364818441-3-3-2022-09-CC-GSEA-CCXM7B-20220328092109

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364818441
Report Date: 03/03/2022
Date Signed: 03/03/2022 12:19:36 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
02/23/2022 and conducted by Evaluator Patricia Berry

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20220223121144

FACILITY NAME:	PSD/FONTANA CITRUS HEAD START		FACILITY NUMBER:	364818441
ADMINISTRATOR:	MALIKA BINNS		FACILITY TYPE:	850
ADDRESS:	9315 CITRUS AVENUE		TELEPHONE:	(909) 428-8496
CITY:	FONTANA	STATE: CA	ZIP CODE:	92335
CAPACITY:	140	CENSUS: 51	DATE:	03/03/2022
		UNANNOUNCED	TIME BEGAN:	10:02 AM
MET WITH:	Patricia Waldon/Lead Teacher		TIME COMPLETED:	12:55 PM

ALLEGATION(S):

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Facility is not secured

INVESTIGATION FINDINGS:

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On 3/3/2022 at 10:02 am, Licensing Program Analyst (LPA) Patricia Berry conducted a complaint investigation. LPA was granted access into the facility and met with lead teacher. LPA toured facility and took census. LPA interviewed staff.

Allegation Facility is not secure. It was alleged the fence on one of the children's playgrounds is not secure. LPA observed the playground fence is partially down. LPA observed the children have access to a field directly behind the fence. According to staff interviews the fence has been down for over a month. LPA spoke with Maintenance Supervisor who stated he is getting a quote this week and will have the fence fixed within three weeks. Based on LPA’s observation and other information obtained the fence that is down is an immediate risk to the health and safety of children in care, therefore the above allegation facility is not secure is substantiated.

(Cont on 9099C)

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

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-20220223121144

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/FONTANA CITRUS HEAD START	FACILITY NUMBER: 364818441
	VISIT DATE: 03/03/2022

NARRATIVE

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Based on LPA’s observation and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations is being cited on the attached LIC 9099D.

Exit interview conducted with lead teacher, report, appeal rights and Acknowledgement of receipt provided.

Notice of sit visit issued and must be posted for 30 days. LPA observed lead teacher post Notice of Site Visit along with 9099D page.

This report must be made available for three years.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

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Control Number 09-CC-20220223121144

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/FONTANA CITRUS HEAD START	FACILITY NUMBER: 364818441
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/03/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/04/2022 Section Cited CCR 101238.2(g)	1 2 3 4 5 6 7	Outdoor Activity Space (g) The playground shall be enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence shall be at least four feet high. This requirement of was not met as evidenced by	1 2 3 4 5 6 7	Lead teacher stated she will have program manager barricade the fence to secure the area. This barricade needs to be in place within 24 hours. Correction must be sent to CCL by 3/4/2022.The permanent fence must be in place within three weeks’ time frame and
	8 9 10 11 12 13 14	Based on LPA's observation and interviews the fence is down and children have access to a field. This is an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	send proof of the correction to CCL by 3/24/2022.
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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 Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC9099 (FAS) - (06/04)

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