364809370-8-16-2019-09-CC-DPAR-B774GG-20181205180528

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364809370
Report Date: 11/16/2018
Date Signed: 08/16/2019 01:41:42 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
11/02/2018 and conducted by Evaluator Fe Floria

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20181102124117

FACILITY NAME:	REDLANDS DAY NURSERY - PLUM LANE		FACILITY NUMBER:	364809370
ADMINISTRATOR:	MILLY LARA		FACILITY TYPE:	850
ADDRESS:	1643 PLUM LANE		TELEPHONE:	(909) 792-9717
CITY:	REDLANDS	STATE: CA	ZIP CODE:	92374
CAPACITY:	150	CENSUS: 115	DATE:	11/16/2018
		UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Patty Arth		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Facility staff failed to properly supervise, resulting in injury

INVESTIGATION FINDINGS:

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*THIS IS AN AMENDED REPORT FROM THE PREVIOUS REPORT (LIC 9099) DATED 11/16/18***

Licensing Program Analyst (LPA)Fe Floria conducted a visit to deliver findings of the investigation to the above allegation. Initial visit was conducted on 11/09/18, at that time records were provided and reviewed, staff were interviewed and other relevant parties.

It was alleged that Facility staff failed to properly supervise a child which resulted in an injury.
At the time of initial visit the LPA toured the classroom and observed three (3) groups setting inside the classroom #7, one (1) staff with 6 - 8 children and staff were observed interacting with children in their group. The child in question was part of the group but was not close enough to staff to prevent child from hitting other children because of child's aggressive behavior.

This report is continued to LIC9099 - C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Fe Floria	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

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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Citations on this Visit Report are Under Appeal!

Control Number 09-CC-20181102124117

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: REDLANDS DAY NURSERY - PLUM LANE	FACILITY NUMBER: 364809370
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/16/2018

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Under Appeal Type A 11/20/2018 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	"AMENDED REPORT" Citation is being dismissed by the Department	1 2 3 4 5 6 7	This Report was Amended - Citation is being dismissed by the Department
	8 9 10 11 12 13 14		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: Aaron Ross	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Fe Floria	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20181102124117

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: REDLANDS DAY NURSERY - PLUM LANE	FACILITY NUMBER: 364809370
	VISIT DATE: 11/16/2018

NARRATIVE

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During the course of investigation, it was disclosed an incident that happened a few weeks ago, child#1 was walking towards the table when child#2 ran away from the table and collided with child#1, staff who was there at the time of the incident, performed first aide to child #2, the parent was informed verbally of the incident. Prior to this accident, there are incidents that were reported and written on the facility's incident log and copies were provided and signed by the parent. It was also disclosed during interview with relevant parties that child#2 hit child#1 on several occasions.

Although staff disclosed that children are supervised by groups, it was not clear what procedure of supervision was provided in order to prevent the child #2 from hitting because several incidents could have been prevented if the child#2 was supervised closely or staff closely monitor or shadow the child being aware that the child in question has aggressive behavior towards peers and staff.

Due to conflicting information received, the LPA is unable to prove or disprove the above allegations.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted, appeal rights discussed and provided along with a Notice of Site Visit and a copy of this report on this date to Ms. Patty.

A copy of this report must be made available to the public for three years.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Fe Floria	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

LIC9099 (FAS) - (06/04)

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