334811701-3-7-2023-10-CC-CMAZ-CQ6R3S-20230322124022

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334811701
Report Date: 03/07/2023
Date Signed: 03/07/2023 11:25:35 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 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
03/02/2023 and conducted by Evaluator Alaina Wilburn

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20230302115201

FACILITY NAME:	SJUSD-HYATT HEAD START STATE PRESCHOOL		FACILITY NUMBER:	334811701
ADMINISTRATOR:	ZARAGOZA, ELIZABETH		FACILITY TYPE:	850
ADDRESS:	400 E. SHAVER		TELEPHONE:	(951) 487-0526
CITY:	SAN JACINTO	STATE: CA	ZIP CODE:	92583
CAPACITY:	96	CENSUS: 72	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Kin Byers, Education Coordinator		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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Staff do not provide the day-care children with a comfortable environment during nap time

Staff do not prevent a day-care child from hitting other day-care children

INVESTIGATION FINDINGS:

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At 9:00AM on March 7, 2023, Licensing Program Analyst (LPA) Alaina Wilburn conducted an unannounced 10 day complaint visit. LPA met with Education Coordinator Kim Byers, to discuss the above mentioned allegations. The investigation consisted of child record review and interview with staff and a potential witness.

On 03/02/2023, a complaint allegation was received by the Community Care Licensing (CCL) office that Staff do not provide the day-care children with a comfortable environment during nap time, and Staff do not prevent a day-care child from hitting other day-care children. Ms. Byers advised Child #1 (C1) attends the program and has some behavioral challenges that the Administration is working to address; however, the parent of C1 has been noncompliant. C1 does not like to take naps, and the process is triggering for C1 and causes child to display disruptive behaviors. Staff have created a special schedule for C1 during nap time, with a private space and child's choice of quiet activities, but C1 continues to display behaviors. Also, staff acknowledge C1 has hit other children, but not in an aggressive manner. Being physical is C1's form of interaction and how the child gets the other children's attention, but no children have been physically injured.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 217-5452
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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 10-CC-20230302115201

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: SJUSD-HYATT HEAD START STATE PRESCHOOL	FACILITY NUMBER: 334811701
	VISIT DATE: 03/07/2023

NARRATIVE

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Based on records review and LPAs interview, the preponderance of evidence standard has been met and the allegations that Staff do not provide the day-care children with a comfortable environment during nap time, and Staff do not prevent a day-care child from hitting other day-care children are found to be SUBSTANTIATED. The facility is being cited in accordance with Title 22 Child Care Center Regulations, Division 12, Chapter 1, Section 101230(b): Activities and 101223(a)(3): Personal Rights. This poses a potential risk to the health, safety, or personal rights to the children in care. See LIC9099D for cited deficiencies.

Exit interview conducted. A copy of this report and appeal rights were discussed and provided to the Education Coordinator Kim Byers on this date.

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE LICENSEE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

SUPERVISOR'S NAME: Carlos Martinez	TELEPHONE: (951) 217-5452
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20230302115201

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE SOUTH EAST, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: SJUSD-HYATT HEAD START STATE PRESCHOOL	FACILITY NUMBER: 334811701
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/07/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/17/2023 Section Cited CCR 101230(b)	1 2 3 4 5 6 7	Activities (b) All children shall be given an opportunity to nap or rest without distraction or disturbance from other activities at the center. The requirement is not met as evidenced by:	1 2 3 4 5 6 7	Mrs. Byers advised upon meeting with C1's parents, they will modify child's schedule. If parent does not comply with meeting or the modified schedule, then RCOE and the District will be involved to help facilitate a meeting with parent, to address child's behaviors and needs.
	8 9 10 11 12 13 14	Child #1 (C1) does not like to take naps and displays disruptive behaviors during nap time. These behaviors interfere with the other children's abilities to take a nap or rest, which poses a potential health, safety or personal rights risk to children in care.	8 9 10 11 12 13 14
Type B 03/17/2023 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	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, ..... or toileting; or withholding of shelter, clothing, medication.. The requirement is not met as evidenced by:	1 2 3 4 5 6 7	Mrs. Byers advised if a child becomes physical with students or staff, the parent will be phoned immediately to pick up the child. In addition, a follow up meeting will take place with parents, to address the child's behavior and needs.
	8 9 10 11 12 13 14	C1 has hit day-care children, but not in an aggressive manner. Being physical is C1's form of interaction, and the contact did not result in any child being physically injured; however, it still violates children's rights, which poses a potential health, safety or personal rights risk to children in care,	8 9 10 11 12 13 14

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: Carlos Martinez	TELEPHONE: (951) 217-5452
LICENSING EVALUATOR NAME: Alaina Wilburn	TELEPHONE: (951) 255-9024
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

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