364817288-12-11-2019-09-CC-KWIS-BJT3NH-20191212172359

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364817288
Report Date: 12/11/2019
Date Signed: 12/11/2019 03:12:17 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
08/28/2019 and conducted by Evaluator Destinee Hogue

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20190828111835

FACILITY NAME:	RUSD-MENTONE ELEMENTARY SCHOOL		FACILITY NUMBER:	364817288
ADMINISTRATOR:	SUE BUSTER		FACILITY TYPE:	850
ADDRESS:	1320 CRAFTON AVENUE,K-1		TELEPHONE:	(909) 794-8610
CITY:	MENTONE	STATE: CA	ZIP CODE:	92359
CAPACITY:	24	CENSUS: 18	DATE:	12/11/2019
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Amy Pry		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Personal Rights-Facility staff handle child in a rough manner

INVESTIGATION FINDINGS:

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***This is an amended report of the Complaint Investigation Report issued on 11/04/2019. Additional information was obtained which changes the finding of Substantiated to Unsubstantiated.***

On 11/4/19 at 10:07am, Licensing Program Analyst (LPA) Destinee Hogue arrived at the facility to conduct an unannounced inspection to deliver the findings of the above allegations. An initial 10-day inspection was conducted by LPA Hogue on 9/5/19. During this inspection, LPA Hogue met with Site Administrator, Amy Pry and discussed the following:

The following was alleged: Facility staff handle child in a rough manner.

LPA Hogue investigated the above allegation and gathered the following information: Personal Rights: It is alleged that a staff member in the K-1 classroom is improperly handling day care children. Interviews with pertinent parties describes incidents in which a staff member in the K-1 classroom is mishandling day care >>>

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

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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Control Number 09-CC-20190828111835

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: RUSD-MENTONE ELEMENTARY SCHOOL	FACILITY NUMBER: 364817288
	VISIT DATE: 12/11/2019

NARRATIVE

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children or dealing with children inappropriately. One incident explained a child walked toward another child and grabbed a toy out of a child’s hands. Staff who observed the encounter between the children, attempted to redirect the child by removing the child from the kitchen toy area. Two incidents regarding the above allegations explains children being redirected by staff to stand still in line, the children refused to listen to staff and was redirected to stand with another staff member in the classroom.

Due to conflicting and additional information received regarding the allegation of facility staff handling children in a rough manner, the allegation of SUBSTANTIATED is being changed to UNSUBSTANTIATED, meaning although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

A notice of site visit was issued, and LPA verified that it was posted in a prominent location at the facility before leaving. Although, there are no deficiencies associated to the UNSUBSTANTIATED complaint findings, the Licensee understands that a copy of this report must be available for review upon request for the next 3 years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee Hogue	TELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019

LIC9099 (FAS) - (06/04)

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