364841730-5-27-2021-09-CC-GSEA-C3KKRL-20210601080805

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364841730
Report Date: 05/27/2021
Date Signed: 05/27/2021 11:27:44 AM

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
05/03/2021 and conducted by Evaluator Justin Giese

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20210503134711

FACILITY NAME:	NOAH'S ARK 4 KIDS CHILD CARE CENTER		FACILITY NUMBER:	364841730
ADMINISTRATOR:	MURPHY, TAMMY		FACILITY TYPE:	840
ADDRESS:	27061 BASELINE		TELEPHONE:	(951) 662-0943
CITY:	HIGHLAND	STATE: CA	ZIP CODE:	92346
CAPACITY:	10	CENSUS: 7	DATE:	05/27/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Tammy Murphy		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Facility staff caused bruising to child
Facility staff pinched child

INVESTIGATION FINDINGS:

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On 05/27/21 at 10:30am Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to Noah's Ark 4 Kinds Child Care Center for the purpose of concluding a complaint investigation. LPA met with Facility Director, Tammy Murphy regarding the above allegations which were received on May 3rd, 2021.

The following was alleged: Facility staff caused bruising to child and facility staff pinched a child. LPA investigated the above allegation and gathered the following information:

On 05/11/21 LPA made an unannounced visit to the facility. During the investigation, the LPA conducted interviews with pertinent individuals related to this complaint. It was reported, while on the playground, facility staff pinched a child causing the child to sustain a bruise on their arm. No further details as to where, when, or how the bruise was disclosed. Facility staff became aware of the bruise via text message. Reporting Party (RP) stated facility staff has verbally communicated previous occurrences of accidents/injuries.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin Giese	TELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

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-20210503134711

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: NOAH'S ARK 4 KIDS CHILD CARE CENTER	FACILITY NUMBER: 364841730
	VISIT DATE: 05/27/2021

NARRATIVE

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LPA was not able to interview the child when initial contact was made with RP. LPA made multiple attempts to contact the RP to interview the child but was unsuccessful. Interviews conducted with facility staff did not indicate any isolated incidents resulting in the child sustaining injury while in care pertaining to the allegations in this complaint investigation.

LPA’s observations and interviews throughout the investigation could not determine if the injury occurred at the facility and if it was a result of interaction with facility staff. This agency has investigated the complaint alleging facility staff caused bruising to child and facility staff pinched a child. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

AT THE TIME OF VISIT NO DEFICIENCIES WERE CITED

An exit interview was conducted, LPA provided Facility Director, Tammy Murphy with a copy of this report on 05/27/2021

A NOTICE OF SITE VISIT WAS ISSUED AND LPA VERIFIED THAT IT WAS POSTED IN A PROMINENT LOCATION AT THE FACILITY BEFORE LEAVING. THE DIRECTOR UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin Giese	TELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:	DATE: 05/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2021

LIC9099 (FAS) - (06/04)

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