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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 393622380
Report Date: 06/25/2019
Date Signed: 06/25/2019 10:31:23 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2019 and conducted by Evaluator Christopher Jackson
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20190328075755
FACILITY NAME:LEARNING TREE, THEFACILITY NUMBER:
393622380
ADMINISTRATOR:VALORIE VESIA GLORFACILITY TYPE:
850
ADDRESS:1742 NORTH STREETTELEPHONE:
(209) 838-3955
CITY:ESCALONSTATE: CAZIP CODE:
95320
CAPACITY:50CENSUS: 29DATE:
06/25/2019
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Valorie GlorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facility staff handled daycare child in a rough manner.


INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christopher Jackson met with, licensee/director Val Glor, to deliver the findings for the above complaint allegation. It was alleged that child #1 was handled in a rough manner.
During the investigation, interviews were conducted with several parents, children and staff. On 01/24/19 the center self-reported an Unusual Incident report via mail to the Department. It was stated that Staff #1 lifted and removed a child from the classroom as a form of discipline. The director disagrees with term cild handled in a rouh manner, director stated the child was removed for the safety for himself and the other children in the room. Based on the corroborating statements. The department has found that the complaint to be SUBSTANTIATED: meaning that the allegation is valid because the preponderance of the evidence standard has been met.
Title 22 Deficiencies have been cited on the subsequent 9099-D page of this report and appeal rights provided.
Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the 12 months.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019
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 03-CC-20190328075755
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: LEARNING TREE, THE
FACILITY NUMBER: 393622380
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/25/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/26/2019
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
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Licensee/director conducted a staff meeting in which they accessed the departments website and printed the personal rights of children and provided to staff. LPA observed the agenda with staff signatures to document the meeting.
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aids to physical functioning. This requirement has not been met as evidenced by:

Based on interviews licensee failed to ensure that the personal rights of C1 were not violated due to staff lifting C1. This poses an immediate health and safety risk to children in care.
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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: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2019 and conducted by Evaluator Christopher Jackson
PUBLIC
COMPLAINT CONTROL NUMBER: 03-CC-20190328075755

FACILITY NAME:LEARNING TREE, THEFACILITY NUMBER:
393622380
ADMINISTRATOR:VALORIE VESIA GLORFACILITY TYPE:
850
ADDRESS:1742 NORTH STREETTELEPHONE:
(209) 838-3955
CITY:ESCALONSTATE: CAZIP CODE:
95320
CAPACITY:50CENSUS: 29DATE:
06/25/2019
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Valorie GlorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff discriminated against child.
Staff failed to treat daycare child with respect
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Christopher Jackson met with the Director Val Glor to provide the finding for the above allegations. The complainant alleged that “Staff discriminated against child” and “Staff failed to treat daycare child with respect” while in care. During the investigation process, LPA conducted interviews, made observations and reviewed documentation.
Based on the conflicting information obtained throughout the course of this investigation the above allegation could not be substantiated or dismissed. Although the allegations may have happened (or is valid), there is not a preponderance of the evidence to prove the alleged violations did or did not occur, therefore the finding is UNSUBSTANTIATED.
No Title 22 deficiencies were cited at time of visit. An exit interview was conducted in which the report was reviewed and discussed with Director Val Glore. Appeal rights were discussed, and a printed version was given to licensee.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher JacksonTELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:

DATE: 06/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3