334819449-6-23-2021-09-CC-KWIS-C5B2A4-20210726171256

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334819449
Report Date: 06/23/2021
Date Signed: 06/23/2021 01:32:53 PM

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
04/26/2021 and conducted by Evaluator Laura Mejorado

COMPLAINT CONTROL NUMBER: 09-CC-20210426154158

FACILITY NAME:	GROVE COMMUNITY CHURCH PRESCHOOL		FACILITY NUMBER:	334819449
ADMINISTRATOR:	CATHY HARMON		FACILITY TYPE:	850
ADDRESS:	19900 GROVE COMMUNITY DRIVE		TELEPHONE:	(951) 571-9080
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92508
CAPACITY:	210	CENSUS: 0	DATE:	06/23/2021
		ANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Cathy Harmon, Director		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Personal Rights: Staff person grabbed child's arm causing injury.

INVESTIGATION FINDINGS:

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On this day and time listed, Licensing Program Analyst (LPA) Laura Mejorado arrived at the facility to deliver the findings of the above complaint which was initiated on April 28, 2021. Complaint findings were discussed with Director, Cathy Harmon on June 21, 2021, via FaceTime with LPA Robinson. Due to the facility being closed for summer break there were no children in care.

During the complaint investigation conducted by LPA Robinson, LPA Robinson made virtual observations of the facility, reviewed numerous documents, conducted interviews with all relevant individuals pertinent to this investigation. It was alleged that on or about April 22, 2021, a child attended the facility from approximately 8:50 am-5:38 pm. Sometime after the child left the facility, the child disclosed to their representative, a Staff member grabbed the child by their left arm/shoulder.

See LIC9099C for the remainder of the report>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Mejorado	TELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2021

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-20210426154158

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: GROVE COMMUNITY CHURCH PRESCHOOL	FACILITY NUMBER: 334819449
	VISIT DATE: 06/23/2021

NARRATIVE

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During LPA Robinson’s interviews with staff, it was indicated that on or about the above date, a child was redirected verbally, the child did not respond to the verbal redirection therefore a staff member called the front office to assist. The child began to cry and hit the staff member. The staff member told the child not to hit others and directed the child to sit in the time out “thinking chair”. It was also disclosed for discipline the facility uses verbal redirection, or time out. Staff deny grabbing a child by their left arm/shoulder. Staff have not witnessed other staff grabbing a child by their left arm/shoulder.

During children interviews, it was disclosed that children like attending the facility. Staff are nice to children; staff have not grabbed children by their arms/shoulders. The facility uses time out, verbal redirection or a visit to the director's office, for children to be talked too by staff in the director's office.

LPA Robinson made observations of staff and children interactions, reviewed records and video footage from April 22, 2021, between 8:50 am-5:38 pm. During the review of the video footage, LPA Robinson observed a child who was verbally redirected to stop playing with a toy baby stroller during transition time, the child refused, the staff member directed the child to the time out/thinking chair.

The child did not respond, the staff member was observed walking over to the door, the staff member called the director’s office for assistance. The child was observed hitting the staff member on their lower back and pulling the staff member’s shirt. The staff member then turned around pointed at the child and told the child not to hit others and directed the child to the time out/thinking chair. The child was observed sitting on the time out/thinking chair from approximately 11:49 am-11:51 am.

There were conflicting statements regarding a staff person grabbing a child's arm causing injury. There is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is deemed unsubstantiated at this time.

An exit interview was conducted with the Director, Appeal Rights were discussed and issued, a copy of this report was provided, and a Notice of Site Visit was issued. Upon receipt of this report, the Director shall post the Notice of Site Visit in a prominent location for the next 30 days.

A copy of this report must be made available for the next three years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Mejorado	TELEPHONE: 951-782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2021

LIC9099 (FAS) - (06/04)

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