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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364840169
Report Date: 02/18/2025
Date Signed: 02/18/2025 10:38:36 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 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
01/30/2025 and conducted by Evaluator Chase Atherton
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20250130101513
FACILITY NAME:EASTER SEALS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
364840169
ADMINISTRATOR:SARAH CHAUDHRYFACILITY TYPE:
850
ADDRESS:9950 MONTE VISTA AVENUETELEPHONE:
(909) 626-1700
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY:105CENSUS: 41DATE:
02/18/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Sarah ChaundhryTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Licensee is allowing a day care child with obvious symptoms of illness to attend.
INVESTIGATION FINDINGS:
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On the date and time listed above, Licensing Program Analysts (LPAs) Chase Atherton and Giselle Carbullido arrived at the facility to provide final investigation findings for the above allegation. LPAs conducted an initial visit on 02/03/2025. LPAs were granted entry by Director Sarah Chaundhry and informed them of the purpose of visit. LPAs toured the facility and took census.

During the investigation, LPAs interviewed pertinent parties, reviewed records, obtained evidence, and made observations.

It was alleged that the facility allowed a daycare child with obvious symptoms of illness to attend.

Pertinent party interviews stated a child was observed with multiple symptoms of illness (ongoing green mucus, ongoing cough, and lack of appetite) and was not sent home.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025
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-20250130101513
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: EASTER SEALS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364840169
VISIT DATE: 02/18/2025
NARRATIVE
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LPA reviewed a sampling of wellness check forms and sign in/out sheets which revealed that the facility failed to send an ill child home. Additionally, documents revealed the facility failed to comply with their own Parent Hand Book (section Health and Safety, subsection Runny Nose) and policy and procedures regarding illness.

On 02/03/2025 during the tour of the facility, LPAs observed a child with cough and green runny mucus on site and the child was not sent home.

Based on information gathered from interviews and records, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12, CCR 101173(d), is being cited on the attached LIC 9099D.

Appeal Rights issued and discussed with facility representative and their signature on this form acknowledges receipt of these rights.

Exit interview conducted and report was reviewed with the Director Sarah Chaundhry. A notice of site visit was given to facility representative Sarah Chaundhry and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20250130101513
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: EASTER SEALS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 364840169
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2025
Section Cited
CCR
101173(d)
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101173 Plan of Operation (d) The child care center shall operate in accordance with the terms specified in the plan of operation.
This requirement is not met as evidenced by:
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Facility will submit a written statement of understanding of section 101173(d). Additionally facility will provide a written plan, signed and dated, on how the facility will ensure the plan of operation/policy for sick/ill children is followed, to the department by the POC due date.
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Based on LPAs’ observations, records review, and interviews, the facility did not comply with the section cited above in that they did not follow their plan of operation for illness. This posed a potential health and safety risk to persons 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: Ana Noble
LICENSING EVALUATOR NAME: Chase Atherton
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3