutes of leaving the facility.
Interviews conducted revealed the children in care will leave the classroom at around 2:00 pm to have a snack in the cafeteria. Records review and interviews indicated the children are dismissed thereafter, at 2:30 pm. Witness interviews revealed some staff do not allow the children to use the restrooms located in the cafeteria.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
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 3
Control Number 10-CC-20220923134349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: CVUSD - PALM VIEW HS CENTER
FACILITY NUMBER: 330910709
VISIT DATE: 11/08/2022
NARRATIVE
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Additionally, witness interviews revealed children in the cafeteria are asked by staff if they can wait to go to the restroom and at times, children have waited to use the restroom located in the classroom. Confidential interviews revealed TA1 did not allow C1 to use the restroom prior to dismissal time, resulting in C1 peeing on self after being dismissed.
Based on interviews and records review, the preponderance of evidence standard has been met, and the allegation staff did not allow day care child to use the bathroom, is substantiated. The facility is being cited under Title 22, Section 101223 (a)(2): Personal Rights. See deficiency report for citation cited. This is a potential health, safety, or personal rights risk to children in care.
An exit interview was conducted, and a copy of this report and appeal rights were provided to Martha Cisneros.
The Notice of Site Visit was provided, the licensee was reminded this notice must be posted for 30 days.
SUPERVISOR'S NAME: Stephanie Hudak
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 10-CC-20220923134349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: CVUSD - PALM VIEW HS CENTER
FACILITY NUMBER: 330910709
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/10/2022
Section Cited
CCR
101223(a)(2)
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101223 (a)(2) Personal Rights
The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations…to meet his/her needs.
This requirement was not met as evidence by:
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Martha Cisneros agrees to send in written plan of correction, in regard to communication/discussion had with TA1 and additional staff regarding personal rights, will send to Department by due date 11/10/2022.
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Based on interviews and records review, TA1 did not allow C1 to use the restroom on one occasion. In addition, TA1 did not allow children in the cafeteria to use the restrooms, due to TA1 asking them to wait to use the restroom located in the classroom. This poses a potential health, safety, or personal rights 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: Stephanie Hudak
LICENSING EVALUATOR NAME: Lorena Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3