334805816-1-28-2020-09-CC-KWIS-BLDRK7-20200201120505

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334805816
Report Date: 01/28/2020
Date Signed: 01/28/2020 11:46:31 AM

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 ST., SUITE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/19/2019 and conducted by Evaluator Taadhimeka Zeigler

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20191219151722

FACILITY NAME:	LIFE CHRISTIAN ACADEMY		FACILITY NUMBER:	334805816
ADMINISTRATOR:	CANDICE LUCKETT-JACK		FACILITY TYPE:	850
ADDRESS:	3270 RUBIDOUX BLVD.		TELEPHONE:	(951) 684-3639
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92509
CAPACITY:	45	CENSUS: 20	DATE:	01/28/2020
		UNANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Candice Luckett-Jack		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Facility staff grabbed a child in a rough manner
Facility staff yells at children in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Taadhimeka Zeigler arrived at the facility to conduct an investigation into the above allegations. LPA met with Director, Candice Luckett-Jack, the purpose of the visit was discussed. LPA toured the facility and the census was taken.

The initial investigation visit was conducted on 12/30/2019. The investigation included the review of pertinent documention, and staff and children interviews.

Regarding the allegation that facility staff grabbed a child in a rough manner, interviews revealed that it was reported to the Director that a parent observed Staff #1 grabbing a child in a rough manner. Staff #1 was written up and put on an improvement plan. Staff #1 admitted to having to redirect children who present a harm to themselves or others by acting out and throwing fits.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka Zeigler	TELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

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 09-CC-20191219151722

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: LIFE CHRISTIAN ACADEMY	FACILITY NUMBER: 334805816
	VISIT DATE: 01/28/2020

NARRATIVE

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This redirection has included grabbing a child by the arm, but Staff #1 denied that it was done roughly or to harm children.

Regarding the allegation that facility staff yells at children in care, Staff #1 denied yelling but admits to raising voice tone in order to get the class to focus and follow directions. Interviews with other staff revealed that the voice tone of Staff #1 has been harsh and can be perceived as yelling at the children in care.

Therefore, based on interviews and the information obtained, the allegations are SUBSTANTIATED. A finding that the complaint is substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

See LIC 9099D for deficiency cited.

An exit interview was conducted with Candice Luckett-Jack, Appeal Rights were discussed and issued, a copy of this report was provided, and a Notice of Site visit was issued and posted.

A copy of this report must be made available to the public for 3 years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka Zeigler	TELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20191219151722

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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: LIFE CHRISTIAN ACADEMY	FACILITY NUMBER: 334805816
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/28/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 01/29/2020 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	Personal Rights-The licensee shall ensure that each child is accorded the following personal rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature.	1 2 3 4 5 6 7	Mandatory training was provided to all staff, with a personal rights component. Proof of training was provided to LPA during this visit. In order to guage the effectiveness of the provided training, the Director
	8 9 10 11 12 13 14	This requirement has not been met as evidenced by: It was disclosed during this investigation that S1 has grabbed a child by the arm, and has yelled at the children in care. This poses an immediate risk to children in care.	8 9 10 11 12 13 14	agrees to conduct classroom observation of S1 for 6 months. A written plan will be submitted to CCL by POC due date. The results of the 6 month observation will be kept on file at the facility.
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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: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Taadhimeka Zeigler	TELEPHONE: (951) 680-6745
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

LIC9099 (FAS) - (06/04)

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