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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334842337
Report Date: 07/24/2019
Date Signed: 07/24/2019 12:32:22 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 STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/11/2019 and conducted by Evaluator Giselle Carbullido
COMPLAINT CONTROL NUMBER: 10-CC-20190611113954
FACILITY NAME:CHILDRENS LIGHTHOUSE LEARNING CENTERFACILITY NUMBER:
334842337
ADMINISTRATOR:LAFLOWER, CASSANDRAFACILITY TYPE:
840
ADDRESS:23656 CLINTON KEITH ROADTELEPHONE:
(951) 600-9395
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:45CENSUS: 42DATE:
07/24/2019
UNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Dianne King, DirectorTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Lack of supervision resulting in children sustaining injury.
Facility staff failed to follow appropriate sign in/ sign out procedures.
INVESTIGATION FINDINGS:
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On the date and time listed above, a complaint investigation was conducted by Licensing Program Analyst (LPA) Giselle Carbullido in response to the receipt of a complaint received on 06/11/2019. During today’s visit, LPA toured the facility and census was taken, with 42 children present. LPA met with Dianne King, Director to deliver findings.

It was alleged the facility is not using proper sign/in out procedures and lack of supervision resulted in children sustaining injury. During the investigation, the LPA interviewed staff and children, reviewed facility records, observed electronic sign in procedures and toured the physical plant.


Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 505-6432
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
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 4
Control Number 10-CC-20190611113954
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: CHILDRENS LIGHTHOUSE LEARNING CENTER
FACILITY NUMBER: 334842337
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/25/2019
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2
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Facility will have the staff who were present, but did not observe the incident leading up to the injury, review the Community Care Licensing Division training video regarding supervision within 24 hours and will have the rest of
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 e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by facility staff acknowledging a child in daycare sustainied an injury however, none of the staff observed the incident leading up to the injury. This is an immediate risk to children in care.
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the staff review the training video within two weeks. Facility will submit a letter stating staff had viewed and understood the video by the POC due date.
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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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 505-6432
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 10-CC-20190611113954
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: CHILDRENS LIGHTHOUSE LEARNING CENTER
FACILITY NUMBER: 334842337
VISIT DATE: 07/24/2019
NARRATIVE
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Regarding sign-in/sign out procedures, staff interviewed stated parents and school personnel can sign children in electronically. Additionally, facility staff confirmed when school age children were logged into the system an error was made on the electronic report dated 06/04/19 on child #1 and was not corrected.

Facility electronic report shows school staff logging in child #1, although child #1 was not present.

Regarding lack of supervision resulting in children sustaining injury, facility staff state they did not see the initial rock throwing but later saw rocks being thrown all over or did not see the incident at all. Children interviews state children outside were collecting rocks, throwing rocks over the fence and identified Child #1 throwing several rocks at Child #2 resulting in injury, and that teachers were nearby but not looking.

Medical documents from Kaiser dated 06/05/19 confirm child #2 was assessed for head wound.

Based on the information obtained from staff and children interviews, records, photos and the LPA’s own observation, the allegations of facility failing to follow appropriate sign in/sign out procedures and lack of supervision resulting in children sustaining injury are substantiated .

SEE LIC 9099-D for the deficiencies cited. The Director was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

An exit interview was conducted, a copy of this report was provided to the Director, and the LPA observed the Notice of Site form was posted by staff. THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 505-6432
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 10-CC-20190611113954
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: CHILDRENS LIGHTHOUSE LEARNING CENTER
FACILITY NUMBER: 334842337
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/09/2019
Section Cited
CCR
101229.1(a)
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Sign in/Sign out : In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center. This requirement was not met as evidenced by staff acknowledging a child
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The facility agrees to develop and submit a facility policy on sign in/sign out procedures for school age students who are brought on site by facility staff and will conduct training with staff regarding the new sign in/out
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was marked present when the child was absent. This is a potential risk to children in care.
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procedures. Facility will submit to the new procedures and proof of training to CCL by the POC due date.
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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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle CarbullidoTELEPHONE: (951) 505-6432
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2019
LIC9099 (FAS) - (06/04)
Page: 4 of 4