364844011-4-19-2023-09-CC-GSEA-CR7VWA-20230424164735

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 364844011
Report Date: 04/10/2023
Date Signed: 04/19/2023 09:07:28 AM

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
02/21/2023 and conducted by Evaluator Justin Giese

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20230221082558

FACILITY NAME:	VOLUNTEERS OF AMERICA EHS CC PP		FACILITY NUMBER:	364844011
ADMINISTRATOR:	SAVALA, STEPHANIE		FACILITY TYPE:	830
ADDRESS:	799 E. RIALTO AVENUE		TELEPHONE:	(909) 332-6690
CITY:	SAN BERNARDINO	STATE: CA	ZIP CODE:	92408
CAPACITY:	80	CENSUS: 0	DATE:	04/10/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Arlene Lugo/Herlinda Velazquez		TIME COMPLETED:	02:15 PM

ALLEGATION(S):

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Facility staff are not meeting day care child's diapering needs

INVESTIGATION FINDINGS:

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**** AMENDED DOCUMENT TO REFLECT REPORT IS PUBLIC report signed by Herlinda Velazquez***
On 04/10/2023, at time listed above, Licensing Program Analyst (LPA) Justin Giese made an unannounced visit to the facility for the purpose of concluding a complaint investigation. Allegations of this complaint were received by Licensing on 02/21/2023. LPA was granted entry to the facility and met with Education Specialist, Arlene Lugo.

The following was alleged: Facility staff are not meeting day care child's diapering needs
It was alleged a toileting support plan was established for the child and they were to wear pull-up training pants, not diapers. On the following dates the child was alleged to be picked up wearing a diaper: 12/08/22, 12/09/22, 1/4/2023, 1/5/2023.
On 02/21/2023, LPA made an unannounced visit to the facility for the purpose of initiating this complaint investigation. LPA met with Facility Director, collected/reviewed documents, and interviewed staff associated with the supervision and implementation of the toileting support for the child related to this complaint.

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: 04/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023

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-20230221082558

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: VOLUNTEERS OF AMERICA EHS CC PP	FACILITY NUMBER: 364844011
	VISIT DATE: 04/10/2023

NARRATIVE

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LPA was provided with two toileting support plans. The initial was dated 09/07/2022 and the subsequent dated 02/03/2023. LPA observed the initial document to disclose the child was only half potty trained, the document did not disclose the child’s specific needs for diapers or pull-up training pants and identified key words the child uses at home when they need to use the bathroom. The subsequent document disclosed the child still needed assistance in verbalizing using the bathroom and would wear underwear during the day and pull-up training pants during nap time.

In addition to toileting support plans, LPA was provided daily logs for the child for the alleged dates the child was picked up in a diaper. LPA observed these logs to document the child’s sleep, nutrition, and toileting events for each day. All daily logs reviewed for the dates supporting this allegation listed diapering/toileting events and a signature by the child’s Authorized Representative. LPA did not observe information regarding the usage of diapers or pull-up training pants on the daily logs.

Statements recorded from staff interviewed revealed children on toileting support plans usually wear pull-up training pants or a combination of underwear. Staff deny the child was placed in a diaper on multiple occasions. Staff corroborated, on one occasion, the facility ran out of pull-up training pants, and the facility utilized diapers in an effort to keep children dry and comfortable. LPA was unable to obtain the date of this occurrence or documents to support this event.

Based on LPA observation, interview and documents collected/reviewed, there was conflicting information received during the investigation from what was alleged, facility staff are not meeting day care child's diapering needs. 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.

A NOTICE OF SITE VISIT WAS GIVEN. FACILITY REPRESENTATIVE WAS INSTRUCTED TO POSTED IT IN A PROMINENT LOCATION AT THE FACILITY. FACILITY REPRESENATIVE UNDERSTANDS THAT IT MUST REMAIN POSTED FOR THE NEXT 30 DAYS.

An exit interview was conducted, A copy of this report and appeal rights were given to the Facility Representative during this inspection on 04/10/2023.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Justin Giese	TELEPHONE: (951) 204-4847
LICENSING EVALUATOR SIGNATURE:	DATE: 04/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2023

LIC9099 (FAS) - (06/04)

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