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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198011568
Report Date: 07/30/2021
Date Signed: 07/30/2021 02:55:47 PM

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
05/20/2021 and conducted by Evaluator Mireya Garcia
COMPLAINT CONTROL NUMBER: 33-CC-20210520110821
FACILITY NAME:READY SET GROWFACILITY NUMBER:
198011568
ADMINISTRATOR:ASHLEY MANSPERGERFACILITY TYPE:
830
ADDRESS:525 S. STEWART DR.TELEPHONE:
(626) 339-3850
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY:20CENSUS: 3DATE:
07/30/2021
UNANNOUNCEDTIME BEGAN:
11:13 AM
MET WITH:Site Supervisor, Alicia FloresTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff did not supervise daycare child.
Child given an unsafe food item.
Staff did not report child's allergic reaction.
INVESTIGATION FINDINGS:
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On July 30, 2021 at 11:13 a.m., Licensing Program Analyst (LPA) Mireya García, contacted facility and spoke to Site Supervisor, Alicia Flores, via telephone due to COVID-19 and precautionary measures in order to provide the findings of the Complaint investigation. At 11:14 a.m., the call was transferred into a FaceTime tele-inspection. LPA García discussed the purpose of the call. During this tele-inspection the Site Supervisor took this LPA on a virtual tour of the facility. There were 3 infants observed to be present at the facility during this tele-inspection.

Information provided by the complainant alleges that Staff did not supervise daycare child, Child given an unsafe food item and Staff did not report child’s allergic reaction.

During this investigation LPA García obtained; documents and conducted interviews with Director and five (5) daycare Staff.
REPORT CONTINUES ON NEXT PAGE 1 OF 3.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
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-20210520110821
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: READY SET GROW
FACILITY NUMBER: 198011568
VISIT DATE: 07/30/2021
NARRATIVE
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Pertaining to the allegation of Staff did not supervise daycare child, interviews with daycare staff determined that an incident occurred at the facility where day care Staff #6 left two (2) day care children eating alone in the Infant room while Staff #6 left to the preschool room.

Regarding to the allegation of Child given an unsafe food item, interviews conducted with daycare staff determined that an incident occurred at the facility where day care Staff #6 gave day care child baby carrots belonging to Staff #6. Child gave another child carrot then Staff #6 walked away from children. In addition, Staff #6 disclosed observing infant child in questioned eating baby carrot before walking away to another room.

Referring to the allegation of Staff did not report child’s allergic reaction, interviews conducted with day care staff reveal that an incident occurred at the facility where the infant child in question had an allergic reaction and staff did not report child’s reaction to parent. Staff #6 disclosed observing hives on the neck and shoulder of the infant child in question after the child had an allergic reaction to food and Staff #6 did not immediately notify child’s parent.

Based on LPAs interviews which were conducted, and record reviews, 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 1, the following deficiencies are being cited (see attached LIC 9099D). REPORT CONTINUES ON NEXT PAGE 2 OF 3.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 33-CC-20210520110821
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: READY SET GROW
FACILITY NUMBER: 198011568
VISIT DATE: 07/30/2021
NARRATIVE
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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). Acknowledgement of Receipt (LIC 9224 form) must be maintained in each child’s file immediately upon receipt from parent.

A Notice of Site Visit was not provided to Site Supervisor, Alicia Flores since a physical inspection was not conducted.

Exit interview was conducted with Site Supervisor, Alicia Flores via tele-inspection, during which Appeal Rights were verbally explained to Site Supervisor. A copy of this report (LIC 9099) has been signed by LPA García. This report, along with a copy of the Appeal Rights (LIC 9058) and the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form will be scanned via e-mail to Alicia Flores, who understands that an electronic “Read Receipt” and/or confirmation of receipt of the e-mail confirms receipt of the report and constitutes an electronic signature. The facility representative was provided with the mailing address to the Monterey Park Regional Office (1000 Corporate Center Drive, Suite 200B, Monterey Park, CA 91754) and agrees to send a copy of the signed LIC 9099 reports by email to LPA Garcia and mail originals forms to the office.


END OF REPORT: PAGE 3 OF 3

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 33-CC-20210520110821
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: READY SET GROW
FACILITY NUMBER: 198011568
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/02/2021
Section Cited
CCR
101429(1)
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101429-Responsibility for Providing Care and Supervision for Infants: (1) Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement is not met as evidenced by:
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POC Plan: Per Site Supervisor, she has conducted training for all staff regarding responsibility for providing care and supervision including visual and sound supervision at all times of children
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LPAs interview disclosure from Staff #6 determined that an incident occurred at the facility where day care Staff #6 left two (2) day care children eating alone in the Infant room while Staff #6 left to preschool room. This poses an immediate health and safety risk to children in care.
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in addition, review of CCL Supervising Children in Child Care Centers video https://ccld.childcarevideos.org/child-care-center-operators/supervising-children-in-child-care-centers/ and staff will provide a video written response and compliance plan. Site Supervisor will send LPA Garcia training staff agenda, sign in sheet and staff written responses/compliance plan by POC due date 08/13/2021.
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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: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 33-CC-20210520110821
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: READY SET GROW
FACILITY NUMBER: 198011568
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/13/2021
Section Cited
CCR
101226(a)
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101226-Health-Related Services: (a) The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. This requirement is not met as evidenced by:
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Per Site Supervisor, she will conduct training for all staff to discuss procedures when children in care have allergic reactions including review of CCL Children’s Personal Rights in Child Care video for centers https://ccld.childcarevideos.org/child-care-center-operators/childrens-personal-rights-in-child-care/ and staff will provide a video written response and compliance plan.
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LPAs interviews conducted with day care staff reveal that an incident occurred at the facility where infant child in question had an allergic reaction to food resulting in child having hives and staff did not immediately notify child’s parent. This poses a potential health and safety risk to children in care.
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Site Supervisor will send LPA Garcia training staff agenda, sign in sheet, staff written responses/compliance plan and copy of facilities written IMS plan by POC due date 08/13/2021.
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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: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5