334842698-8-26-2021-10-CC-PBER-C6HRB2-20210903125202

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 334842698
Report Date: 08/26/2021
Date Signed: 08/26/2021 04:06:28 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
06/30/2021 and conducted by Evaluator Lakesha Edwards

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20210630150121

FACILITY NAME:	BROOKS FAMILY CHILD CARE		FACILITY NUMBER:	334842698
ADMINISTRATOR:	BROOKS, LOUQUITDA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 207-8320
CITY:	MORENO VALLEY	STATE: CA	ZIP CODE:	92553
CAPACITY:	14	CENSUS: 1	DATE:	08/26/2021
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Louquitda Brooks-Licensee		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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Child sustained a burn while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) LaKesha Edwards made an unannounced visit to facility to deliver the findings for the above allegation. COVID-19 screening questions were conducted prior to entry. An initial visit was conducted on 7/12/2021.

LPA met with the licensee Louquitda Brooks. LPA took census and toured the facility.

On June 30, 2021 Community Care Licensing received a complaint alleging a child sustained a burn while in care. Interviews with pertinent witnesses revealed the child sustained 2nd degree burns to the lower right leg as a result of being given hot food by a staff member while in care at the facility. Interviews with staff revealed the staff member stated she heated the cup of noodles in the microwave for approximately 3 minutes and sat the noodles on a tray across from the child. Staff member then told the child to move the tray closer but did not remove the hot cup of noodles from the tray while the child moved the tray closer. (Continued on 9099-C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

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 10-CC-20210630150121

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: BROOKS FAMILY CHILD CARE	FACILITY NUMBER: 334842698
	VISIT DATE: 08/26/2021

NARRATIVE

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(Continued from 9099)

Staff member stated she went into the kitchen and a few minutes later heard the child screaming. Staff member and the licensee ran into the living room area and observed the child jumping and screaming as the hot cup of noodles had tipped over onto the leg of the child and on the floor around the tray. The child sustained 2^nd degree burns to the right leg from the knee the heal of the ankle and parts of the skin was blistered and removed from the ankle area to the front and upper calf.

The Licensee stated she called the parent and when she could not reach her, she left a message. She did not call 911 as it did not appear to be serious at that point. Instead, the child was taken home by the staff member per request of the parent since the parent was stuck in traffic. Once the parent arrived home and observed the burn and the pain the child was in, the parent took the child to the hospital.

Interviews conducted with other pertinent parties, stated the hot food is given to the child on a regular basis, and that the child cannot eat the food as it is too hot.

Based on the information gathered during the investigation and the violation of the child personal rights, the preponderance of evidence standard has been met; therefore, the above allegation was found to be SUBSTANTIATED.

See LIC9099D for cited deficiency. Appeal rights discussed and a copy of this report was provided to the licensee on this date.

An Exit interview was conducted, and a copy of this report and A NOTICE OF SITE VISIT WAS ISSUED. LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING.

This report must me made available for public view for the next three years.

SUPERVISOR'S NAME: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

LIC9099 (FAS) - (06/04)

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Control Number 10-CC-20210630150121

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: BROOKS FAMILY CHILD CARE	FACILITY NUMBER: 334842698
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/26/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/27/2021 Section Cited CCR 102423(a)(2)	1 2 3 4 5 6 7	102423(a)(2) Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) 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	Licensee agrees to review Title 22 Regulations 102423(a)(2) on personal rights and to provide a written statement that she will protect the personal rights of all children in care. Children in care will no longer eat on the floor but will instead eat at a table. Food provided to children in care will be checked to make sure the temperature is not too hot before given to be eaten. Plan of correction will be provided to LPA by POC due date.
	8 9 10 11 12 13 14	Based on interviews conducted, a child in care was given a hot cup of noodles for lunch. The child was asked by the staff member to move the tray that the hot cup of noodles was placed on closer. The hot cup of noodles fell over on the child’s right leg and ankle area causing 2nd degree burns and removing parts of the skin. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	A immediate civil penalty of $500.00 is being assessed.
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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: Pauline Beschorner	TELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Lakesha Edwards	TELEPHONE: (951) 970-4412
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021

LIC9099 (FAS) - (06/04)

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