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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 364841303
Report Date: 07/23/2019
Date Signed: 07/23/2019 02:01:13 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
07/19/2019 and conducted by Evaluator Patricia Berry
PUBLIC
COMPLAINT CONTROL NUMBER: 09-CC-20190719155244
FACILITY NAME:CREATIVE KIDS PRESCHOOLFACILITY NUMBER:
364841303
ADMINISTRATOR:FORTUNATO, TERESAFACILITY TYPE:
840
ADDRESS:1161 E RIVERSIDE DRIVETELEPHONE:
(909) 923-5006
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY:56CENSUS: 17DATE:
07/23/2019
UNANNOUNCEDTIME BEGAN:
08:33 AM
MET WITH:Raven Henderson/Lead TeacherTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Children exposing their private areas to other children
Children "bullying" other children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Patricia Berry conducted an unannounced complaint investigation. LPA toured facility and took census. LPA conducted interviews and obtained pertinent documents.

Allegation: Children exposing their private areas to other children, Lead Teacher (LT) stated there was an incident where a child did expose private area to children in the classroom. LT stated the incident happened very quickly as the children were playing catch when child #1 exposed private area. LT stated she was right there and saw the incident occur. LT stated she immediately called director and director removed child #1 from the classroom. Although the incident was handled immediately, the incident made the children feel sad and scared


(Cont on 9099C)
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
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-20190719155244
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: CREATIVE KIDS PRESCHOOL
FACILITY NUMBER: 364841303
VISIT DATE: 07/23/2019
NARRATIVE
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Allegation: Children "bullying" other children, LT stated there is a level of bullying in the classroom. LT stated there is name calling, bad language, hitting and pushing continuing in the classroom. LT stated they have addressed the issues by removing children from the classroom, talking to the children, parents and also at times adding another staff member in the classroom; however, LPA observed 1 teacher with 12 children. LT stated staff is aware of the issues and is working on trying to resolve them, however, based on interviews conducted there has not been any training for staff to handle these issues, and the bullying is still continuing and children feel sad. Based on information obtained there is bulling continuing in the classroom.

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



Exit interview conducted with director and report given to director today

Notice of site visit issued, and LPA observed director post notice.

Appeal rights discussed and issued.

Acknowledgement of receipt provided.

LIC 811 Confidential names list provided
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Patricia BerryTELEPHONE: (951) 782-4952
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 09-CC-20190719155244
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: CREATIVE KIDS PRESCHOOL
FACILITY NUMBER: 364841303
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/23/2019
Section Cited
CCR
101216(a)
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Personnel Requirements
(a) Child care center personnel shall be competent to provide the services necessary to meet the individual needs of children in care and shall at all times be employed in numbers sufficient to meet those needs.This requirement was not met as evidenced by
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Lead Teacher (LT) stated she will immediately add another staff to the classroom during periods of time when classroom behaviors are escalated. LT stated she will conduct a staff training to address bullying and other types of behaviors that are occurring in the classroom. LT stated she will provide topics and list of participants to
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 LPA obtained information there are issues continuing in the classroom and the staff is not providing services necessary to meet the individual needs of the children; which is making the children to feel sad and scared.

This is an immediate risk to the health and safety of children in care
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 CCL by 7/31/19. LT also stated she will send a plan on how these issues will be prevented in the future. LPA recommended www.ccld.ca.gov for videos that may provide additional training for staff.
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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: 07/23/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3