364841081-2-9-2023-09-CC-GSEA-CPJRAD-20230302115058

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364841081
Report Date: 02/09/2023
Date Signed: 02/09/2023 01:19:21 PM

Unsubstantiated

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
01/25/2023 and conducted by Evaluator Patricia Berry

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20230125082642

FACILITY NAME:	ABUNDANT PRESCHOOL OF LEARNING		FACILITY NUMBER:	364841081
ADMINISTRATOR:	TIFFANY CAREY		FACILITY TYPE:	850
ADDRESS:	10900 CIVIC CENTER DRIVE		TELEPHONE:	(909) 204-4514
CITY:	RANCHO CUCAMONGA	STATE: CA	ZIP CODE:	91730
CAPACITY:	128	CENSUS: 91	DATE:	02/09/2023
		UNANNOUNCED	TIME BEGAN:	12:34 AM
MET WITH:	Tiffany Carey/Director		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

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Lack of Supervision resulting in a child sustaining an injury

INVESTIGATION FINDINGS:

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On 2/9/23 at 12:34 pm, Licensing Program Analyst (LPA) Patricia Berry) conducted a subsequent complaint investigation to deliver final findings. LPA met with Tiffany Carey and was granted access into the facility. LPA toured facility and took a census.

Allegation: Lack of Supervision resulting in a child sustaining an injury. It was alleged a child sustained an injury due to lack of supervision. It was alleged a staff member was on her cell phone when another child pushed a child off a play structure. LPA interviewed staff, obtained documentation, and reviewed video of the incident.

On 4/20/21, the facility submitted an Unusual Incident Report (UIR) stating a child sustained an injury while on the playground. UIR stated the child fell off the play structure.

Cont on 9099C)

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023

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-20230125082642

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: ABUNDANT PRESCHOOL OF LEARNING	FACILITY NUMBER: 364841081
	VISIT DATE: 02/09/2023

NARRATIVE

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After receipt of the UIR, LPA conducted a Case Management tele-inspection visit, via Face Time, due to COVID-19 and DPH guidelines of social distancing.

LPA viewed video of the incident and interviewed staff. Video shows two staff and several children on the playground. At one point, a child falls off the side of the play structure. After viewing video of the incident and interviewing staff, it was determined the incident was accidental.

Upon receipt of the complaint allegation, LPA obtained enhanced video of the incident. LPA viewed the video and re-interviewed staff. The enhanced video of the incident shows a child fall. The video shows both staff members moving around the playground. LPA was unable to determine if one of the staff members was utilizing a cell phone or if the child fell, due to being pushed by another child. Although the incident may or may not have occurred, there is not enough preponderance of evidence to substantiate the complaint, therefore the above allegation, Lack of Supervision resulting in a child sustaining an injury is unsubstantiated.

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

Notice of Site Visit must be posted for 30 days.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia Berry	TELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:	DATE: 02/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/09/2023

LIC9099 (FAS) - (06/04)

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