364841303-9-20-2019-09-CC-AROS-BH6VD4-20191021162008

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364841303
Report Date: 09/20/2019
Date Signed: 09/20/2019 06:30:35 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
08/14/2019 and conducted by Evaluator Blanca Ruiz-Silva

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20190814170417

FACILITY NAME:	CREATIVE KIDS PRESCHOOL		FACILITY NUMBER:	364841303
ADMINISTRATOR:	FORTUNATO, TERESA		FACILITY TYPE:	840
ADDRESS:	1161 E RIVERSIDE DRIVE		TELEPHONE:	(909) 923-5006
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91761
CAPACITY:	56	CENSUS: 17	DATE:	09/20/2019
		UNANNOUNCED	TIME BEGAN:	03:50 PM
MET WITH:	Teresa Fortunato		TIME COMPLETED:	06:45 PM

ALLEGATION(S):

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Personal Rights

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Blanca Ruiz-Silva, arrived at the facility to conclude an investigation into the above allegation, prior visits were made on 07/23/19 and 08/15/19 regarding the above allegation. LPA met with Director, Teresa Fortunato at the time of the inspection and stated the purpose of the investigation. The center was toured and a census was taken.

It was alleged that on or about the last week of 07/2019, children’s personal rights were violated while in care.
Information obtained during the course of the investigation by witnesses, staff and pertinent parties revealed that children personal rights were violated by multiple children while in care at the facility.

It was disclosed by the facility that couple of children were using extremely foul language with in class and they were also displaying disruptive behavior such as threating to kill facility’s staff and kicking them in the presence of other children in care. Children’ in care expressed feeling sad, scared and concern with their safety and staff. During inspection conducted on 08/15/19, director confirmed that Child#1 and Child#2 have been removed from the facility the last week of 07/2019 and first week of 08/2019.
Please seee Lic 9099C

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

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-20190814170417

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: 09/20/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/23/2019 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	101223(a)(2) Personal Rights. Each child shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet children needs. This requirement was not met has evidence by:	1 2 3 4 5 6 7	Licensee agrees to submit a written statement to CCL regarding 101223(a)(2)to ensure that children's personal rights are not violated by updating Creative Kids Preschool and Daycare guidelines and procedures. In service training was provided to staff on 07/2019.
	8 9 10 11 12 13 14	Facility failed to provide a safe environment. Children in care were scared and intimidated by Child#1 and Child #2 who were agressive towards staff and other children for several months. This poses an immediate risk to the Health and Safety of the children in care.	8 9 10 11 12 13 14	Licensee provided updated copy of Creative Kids Preschool and Daycare Policies and Guidelines
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 09-CC-20190814170417

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: 09/20/2019

NARRATIVE

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Based on the above information and LPA’s observation on 07/23/19 the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

California Code of Regulations, (Title 22, divisions & chapter number are being cited on the attached LIC 9099D.) Exit interview conducted and a copy of this report was provided to Teresa Fortunato, appeal rights were given on this date along with a Notice of Site Visit. Signature below acknowledges these rights were provided.

SUPERVISOR'S NAME: Aaron Ross	TELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva	TELEPHONE: (951) 233-5594
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2019

LIC9099 (FAS) - (06/04)

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