364803741-5-6-2020-09-CC-DPAR-B2HPCZ-20180709111243

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364803741
Report Date: 05/24/2018
Date Signed: 05/06/2020 03:31:20 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
12/20/2017 and conducted by Evaluator Alda Aguirre

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20171220095632

FACILITY NAME:	HEIGHTS CHRISTIAN SCHOOLS - CHINO HILLS PRESCHOOL		FACILITY NUMBER:	364803741
ADMINISTRATOR:	PATRICIA MORILLO		FACILITY TYPE:	850
ADDRESS:	2092 CHINO HILLS PARKWAY		TELEPHONE:	(909) 627-6678
CITY:	CHINO HILLS	STATE: CA	ZIP CODE:	91709
CAPACITY:	242	CENSUS: 123	DATE:	05/24/2018
		UNANNOUNCED	TIME BEGAN:	03:20 PM
MET WITH:	Patricia Morillo		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Facility physically abused child resulting in injury

INVESTIGATION FINDINGS:

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THIS IS AN AMENDMENT

Licensing Program Manager (LPM) Dawn Parker and Licensing Program Analyst (LPA) Alda Aguirre visited the facility to deliver the findings of the investigation into the above-allegation. The findings of the investigation is based on the investigation report of Community Care Licensing Investigations Branch Investigator H. Quintanar:

The investigation provided sufficient evidence to show Child 1 arrived at the daycare without injury, and then had an injury to his left arm when he was picked up by his mother. The San Bernardino County Sheriff's Department Chino Hills station investigated the complaint and determined the injury was caused unintentionally and likely occurred when Child 1 was being held by the hand by Staff 1, and the child pulled with the child's weight back, as the child was attempting to break free to run to the parent after being dropped off at the daycare. Video footage of the day in question was provided by Heights Christian Daycare. The incident referred to, in which Child 1 allegedly pulled back is included, although the visibility is obscured. During Staff 1's interview, Staff 1 cited the same occurrence, and opined that Child 1 pulled away, but never indicated the child was hurt during the child's day at the daycare. A review of the video showed Staff 1 and the other teacher in the classroom have a

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2020

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 6

Citations on this Visit Report are Under Appeal!

Control Number 09-CC-20171220095632

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: HEIGHTS CHRISTIAN SCHOOLS - CHINO HILLS PRESCHOOL	FACILITY NUMBER: 364803741
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/24/2018

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 05/25/2018 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Although Staff 1 may not have intended to hurt Child 1 when Staff 1 held Child 1's hand to prevent Child 1 from running of the parent, there is evidence that Staff 1 and Staff 1	1 2 3 4 5 6 7	Director shall provide in-service for each staff member on Personal Rights and will provide a statement for each staff member who has seen the CCL training video on Personal Rights. The director will provide the statements to CCL by 5/25/18.
	8 9 10 11 12 13 14	had a propensity to move and lead children by pulling on their hands and arms. Pulling on the children's arms and hands to move them poses an unsafe and uncomfortable environment and is consistent with the cause of the injury alleged in the complaint.	8 9 10 11 12 13 14
Under Appeal Type A 05/25/2018 Section Cited CCR 101223(a)(1)	1 2 3 4 5 6 7	Citation dismissed	1 2 3 4 5 6 7	Citation dismissed.
	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: Aaron Ross	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2020

LIC9099 (FAS) - (06/04)

Page: 4 of 6

Control Number 09-CC-20171220095632

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: HEIGHTS CHRISTIAN SCHOOLS - CHINO HILLS PRESCHOOL	FACILITY NUMBER: 364803741
	VISIT DATE: 05/24/2018

NARRATIVE

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THIS IS AN AMENDMENT

propensity to lead or move children by pulling on their hands and arms. Based on video footage reviewed and information obtained during interviews conducted the above allegation has been deemed to be Substantiated based on the preponderance of evidence.

As a result of the investigation the following deficiencies have been issued:

101223(a)(2) Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment. Although Staff 1 may not have intended to hurt Child 1 when Staff 1 held Child 1's hand to prevent Child 1 from running to the parent, there is evidence that Staff 1 and Staff 2 had a propensity to move and lead children by pulling on their hands and arms. Pulling on the children's arms and hands to move them poses an unsafe and uncomfortable environment and is consistent with the cause of the injury alleged in the complaint.

101229(a)(1) Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). During the investigation, video footage showed several children going to the restroom without staff supervision.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2020

LIC9099 (FAS) - (06/04)

Page: 2 of 6

Control Number 09-CC-20171220095632

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: HEIGHTS CHRISTIAN SCHOOLS - CHINO HILLS PRESCHOOL	FACILITY NUMBER: 364803741
	VISIT DATE: 05/24/2018

NARRATIVE

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THIS IS AN AMENDMENT

101212(d) Reporting Requirements. A report shall be made to the Department within 24 hours of the occurrence of any unusual incident as specified. On 11/21/17, Child 1 was injured in care. The parent notified the director that the child complained of pain. The director recommended that the parent take the child to the doctor but failed to report the incident to CCL as is required by the Title 22 Regulations.

SEE LIC 9099-D for the deficiencies cited.

An exit interview was conducted, Notice of Site Visit posted, appeal rights discussed and given to the director, along with a copy of this report and LIC 9224 was given to the licensee or facility representative.

THIS REPORT MUST BE AVAILABLE TO THE PUBLIC FOR THREE YEARS.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2020

LIC9099 (FAS) - (06/04)

Page: 3 of 6

Citations on this Visit Report are Under Appeal!

Control Number 09-CC-20171220095632

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: HEIGHTS CHRISTIAN SCHOOLS - CHINO HILLS PRESCHOOL	FACILITY NUMBER: 364803741
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/24/2018

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Under Appeal Type B 05/25/2018 Section Cited CCR 101212(d)	1 2 3 4 5 6 7	Reporting Requirements. A report shall be made to the Department within 24 hours of the occurrence of any unusual incident as specified. On 11/21/17, Child 1 was injured in care. The parent notified the director that the child complained of pain. The director recommended that the parent take the	1 2 3 4 5 6 7	The facility will develop and implement a plan where staff will call CCL to ask whether an incident should be report. The facility will provide a copy of the plan to CCL by 5/25/18.
	8 9 10 11 12 13 14	child to the doctor but failed to report the incident to CCL as is required by the Title 22 Regulations.	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: Alda Aguirre	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2018

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2018

LIC9099 (FAS) - (06/04)

Page: 6 of 6

Citations on this Visit Report are Under Appeal!

Control Number 09-CC-20171220095632

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: HEIGHTS CHRISTIAN SCHOOLS - CHINO HILLS PRESCHOOL	FACILITY NUMBER: 364803741
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/24/2018

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Under Appeal Type A 05/25/2018 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). During the investigation, video footage showed several children going to the restroom without staff supervision.	1 2 3 4 5 6 7	Director shall provide in-service for each staff member on Care and Supervison and will provide a statement for each staff member who has seen the CCL training video on Care and Supervison. The director will provide the statements to CCL by 5/25/18.
Under Appeal Type A 05/25/2018 Section Cited CCR 101216(a)	1 2 3 4 5 6 7	Citation dismissed	1 2 3 4 5 6 7	Citation dismissed
	8 9 10 11 12 13 14		8 9 10 11 12 13 14
Under Appeal Type A 05/25/2018 Section Cited CCR 101230(a)	1 2 3 4 5 6 7	Citation dismissed	1 2 3 4 5 6 7	Citation dismissed

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: Aaron Ross	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Kim Leung	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2020

LIC9099 (FAS) - (06/04)

Page: 5 of 6