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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191203005
Report Date: 06/27/2023
Date Signed: 06/27/2023 11:40:22 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/06/2023 and conducted by Evaluator Roxana Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20230406155803
FACILITY NAME:OUR SCHOOLFACILITY NUMBER:
191203005
ADMINISTRATOR:JANEL THRASHERFACILITY TYPE:
850
ADDRESS:1800 EAST MOUNTAIN ST.TELEPHONE:
(626) 798-0911
CITY:PASADENASTATE: CAZIP CODE:
91104
CAPACITY:48CENSUS: 37DATE:
06/27/2023
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Director Janel Thrasher TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff handled child in a rough manner
Staff used physical force to stop child from speaking
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 6/27/2023 . A risk assessment was conducted appropriate PPE was used. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 04/06/2023. LPA met with Director, Janel Thrasher to whom the purpose of the inspection was announced. Census was taken.

Throughout the course of the investigation, interviews were conducted with staff and children. LPA also reviewed and obtained copies of the current children’s roster, photos, and other documentation.

Per the initial complaint report, the Reporting Party (RP) reported that Staff handled their child (child # 1) in a rough manner, by pulling the child’s jacket causing it to rip and that they witnessed the same staff covering their child’s mouth to keep the child quiet.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
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 5
Control Number 33-CC-20230406155803
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: OUR SCHOOL
FACILITY NUMBER: 191203005
VISIT DATE: 06/27/2023
NARRATIVE
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LPA interviewed child # 1 who stated that Staff # 1 pulled on their jacket “but it didn’t rip.

Regarding allegation: Staff handled the child in a rough manner: LPA conducted interviews with 3 Staff. Staff # 1 disclosed that in December 2022, child # 1 was clucking like a chicken- staff reminded child #1 that if they wanted to remain in their classroom they had to listen. Per staff # 1 since the child did not stop and since Child’s # 1 parents were not okay with them touching the child by the chin (to catch the child’s attention), staff # 1 bent down and “grabbed child #1 by the lapel of his jacket to catch his attention.” When Staff #1 disclosed this information, staff grabbed and tugged the right lapel (neck) of LPA’s jacket. Staff # 2 disclosed being aware of the jacket incident. Both Staff # 1 & 2 corroborated that jacket did not rip.

Regarding allegation: Staff used physical force to stop the child from speaking: LPA conducted interviews with 3 staff. Staff # 1 disclosed that Child #1 was sick and was getting picked up early, the exit door of their classroom is located by the napping area of the other classroom. Per Staff # 1 when Child # 1 saw their parent, the child screamed, and “it was a knee-jerk reaction, and I covered their mouth,” as they didn’t want the other children to wake up. Staff # 1 disclosed that parents witnessed the incident. Staff #2 and #3 corroborated that though they did not witness the incident they were aware of the incident happening.

This agency has investigated the complaint alleging staff handled child in a rough manner and staff used physical force to stop child from speaking. Based on LPA’s observations, interviews that were conducted, and records reviews, the preponderance of the evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the facility representative, Janel Thrasher .

--------------------------------------------------- pg. 2 of 2 -------------------------------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20230406155803
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: OUR SCHOOL
FACILITY NUMBER: 191203005
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2023
Section Cited
CCR
101223(a)(1)
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101223(a)(1) Personal Rights: The licensee shall ensure that each child is accorded the following personal rights: To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidence by
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Per Director, they will have a staff meeting disscusing licensing visit and regulation violated and watch personal rights video on ccld.childcarevideos.org. Meetings minutes and signing sheet will be provided. Staff # 1 and # 2 will write a decleration on what they learned and their plan moving forward.
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Staff # 1 disclosed covering child's # 1 mouth to keep child from speaking also grabbing child by the lapel of jacket, which poses a potential risk for 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.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/06/2023 and conducted by Evaluator Roxana Lopez
COMPLAINT CONTROL NUMBER: 33-CC-20230406155803

FACILITY NAME:OUR SCHOOLFACILITY NUMBER:
191203005
ADMINISTRATOR:JANEL THRASHERFACILITY TYPE:
850
ADDRESS:1800 EAST MOUNTAIN ST.TELEPHONE:
(626) 798-0911
CITY:PASADENASTATE: CAZIP CODE:
91104
CAPACITY:48CENSUS: 37DATE:
06/27/2023
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Director Janel Thrasher TIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff spit on child in care
INVESTIGATION FINDINGS:
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An unannounced inspection was conducted by Licensing Program Analyst (LPA) Roxana Lopez on 6/27/2023. A risk assessment was conducted appropriate PPE was used. The purpose of this inspection is to provide the findings of the complaint investigation which was received on 04/06/2023. LPA met with Director, Janel Thrasher to whom the purpose of the inspection was announced. Census was taken.

Throughout the course of the investigation, interviews were conducted with staff, parents and children. LPA also reviewed and obtained copies of the current children’s roster, photos, and other documentation.

Per the initial complaint report, the Reporting Party (RP) reported that Staff spitted on their child

LPA interviewed child # 1 who stated that Staff # 1 spit on them, and “I don’t remember what other things she did to me.”
----------------------------------------------------- pg. 1 of 2 ---------------------------------------------------------------------------
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20230406155803
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: OUR SCHOOL
FACILITY NUMBER: 191203005
VISIT DATE: 06/27/2023
NARRATIVE
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Regarding allegation: Staff spits on a child in care: LPA conducted interviews with 3 staff. Staff #1-3 corroborated that they have never spit on a child or witnessed any other staff spitting on children. Per Staff # 2, while in line Child # 1 spit on another child. Staff #2 took the children to Staff # 1. Per Staff # 1 they asked Child # 2 if Child # 1 had spat on them or blown a raspberry. Child # 2 then turned around to Child # 1 and responded, “he did this” and blew a raspberry on Child # 1. Per staff # 2 they were no longer in that area to witness this interaction. LPA interviewed Child # 2 who stated that they've never been spit on by a teacher or another child.

Additionally, LPA interviewed parents who corroborated that they did not have any concern with the care provided to their children.

This agency has investigated the complaint alleging staff spit on child in care. Based upon the evidence as presented above, the allegation has been determined to be Unsubstantiated. A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove alleged violation(s) did or did not occur, therefore at this time the above allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the facility representative, Janel Thrasher .

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 5