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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191290432
Report Date: 08/02/2024
Date Signed: 08/02/2024 11:11:38 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 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
06/12/2024 and conducted by Evaluator Nolan Tcheng
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20240612103052
FACILITY NAME:WILLARD CHILDREN'S CENTERFACILITY NUMBER:
191290432
ADMINISTRATOR:REE HUDSONFACILITY TYPE:
850
ADDRESS:345 SO. HALSTEAD ST.TELEPHONE:
(626) 792-5763
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY:64CENSUS: 7DATE:
08/02/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Lorna Washington - Site SupervisorTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Staff handled daycare child in a rough manner
Staff yelled at daycare child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced subsequent inspection of a complaint investigation. Upon arrival at 8:40am, LPA met with SIte Supervisor Lorna Washington, to whom the purpose of the inspection was explained. Tour of the facility was provided. There were children present during the time of inspection.

Census was taken. There were 7 children and 5 staff members
During the course of the investigation, interviews were conducted with five staff members, four children, and five parents. Documentation in the form of Child care facility roster and staff contact information was obtained.

Information from the complainant indicates that Staff #3 violated the personal rights of a Child #1 by grabbing the child’s face and yelling at them.
REPORT CONTINUES PAGE 1 of 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
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 4
Control Number 33-CC-20240612103052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: WILLARD CHILDREN'S CENTER
FACILITY NUMBER: 191290432
VISIT DATE: 08/02/2024
NARRATIVE
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During an incident at the facility, Child #1 was reportedly interacting with another child in care when Staff #3 observed child making hand gestures. Report indicates Staff #3 observed them as "gang signs" and reacted. Staff #3 reportedly grabbed child's face to yell at them regarding the alleged "gang signs."

Interview with Staff #1 (S1) corroborated information from Reporting party regarding staff yelling at Child #1 (C1). S1 disclosed that a Staff #3 (S3) uses their voice in a loud manner. Per S1, “The voice was loud and they were at the student’s eye level.” When asked to describe the voice used by S3, S1 stated, “I had to stop what I was doing because it was loud enough to catch my attention. It was a spontaneous ‘hey why are you doing that?’ It was an elevated voice that caught my attention.” S1 stated that Staff #6 was also present during the incident. LPA was unable to contact Staff #6 for interview during course of investigation. Per interview with Staff #4 (S4), they were present but in an adjacent room during time of the incident, and did not directly observe the incident reported. S4 stated that C1 seemed “out of it.” Per S4, “[They] were very quiet and normally [they] are very talkative. Didn’t seem like [themselves].”

Staff 1 corroborated that staff made physical contact with C1’s face. S1 disclosed, “The only contact I observed was a finger under [their] chin, lifting [their] face up to look at [S3]. Not grabbing.”

In addition, S4 referenced another incident they witnessed during interviews, “There was a student in the restroom and took too many paper towels and [S3] yelled at the student and went up and yanked [them] and told [them] you only get one. That child did cry a little bit.”

During interview with Staff #3, when asked about the incident with C1, they stated " I told [C1] that we cannot push up on another child and I got to [their] level and pointed my finger saying 'we cannot do that.'" Additionally, S3 stated, "I never touched a child. I have been a teacher for 40 years, and I have never seen anyone do it the way [they] accused it. I would never say gang signs but I did say they were doing 'gestures' and getting all up in another [child's] face so I tried to talk to [C1] that [they] can't do that. [Adult] asked me if I had seen Spiderman and I did not so I could not say what I saw was that or not."

Based on LPAs observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 Chapter 101223 Personal Rights), are being cited on the attached deficiencies page.”)

REPORT CONTINUES PAGE 2 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 33-CC-20240612103052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: WILLARD CHILDREN'S CENTER
FACILITY NUMBER: 191290432
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/05/2024
Section Cited
CCR
101223(a)(1)
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Personal Rights
(1) To be accorded dignity in his/her personal relationships with staff and other persons.


This requirement is not met as evidenced by:
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Per Site Supervisor, they will host a staff meeting to review and conduct training on Personal Rights. Staff will sign an attendance sheet. Meeting agenda and copy of signed attendance sheet will be submitted to LPA. Staff will also watch the Personal RIghts video on:
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Based on interview, Licensee did not ensure personal rights were not violated, as Staff #3 forcefully lifted Child 1's face and yelled at them. This was an immediate risk to the personal rights of a child in care.
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www.ccld.childcarevideos.org. Each staff member will write a summary of the video and submit copies to LPA by POC date.
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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: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 33-CC-20240612103052
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: WILLARD CHILDREN'S CENTER
FACILITY NUMBER: 191290432
VISIT DATE: 08/02/2024
NARRATIVE
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Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Site Supervisor Lorna Washington, at 11:05am. Plan of corrections was developed and copy of report was provided.

END OF THE REPORT PAGE 3 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4