376700650-5-2-2019-09-CC-TSAL-BDYUVK-20190711155516

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376700650
Report Date: 05/02/2019
Date Signed: 05/02/2019 03:08:25 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
03/20/2019 and conducted by Evaluator Marlene Wong

COMPLAINT CONTROL NUMBER: 09-CC-20190320163420

FACILITY NAME:	MAAC PROJECT - FALLBROOK HEAD START - INFANT		FACILITY NUMBER:	376700650
ADMINISTRATOR:	M'LINDA ROSOL		FACILITY TYPE:	830
ADDRESS:	405 WEST FALLBROOK STREET		TELEPHONE:	(760) 723-4189
CITY:	FALLBROOK	STATE: CA	ZIP CODE:	92028
CAPACITY:	12	CENSUS:	DATE:	05/02/2019
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:			TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Facility staff are not properly supervising infants

Facility staff left child in wet clothing

Facility staff are not properly supervising children resulting in children receiving injuries

INVESTIGATION FINDINGS:

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The children are playing in the bathroom toilets while another child’s diaper is being changed. Although the classroom was within ratio while one teacher is changing a child’s diaper, the other teacher is not supervising the other children.

The children play with the water in the toilets and their clothes get wet and are not changed.

During a two week period, from February 25, 2019 to March 7, 2019, one child was scratched and/or bit by other children in the class.

Based on the interviews conducted and the documentation obtained, the allegations are SUBSTANTIATED. A finding that the complaint is substantiated means that the allegations were valid because the preponderance of the evidence standard has been met. An exit interview was conducted with Ms. Rosol and a copy of this report was left at the facility.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Marlene Wong	TELEPHONE: (951) 248-0229
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

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-20190320163420

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: MAAC PROJECT - FALLBROOK HEAD START - INFANT	FACILITY NUMBER: 376700650
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/02/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed Type A 05/03/2019 Section Cited CCR 101429(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision for Infants (a) In addition to Section 101229, the following shall apply: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended.	1 2 3 4 5 6 7	Licensee will provide in-service training regarding infant supervision and a plan to provide care when the children's diapers are being changed. Also, a plan provided regarding children bering scratched and bitten by other children. Proof to be submitted to CCLD by 05/03/19.
	8 9 10 11 12 13 14	This requirement was not met as evidenced by the children playing in the toilets, the other teacher not supervising the other children while a child's diaper was being changed and a child being scratched and bitten by another child over a two week period. This poses an immediate risk to the Health and Safety of children in care.	8 9 10 11 12 13 14
Deficiency Dismissed Type B 05/10/2019 Section Cited CCR 101223(a)(2)	1 2 3 4 5 6 7	Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.	1 2 3 4 5 6 7	Licensee will provide a plan that the children's clothes are changed when they are wet. Proof to be provided to CCLD bu 05/10/19.
	8 9 10 11 12 13 14	This was not met as evidenced by the children going home with wet clothes. This poses a potential risk to the Health and Safety of children in care.	8 9 10 11 12 13 14

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: Dawn Parker	TELEPHONE: (951) 320-2101
LICENSING EVALUATOR NAME: Marlene Wong	TELEPHONE: (951) 248-0229
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

LIC9099 (FAS) - (06/04)

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