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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370806023
Report Date: 09/26/2019
Date Signed: 09/26/2019 09:51:27 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/02/2019 and conducted by Evaluator Selina Siao
PUBLIC
COMPLAINT CONTROL NUMBER: 20-CC-20190702121119
FACILITY NAME:CENTER FOR YOUNG IMAGINATIONSFACILITY NUMBER:
370806023
ADMINISTRATOR:SHANNON MOROFACILITY TYPE:
850
ADDRESS:4885 HARBINSON AVENUETELEPHONE:
(619) 461-5408
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:53CENSUS: 25DATE:
09/26/2019
UNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Shannon MoroTIME COMPLETED:
09:55 AM
ALLEGATION(S):
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Staff handled day care children in a rough manner

INVESTIGATION FINDINGS:
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Licensing Program Analyst, Selina Siao conducted an unannounced inspection to deliver the above complaint finding. The initial inspection and tour of the preschool classrooms was conducted by Analyst Siao on 07/09/2019 and with a follow up inspection on 08/20/2019. Throughout the course of investigation, records were reviewed and interviews were conducted with several staff members, several day care children and several daycare parents. On Nov 19, 2018, a staff member took a child's arm somewhat forcefully to get the child to clean up toys that the child had deliberately dumped on the floor. The child was crying as she was cleaning up the toys. The incident was observed by another person and a meeting was held with the staff on Nov 20, 2018 due to her behavior. A copy of the note from the meeting, along with the alleged staff member's signature acknowleding that she will use her voice in the future to ask the child to go to her and not hold the child's arm was obtained from the staff's file. Based on LPA’s observations and interviews which were conducted and record review the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED, California Code of Regulations, 101223 (a)(3) is being cited on the attached LIC 9099D.
Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted during this visit and will remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2019
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 20-CC-20190702121119
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: CENTER FOR YOUNG IMAGINATIONS
FACILITY NUMBER: 370806023
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/01/2019
Section Cited
CCR
101223(a)(3)
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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.
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Director stated that she will conduct a staff meeting and will review the licensing personal rights regulation with staff members. Director will submit a copy of the agenda along with staff member's signature to
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This requirement was not met as evidenced by: On Nov 19, 2018, a staff held a child's arm somewhat forcefully to have the child clean up the toys that the child had deliberately dumped on the floor. The child was crying as she was cleaning up the toys. This poses a potential health and safety risk to clients in care.


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Analyst by 10/01/2019.
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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: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/02/2019 and conducted by Evaluator Selina Siao
COMPLAINT CONTROL NUMBER: 20-CC-20190702121119

FACILITY NAME:CENTER FOR YOUNG IMAGINATIONSFACILITY NUMBER:
370806023
ADMINISTRATOR:SHANNON MOROFACILITY TYPE:
850
ADDRESS:4885 HARBINSON AVENUETELEPHONE:
(619) 461-5408
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:53CENSUS: DATE:
09/26/2019
UNANNOUNCEDTIME BEGAN:
09:16 AM
MET WITH:Shannon MoroTIME COMPLETED:
09:55 AM
ALLEGATION(S):
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Staff appeared to be drinking and under the influence of alcohol
Staff appeared to be intoxicated
Staff failed to provide proper care and supervision of the children
INVESTIGATION FINDINGS:
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Licensing Program Analyst, Selina Siao conducted an unannounced inspection to deliver the above complaint findings. The initial inspection and tour of the preschool classrooms was conducted by Analyst Siao on 07/09/2019 and with a follow up inspection on 08/20/2019. Throughout the course of investigation, records were reviewed and interviews were conducted with several staff members, several day care children and several daycare parents. On 07/01/2019, a staff member brought a mini bottle of wine between 4-6 oz inside her purse to school. The staff stated that she was planning to do decoupage during her break with the bottle. A few people interviewed said that the staff member appeared to be a little off that day but no one observed the staff member drinking or with alcohol on her breath. The staff retired as a result of the incident. Parents interviewed did not have any concerns regarding the above allegations. Based on information gathered, although the above allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.
Appeal Rights (1/16) were discussed and provided. Signature at the bottom of this report confirms receipt. Notice of Site Visit was posted during this visit and will remain posted for 30 days.

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3