334841310-5-14-2019-09-CC-DPAR-BCKP8R-20190527110559

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334841310
Report Date: 05/14/2019
Date Signed: 05/14/2019 01:59:54 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
04/05/2019 and conducted by Evaluator John Huynh

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20190405092025

FACILITY NAME:	ALL ABOUT KIDS CHILD DEVELOPMENT		FACILITY NUMBER:	334841310
ADMINISTRATOR:	GONZALEZ, CARMEN		FACILITY TYPE:	830
ADDRESS:	3640 PACIFIC AVEUNE		TELEPHONE:	(951) 367-0704
CITY:	JURUPA VALLEY	STATE: CA	ZIP CODE:	92509
CAPACITY:	12	CENSUS: 5	DATE:	05/14/2019
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	CARMEN GONZALEZ		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff fails to provide adequate supervision resulting in child being bit several times in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) John Huynh visited the facility to deliver the concluded findings of the investigation into the above-allegation. A prior visit was conducted on 04/09/2019. LPA met with the Director Carmen Gonzalez, toured the facility and took census.

It was alleged that Staff fails to provide adequate supervision resulting in child being bit several times in care.
During the course of the investigation, LPA Huynh conducted interviews and obtained information from facility records and incident reports. Record review of the incident reports confirmed that child C1 and C5 at the daycare facility has bitten other children (child C2, C3, C4, C5, C6, C7 and C8) on multiple occasions. Child C1 has bitten five (5) times in January 2019, twice in February 2019 and three (3) times in March 2019. Child C5 has bitten children three (3) times in March 2019.

CONTINUE ON LIC 9099C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: John Huynh	TELEPHONE: (951) 529-2439
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

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-20190405092025

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: ALL ABOUT KIDS CHILD DEVELOPMENT	FACILITY NUMBER: 334841310
	VISIT DATE: 05/14/2019

NARRATIVE

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Based on LPA observations, interviews which were conducted, and record reviews, the preponderance of evidence standard has been met, there for the above allegation is found SUBSTANTIATED.

California Code of Regulations, (Title 22, Division & Chapter number) or Health and Safety Cod, are being cited on the attached LIC 9099D.

The Director acknowledges that FOR TYPE A DEFICIENCIES, the Director shall post the LIC 9099D with Type A deficiencies for 30 days and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

The LIC 9224 must be signed by parents/guardians and kept with the children’s forms as a receipt whenever any Type A documents are provided by the Director.

An exit interview was conducted with the Director, a Plan of Correction (POC) was discussed, and Appeal Rights were explained. A copy of this report as well as a copy of the Appeal Rights and form LIC 9224 were provided to the Director, on this date and time.

A Notice of Site Visit was posted and must remain posted for 30 days for public review.

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: John Huynh	TELEPHONE: (951) 529-2439
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 09-CC-20190405092025

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: ALL ABOUT KIDS CHILD DEVELOPMENT	FACILITY NUMBER: 334841310
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/14/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/15/2019 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	The Director has agreed to submit a Plan of Action Statement to the Department by the close of business day on 05/16/2019. John.Huynh@DSS.CA.GOV
	8 9 10 11 12 13 14	Incident reports confirmed that infant children at the daycare facility have bitten other children on multiple occasions between Janurary thru March of 2019. This poses an immediate risk to the Health and Safety of children in 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: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: John Huynh	TELEPHONE: (951) 529-2439
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2019

LIC9099 (FAS) - (06/04)

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