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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364817504
Report Date: 02/16/2023
Date Signed: 02/16/2023 04:09:54 PM

Substantiated


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
02/07/2023 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20230207080143
FACILITY NAME:JUMPSTART, LEARNING CENTER, INC.FACILITY NUMBER:
364817504
ADMINISTRATOR:MIREYA GOMEZFACILITY TYPE:
840
ADDRESS:10213 BASELINE ROADTELEPHONE:
(909) 373-1831
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:28CENSUS: 11DATE:
02/16/2023
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Mireya Gomez/DirectorTIME COMPLETED:
04:20 PM
ALLEGATION(S):
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Staff pushed daycare child.
Staff withheld food from a daycare child as a form of punishment.
INVESTIGATION FINDINGS:
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On 2/16/23 at 3:15 pm, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent complaint investigation. LPA met with Mireya Gomez/Director and was granted access into the facility. LPA toured facility and took a census. Interviewed children and staff.

Allegation: Staff pushed daycare child.

It was alleged staff pushed daycare children. LPA interviewed all pertinent parties, including staff and children. Interviews conducted revealed the daycare children were pushed out the door by one of the staff and when children asked the staff member if they pushed the children, the staff member stated yes. Interviews revealed being pushed by the staff member made the children feel sad.

(Cont on 809C)
Substantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023
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 3
Control Number 09-CC-20230207080143
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: JUMPSTART, LEARNING CENTER, INC.
FACILITY NUMBER: 364817504
VISIT DATE: 02/16/2023
NARRATIVE
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This is a personal rights violation and an immediate risk to the children in care. Based interviews conducted, the above allegation, staff pushed daycare child, is substantiated.

Allegation: Staff withheld food from a daycare child as a form of punishment.
It was alleged staff withheld food from a daycare child as a form of punishment. LPA interviewed all pertinent parties, including staff and children. Interviews conducted revealed due to children not listening or sitting, a staff member will not serve snack to some of the children. Interviews revealed the children will have to wait up to 10 minutes before another staff member serves them their snack. Interviews revealed not receiving their snack made the children feel sad. This is a personal rights violation and an immediate risk to the children in care. Based interviews conducted, the above allegation, Staff withheld food from a daycare child as a form of punishment, is substantiated.

Based on interview which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, (Title 22, divisions & chapter number) are being cited on the attached LIC 9099D.

Exit interview conducted with director, report, appeal rights, notice of site visit and acknowledgment of receipt issued.

Notice of site visit must be posted for 30 days.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20230207080143
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: JUMPSTART, LEARNING CENTER, INC.
FACILITY NUMBER: 364817504
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/17/2023
Section Cited
CCR
101223(a)(3)
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Personal Rights
(a)(3) To be free from ... unusual punishment…or actions of a punitive nature... including interference with functions of daily living including eating...
This requirement was not met as evidenced by
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Director stated she will have a staff meeting by 2/17/23 on children's personal rights and will send a list of participants and the topics to CCL by 2/17/23.
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Based on interviews conducted children's personal rights were violated.

This is an immediate risk to the health and safety and personal rights of children in care.
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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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3