376700702-6-18-2019-09-CC-KWIS-BDX3T8-20190709183132

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376700702
Report Date: 06/18/2019
Date Signed: 06/18/2019 03:38:46 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 STREET, STE 700
RIVERSIDE, CA 92501

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/15/2019 and conducted by Evaluator Laura Callahan

PUBLIC

COMPLAINT CONTROL NUMBER: 09-CC-20190415101037

FACILITY NAME:	A PLACE OF OUR OWN CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	376700702
ADMINISTRATOR:	MENDOZA, ROSARIO		FACILITY TYPE:	830
ADDRESS:	2355 E VALLEY PARKWAY		TELEPHONE:	(760) 737-8660
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92027
CAPACITY:	15	CENSUS: 5	DATE:	06/18/2019
		UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Rosario Mendoza		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Provider failed to provide adequate supervision resulting in a child being bit by another child

INVESTIGATION FINDINGS:

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On this date and time, Licensing Program Analyst (LPA) Laura Callahan met with Director Rosario Mendoza and toured the facility. The following was observed: There were 5 children and 2 staff members present.

The purpose of the visit is to conclude the investigation to the above allegation. LPA conducted prior visits on 04/23/19 and 06/06/19 to the facility in regards to this allegation. During the visits, LPA conducted interviews and reviewed facility records.

It was alleged that on or about 04/03/19, Child #1 was bitten numerous times by another child at the facility due to lack of supervision by staff.

Staff interviewed stated that while washing the child's hands after a meal, Staff #1 noticed a red mark above the wrist. Staff #1 rolled the child's long sleeve to take a closer look and observed two red circles on the arm. Other staff members who were present, removed the child's clothing and observed (continued on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Callahan	TELEPHONE: (951) 204-4913
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2019

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-20190415101037

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 STREET, STE 700
RIVERSIDE, CA 92501

FACILITY NAME: A PLACE OF OUR OWN CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 376700702
	VISIT DATE: 06/18/2019

NARRATIVE

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at least 6 red circles from the child's wrist to the shoulder. The circles are on the front/top surface of the left arm and appear to be evenly spaced.

The staff interviewed stated that there were approximately 9 children with four staff members present on the day in question and no one heard Child #1 cry. They stated that it was not possible for Child #1 to receive that number of bites on one arm and the child not cry. They stated that all of the children in the classroom are under the age of 24 months and normally cry when in pain. Staff stated that Child #1 normally wears two layers of clothing, which on the day of the incident, the child wore a thick jacket for part of the morning along with the long sleeve shirt. Staff added that there are currently no children in the classroom with biting problems.

During the complaint investigation, LPA received conflicting information. 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.

An exit interview was conducted with Ms. Mendoza, Appeal Rights and posting requirements were explained. A copy of this report was provided during the visit and shall be made available for public review upon request for 3 years.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Laura Callahan	TELEPHONE: (951) 204-4913
LICENSING EVALUATOR SIGNATURE:	DATE: 06/18/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2019

LIC9099 (FAS) - (06/04)

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