364806056-3-16-2022-09-CC-AROS-CDMNPD-20220419103806

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364806056
Report Date: 03/16/2022
Date Signed: 03/16/2022 09:33:06 AM

Unsubstantiated

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
02/14/2022 and conducted by Evaluator Blanca Ruiz-Silva

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20220214102525

FACILITY NAME:	PSD/WESTMINSTER HEAD START		FACILITY NUMBER:	364806056
ADMINISTRATOR:	CARRIE GRAM		FACILITY TYPE:	850
ADDRESS:	720 N. SULTANA AVENUE		TELEPHONE:	(909) 983-0600
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91764
CAPACITY:	70	CENSUS: 35	DATE:	03/16/2022
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Site supervisor, Carrie Gram		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Supervision

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Blanca Ruiz arrived at the facility to conclude an investigation into the above allegation, additional inspections were conducted on 02/18/2022 and 03/09/2022. During these inspections, LPA toured the classrooms, playground, and observations of staff supervising the children were conducted. LPA met with Site Supervisor II, Carrie Gram to discuss and deliver the findings of the investigation. Facility was toured and census was taken.

It was alleged that on or about the month of 11/2021 and/or 12/2021, facility staff failed to provide adequate supervision to a child in care. A witness disclosed that a child was observed crawling under the table where other children were kicking the child. Per information obtained from witness(es), Staff #1 saw the incident but did not stop it from happening because child needed to learn a lesson.
During the initial inspection on 02/18/2022, LPA Blanca Ruiz conducted interviews with staff present at the facility, records were reviewed, and parent(s)/authorize representative(s) of the child in questions were contacted. No children were present during initial inspection.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

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 2

Control Number 09-CC-20220214102525

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: PSD/WESTMINSTER HEAD START	FACILITY NUMBER: 364806056
	VISIT DATE: 03/16/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Site Supervisor II acknowledged having the child in question attending the facility and having knowledge of the child being under the table and refusing to eat. Per Site Supervisor II, child was new at daycare and adjusting to class routine. Child was observed by staff crawling under the table attempting to grab other children’s feet as they were passing by. Children then reacted by kicking back. Information disclosed revealed that none of the children involved in the incident got hurt in any way and they all got redirected to other activities by staff. Records and interviews conducted confirm having two staff present in the classroom with 11 children in care. Per Site Supervisor II the incident did not pose a potential risk of the Health and Safety of the children in care. Therefore, it was not disclosed to parent and/or Licensing agency. It was also learned that parent(s)/authorize representative(s) were unaware of the incident; child did not share any issues and/or have injuries observed by parent(s). Child did not have recollection of the event and child is no longer attending the facility.
It is the center’s protocol to report any incidents that can potentially affect the Health and Safety of the children in care in ChildPlus( Data Management Software),a copy is given to the parents and additional records are included in child’s file. Class’ observations are also recorded into the Learning Genie (Communication application between educators and families); these two programs are available for review upon request by parents.
There is conflicting information on whether the allegation occurred since the evidence collected during this investigation was not sufficient to substantiate the allegation. Therefore, it cannot be determined whether lack of supervision of the child(ren) did or did not occur at the facility. The department has determined that although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are deemed UNSUBSTANTIATED.

An exit interview was conducted with Site Supervisor II, Carrie Gram. A Notice of Site visit was issued and must be posted for 30 days. Site Supervisor II was provided with a copy of the appeal rights (LIC 9058 12/2015) and her signature on this report acknowledges receipt of those rights. A copy of this report was provided to the facility.

A copy of this report must be made available to the public, at the facility site, for 3 years.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2