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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191890370
Report Date: 02/07/2025
Date Signed: 02/07/2025 05:08:28 PM

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
02/07/2025 and conducted by Evaluator Staicy Perry
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250207114458
FACILITY NAME:JARDIN DE NINOS CHILD CARE CENTERFACILITY NUMBER:
191890370
ADMINISTRATOR:ALICIA LOMELIFACILITY TYPE:
850
ADDRESS:2422 MANITOU AVETELEPHONE:
(323) 223-1230
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY:46CENSUS: 18DATE:
02/07/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Ana Gambino, Education coordinator & Maria Garcia, Assistant supervisor. TIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Neglect/Lack of Supervision: Staff did not provide adequate supervision to day care child resulting in injury.
INVESTIGATION FINDINGS:
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On February 7, 2025, Licensing Program Analysts (LPAs) Staicy Perry and Mariah Aguirre conducted an unannounced complaint investigation for the above allegation. LPAs met with Ana Gamino (education coordinator) and Maria Garcia (assistant supervisor), who guided LPAs on a tour of the facility. LPAs observed 18 children in care with 7 staff members.

During the investigation, LPAs interviewed Staff #1 (S1) through Staff #3 (S3) and obtained declarations from Staff #3 (S3) through Staff #10 (S10), as well as from S1. LPAs also gathered a current facility roster, personnel sheets, staff time sheets, children’s sign-in and sign-out sheets, and reviewed surveillance video footage of the incident. Attempts were made to interview the Reporting Party (RP), but LPAs were unable to contact RP.

According to the Reporting Party (RP), "Staff did not provide adequate supervision to the daycare child, which resulted in injury." RP explained that "Child #1 (C1) mistakenly drank a bleach/water solution . C1 was taken to the hospital." RP further stated, "C1 was treated for ingesting a toxic solution and had a burn in their throat."
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
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-20250207114458
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: JARDIN DE NINOS CHILD CARE CENTER
FACILITY NUMBER: 191890370
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/13/2025
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified
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Licensee shall provide additional training (Section 101229 Responsibility for Providing Care and Supervision) to all staff. Director will have teachers watch https://ccld.childcarevideos.org/child-care-center-operators/supervising-children-in-
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in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidence by: Child #1 mistakenly drank a bleach/water solution . C1 was taken to seek emergency medical treatment and all staff present did not observe the incident occur which poses an immediate risk to the health and safety of the children in care.
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child-care-centers/ videos and provide a summary of what they learned and provide proof to LPA by POC date. Per Assistant Director a meeting will be held to discuss supervision, following agency protocols on cleaning solutions in the classroom and desgnating areas where teachers should be positioned to have 100% supervision in the classroom at all times and will provide attandance sheet and training overview to LPA by POC date. Declaration obtain on 2/7/25.
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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: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 33-CC-20250207114458
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: JARDIN DE NINOS CHILD CARE CENTER
FACILITY NUMBER: 191890370
VISIT DATE: 02/07/2025
NARRATIVE
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LPAs interviewed Staff #1 (S1), who disclosed that they took the small cups of bleach and soap into the classroom but was unsure why they did so. Per S1, the bleach solution for cleaning is prepared in the staff lounge. Staff are to fill 1 gallon pitcher with water, adding 5 tablespoons of Clorox and pour mixture into spray bottles then distribute to the classrooms. Per facility protocol for cleaning solutions and mixtures. When LPAs asked where they had placed the cups, S1 said they were set on the counter, pushed back near the sink.

During LPAs review of surveillance video footage, LPAs observed that C1 and Child #2 (C2) were near the sink and were able to reach the two cups. The footage showed C1 drinking from one of the cups and started screaming and crying. Staff #4 (S4) saw C1 screaming and crying and immediately asked for assistance from other staff.

LPAs noted that all staff responded appropriately, including contacting poison control in the event of an emergency. LPAs also observed and heard the 911 call and were present when the fire department arrived at the facility.

Based on interviews conducted and video footage reviewed, the above allegation is deemed SUBSTANTIATED. A finding of Substantiated means that the preponderance of evidence standard has been met. The facility is being cited a Type A deficiency in accordance with Title 22 Regulations, see LIC9099D. Civil Penalty will be reviewed.

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

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 33-CC-20250207114458
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: JARDIN DE NINOS CHILD CARE CENTER
FACILITY NUMBER: 191890370
VISIT DATE: 02/07/2025
NARRATIVE
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months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form (LIC9224) during this visit.

An exit interview was conducted with Maria Garcia as well as Andrea Fernandez, Vice President (via phone), and a copy of this report was provided along with Appeal Rights. Notice of Site Visit was provided and must be posted for 30 days.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4