376701276-10-16-2019-10-CC-TSAL-BH8LBR-20191023083708

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 376701276
Report Date: 10/16/2019
Date Signed: 10/16/2019 12:48:42 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
08/27/2019 and conducted by Evaluator Ericka Smith

PUBLIC

COMPLAINT CONTROL NUMBER: 10-CC-20190827095329

FACILITY NAME:	HAPPY TIMES CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	376701276
ADMINISTRATOR:	BELEN ESTEBAN		FACILITY TYPE:	830
ADDRESS:	755 CIVIC CENTER DRIVE		TELEPHONE:	(760) 295-9475
CITY:	VISTA	STATE: CA	ZIP CODE:	92084
CAPACITY:	22	CENSUS: 9	DATE:	10/16/2019
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Belen Esteban		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Infant sustained a fracture while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ericka Smith conducted a subsequent unannounced inspection to the facility today to deliver the findings of the above complaint allegation. LPA met with XXXXX. During the investigation, staff and child files were reviewed and copies of child records were requested and obtained. In addition, LPA met Administrator, and conducted confidential interviews with two staff and parent of child in care. Statements from confidential interviews disclosed Child 1 (C1) sustained a fracture while in care due to lack of supervision by staff. Other information obtained stated C1 was being supervised by staff when C1 was attempting to climb on the facility bench. Confidential inteverviews revealed that the facility staff tried to stop C1 from climbing on the bench by saying "No thank you," but C1 fell back when he turned to look at staff. Allegations stated that staff did not attend to C1 after he was injured because staff was changing another child's diaper. A witness stated the allegation is false and did not occur. Although C1 did obtain an injury while in care, due to conflicting statements and a limited number of witnesses, it could not be determined if the injury was cause due to lack of supervision. Based on the confidential interviewos, the Department determined there was not enough evidence to determine if there was a Title 22 violation at this time. Although the allegation may have happened or may be valid, there was not a preponderance of evidence to support or deny the allegation. The Department’s finding is that this allegation was unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Telma Sandoval	TELEPHONE: (951) 782-4950
LICENSING EVALUATOR NAME: Ericka Smith	TELEPHONE: (951) 255-4577
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019

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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